NUR 2092 Health Assessment (NUR2092)

NUR2092 / NUR 2092 Health Assessment Exam 2 - Rasmussen University

What are the eyes rectus muscles Superior Inferior Medial Lateral What are the obique muscles Superior Inferior 5 Parts of the eye examination Visual acuity Ocular motility Visual fields by confrontation External structures (conjunctive& sclera) Visualizing the Fundus including the optic disc, retina and retinal vessels How to test for Visual acuity Use the Snellin eye chart Stand 20 feet away from the chart Test one eye at a time anything less than 20/40 should be referred for corre...

What are the 6 steps of the nursing process? 1. Assessment 2. Diagnosis 3. Outcome 4. Planning 5. Implementation 6. Evaluation Assessment Definition (nursing process) 1. Collect data 2. Use evidence-based assessment techniques 3. Document relevant data Diagnosis Definition (nursing process) 1. Compare clinical findings with normal and abnormal variation and developmental events 2. Interpret data-- make & test hypotheses 3. Validate diagnoses 4. document diagnoses Outc...

1. What are the steps in the Nursing Process? a. Assessment- collection of data from multiple sources (physical exam, health history, review records) b. Diagnosis- cluster data that seems to be associated, validate info, look for gaps in info, interpret data and identify problems c. Outcome identification- Identify expected outcomes set a SMART goal d. Planning- establish priorities, document plan of care, set time frames for meeting goals e. Implementation- provide teaching and h...

NUR 2092 Health Assessment Final Exam

1. Know the difference between subjective and objective data. (I will scream if you all get these wrong! :)) • Subjective: What a person says about themselves o Example: “My BP was 118/90 yesterday” and pain • Objective: What you observe through measurement, inspection, palpation, percussion, and auscultation o Examples: Meter readings, vital signs, and measurements 2. Barriers to communication. What are they? • The use of jargon • Emotional barriers and taboo • Lack of at...

1. Whats the first thing you do when you assess a patient the 4 steps:Inspect 2. Can’t feel a pulse on the radial what do u do?Use a Doppler 3. If u have a pt that is anxious about the exam what do u do?Be calm 4. Pt with drainage what do u do?Wear gloves 5. To assess a mur mur what part of the stethoscope do u use?The bell 6. Bp stages 120/130 prehypertensions 7. What kind of pt do u do rectal temp,babies and coma pt 8. Which ethinicty has high bpAfrican americans 9. A...

• Question 1 Which statement defines dementia? 1 out of 1 points Selected Answer: a gradual progressive decrease in cognition which is not reversible Answers: a gradual progressive decrease in cognition which is not reversible acute confusional change which resolves with treatment being aware of one’s existence or feelings unwanted persistent thoughts or impulses • Question 2 During an interview, the nurse notes that the patient gets up several times to wash...

Quiz 1 1. In meeting the safety needs of the adolescent client, it would be most important for the nurse to focus her teaching on: A. Smoking B. Sports injury C. Alcohol abuse 2. When implementing the use of restraints on a hospitalized client the nurse should. a. Restrain all confused clients so they do not sustain a fall injury b. Tie restraint to bottom of the side rail so the client can’t reach d. Release and provide skin assessment once every shift 3. A client on the ...

QUESTION 1 1. When performing a physical assessment, the first technique the nurse will always use is: a Inspectio . n. b Percussion . . c Palpation. . d Auscultati . on. QUESTION 2 1. The nurse is assessing a patient’s skin during an office visit. What part of the hand and technique should be used to best assess the patient’s skin temperature? a Fingertips; they are more sensitive to small changes in . temperature. b Ulnar portion of the hand; increased blood supply in this...