NSG-316 Topic 1 Exam 1 Solved 100% Correct!!

subjective data - What patient says about himself or herself during history taking objective data - Observed when inspecting, percussing, palpating, and auscultating patient during physical examination database - o Formed from these elements, plus patient's record and laboratory studies what is a complete total health database? - o Includes complete health history and full physical examination o Describes current and past health state and forms baseline to measure all future changes o Yields first diagnoses what is an episodic or problem centered database? - o For limited or short-term problems o Concerns mainly one problem, one cue complex, or one body system o History and examination follow direction of presenting concern what is a follow-up database? - o Status of all identified problems should be evaluated at regular and appropriate intervals o Note changes that have occurred o Evaluate whether problem is getting better or worse o Identify coping strategies being used what is an emergency database? - o Rapid collection of data, often compiled concurrently with lifesaving measures o Diagnosis must be rapid and comprehensive in nature ADOPIE - assessment, diagnosis, outcome identification, planning, implementation, e valuationFirst-level priority problems - emergent, life-threatening, and immediate, such as establishing an airway or supporting breathing.