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NURS 130 Final Exam With Questions And 100% ALL DETAILED CORRECT ANSWERS
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JACKLINENURS 130 Final Exam With Questions And 100% ALL DETAILED CORRECT ANSWERS
Terms in this set (65)
nursing process ADPIE = Assessment, Diagnosis, Planning, Implementation, Evaluation
subjective data symptoms - what the client says about himself or herself
objective data signs - what the health professional observes during the exam
caregivers understand and attend to the total context of the individuals situation
- immigration status
cultural competency
- stress and social factor
- cultural similarities and differences
- do everything slower
- don't overwhelm with questions
exam technique on older adults
- assist them as needed
- don't talk in elder voice
- use interpreters if necessary
interviewing interventions for diverse cultures - don't make assumptions
NURS 130 Final Exam
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- collect subjective data
- provides picture of person's past and present health
purpose of health history - describes person as a whole and how the person interacts with their environment
- records health strengths and coping skills
- recognize and affirm what patient is doing right and point out improvements needed
collecting data on allergies note the allergen and the reaction
level of consciousness - alert and oriented to person, time, and place
mental status
A&O X3, lethargic, stuporous, comatose
delirium - acute confusional change or loss of consciousness and perceptual disturbance, may
accompany acute illness (pneumonia, alcohol or drug intoxication), usually resolved when
underlying cause is treated
dementia - gradual progressive process causing decreased cognitive function even though
older adult expected findings (related to mental
person is fully conscious and awake, not reversible, 2/3 is alzheimer's, not part of normal aging,
status)
non-caucasions, older adults, women, singles living alone, lower education and income are more
at risk
depression - sad gloomy and dejected, symptoms may occur with rainy weather, after a holiday,
or with illness; if situation is temporary, symptoms fade quickly
abstract reasoning math problems, picking what word doesn't fit, anything that involves deeper thinking
assessing techniques and sequence inspect, percuss, palpate, auscultate
physical appearance - sharper body contour, angular features, redistributed body proportions
posture - general flexion
normal changes with the older adult (general gait - wider base to compensate for diminished balance, arms out, steps shorter or uneven
overview) weight - body weight decreases, subcutaneous fat lost from face and periphery, more fat
accumulates at hips and abdomen
height - vertebral discs thinning, vertebrae shortening, kyphosis posture, flexion in knees and hips
temperature - normal is 98.6 F or 37 C (oral, rectal, tympanic, temporal, axillary)
pulse - normal is 60-100 bpm, graded 0-3+
vital signs and normal ranges respirations - normal is 12-20 bpm
blood pressure - normal is <120/80 mmHg
oxygen saturation - normal is 95-100%
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