Exam 2 - Nursing 214 Questions and Answers New (2024/2025) Solved 100% Correct
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Course
Nursing 214
Institution
Nursing 214
Chief complaint/symptom analysis - ️️OLD CARTS
Onset - acute vs gradual
Location
Duration
Characteristics
Aggravating factors
Relieving factors
Treatments (and response)
Severity - rate on a scale
Nursing Assessment Goal - ️️Goal is to promote an optimal level of health through
in...
Chief complaint/symptom analysis - ✔️✔️OLD CARTS
Onset - acute vs gradual
Location
Duration
Characteristics
Aggravating factors
Relieving factors
Treatments (and response)
Severity - rate on a scale
Nursing Assessment Goal - ✔️✔️Goal is to promote an optimal level of health through
interventions to prevent illness, restore health, and facilitate coping w disabilities/death
Assessing - ✔️✔️systematic and continuous collection, analysis, validation, and
communication of patient data, or information
Holistic - ✔️✔️the whole patient
Medical assessment - ✔️✔️Target data pointing to pathological conditions
Types of Physical assessments - ✔️✔️Systems approach, head to toe, focused
Objective - ✔️✔️what's observed and measured. Can be verified by another person
observing the same pt Ex. temp, respirations
Subjective - ✔️✔️what is said by the patient. Ex - nausea, anxiety
A-P diameter - ✔️✔️twice as wide from front to back. A barrel chest could tell you that
they have COPD
Auscultate lung fields - ✔️✔️3 lobes right, 2 on left. Anteriorly, posteriorly, laterally, and
bilaterally.
Apical pulse is heard best where? - ✔️✔️heard best fifth intercostal space,
midclavicular line.
Different locations you can feel for a pulse - ✔️✔️Temporal: It is felt in the head.
, Carotid: It is felt in the neck.
Branchial: It is felt in the elbow.
Femoral: It is felt at the groin.
Radial: It is felt on the wrist.
Popliteal: It is felt on the knee.
Dorsalis pedis: It is felt on the foot.
where is the best place to check turgor - ✔️✔️clavicle
4 Ps - ✔️✔️pain
potty
position
possessions
What is care coordination? - ✔️✔️Deliberate organization of patient care activities
between two or more participants to deliver appropriate health care service.
Who is involved in care coordination? - ✔️✔️Patients are included in the process.
What is managing care? - ✔️✔️Managing care is the integration of resources focusing
on coordination of client care.
What does managing care involve? - ✔️✔️Managing care involves the supervision of
nurses in the delivery of quality care.
Why is care coordination important? - ✔️✔️Helps attain optimal patient outcomes and
health care quality / essential for organizing care and information specific to the patients
needs and preferences.
Care Coordinator - ✔️✔️Case manager/social worker working w/pt toward common
goal
Nurse Navigator - ✔️✔️specially trained nurse assigned to a cancer client. She
addresses barriers to timely tx & is main contact for pt
Nursing Process - ✔️✔️five-step systematic method for giving patient care; involves
assessing, diagnosing, planning, implementing, and evaluating
Nursing Process - Diagnosis - ✔️✔️Interpretation of data by identifying clusters of cues
so as to make inferences
Compare clusters of cues with definitions and defining characteristics
Validation of inferences based on findings
Identify related factors
Document the diagnosis
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