Fundamentals of NursingFundamentals of NursingFundamentals of NursingFundamentals of NursingFundamentals of NursingFundamentals of NursingFundamentals of NursingFundamentals of NursingFundamentals of NursingFundamentals of NursingFundamentals of Nursing
Fundamentals of Nursing
ABC - ANSWER-airway, breathing, circulation
adventitious breath sounds - ANSWER-crackles-fine to course crackling sounds due to fluid in the air
passages
wheezing- high pitched,musical-generally from narrowing of air passages
stridor-harsh high pitched heard on inspiration
afebrile - ANSWER-without fever
Aims of nursing - ANSWER-promoting health, preventing illness, restoring health, facilitating coping with
disability or death
ANA - ANSWER-Professional organization for RN's in the US. Publicizes standards of Practice to ensure
knowledgeable, safe, comprehensive, nursing care by those who will receive a license
anti-pyretic - ANSWER-fever reducing agent
apnea - ANSWER-no breathing
assess - ANSWER-collect, validate and communicate patient data, vital step-all remaining steps depend
on complete, accurate, factual data, made at the beginning of care and throughout the course of care,
goal is to come up with dx and interventions.
auscultation - ANSWER-listening with the stethescope to lungs, heart and abdomen, listen for pitch,
loudness,quality and rate
bradycadia - ANSWER-heart rate below 60
bradypnea - ANSWER-decreased respiratory rate
common pieces of equipment used during a physical assessment - ANSWER-stethescope, snellen chart,
opthalmoscope, otoscope
components of health assessment - ANSWER-health hx and physical assessment
crackles - ANSWER-fine to course crackling sounds due to fluid in the air passages
doctorate - ANSWER-higher level of practice
documentation - ANSWER-enter data asap, if it isn't recorded, it didn't happen, summarize, use pt's own
words, avoid non-specific terms
dyspnea - ANSWER-difficulty breathing
Emergency assessment - ANSWER-done when there is a life threatening problem. Identify conditions
that could lead to worsening health problems, or death, BIGGEST emergency has to do with breathing, if
not breathing, nothing else matters
evaluate the results - ANSWER-was the outcome achieved-did the pt have a bowel movement within
two days?
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