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Exam (elaborations)

Exam 2 - Nursing 214 Questions and Answers (100% Pass)

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  • Course
  • Nursing 214
  • Institution
  • Nursing 214

Assessing systematic and continuous collection, analysis, validation, and communication of patient data, or information Holistic the whole patient Nursing Assessment Goal Goal is to promote an optimal level of health through interventions to prevent illness, restore health, and facilita...

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  • October 18, 2024
  • 37
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nursing 214
  • Nursing 214
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1 | P a g e | © copyright 2024/2025 | Grade A+




Exam 2 - Nursing 214 Questions and
Answers (100% Pass)
Assessing


✓ systematic and continuous collection, analysis, validation, and

communication of patient data, or information




Holistic


✓ the whole patient




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




Medical assessment


✓ Target data pointing to pathological conditions




Types of Physical assessments


✓ Systems approach, head to toe, focused




Objective

Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

✓ 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




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




A-P diameter




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

✓ 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.




Order for how to assess stomach




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

✓ 1. Inspect abd

✓ 2. Auscultate - at least two minutes. Report lack of bowel sounds

✓ 3. Palpate




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.




Master01 | September, 2024/2025 | Latest update

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