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NUR 216 Exam 1 With Questions And 100% ALL CORRECT ANSWERS
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NUR 216 Exam 1 With Questions And 100% ALL CORRECT ANSWERS
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JACKLINENUR 216 Exam 1 With Questions And 100% ALL CORRECT ANSWERS
Terms in this set (84)
An assessment that includes a complete health history and physical assessment; Usually brand
comprehensive assessment
new patients
assessment conducted to assess a specific problem; focuses on pertinent history and body
focused assessment
regions
HIPAA Health Insurance Portability and Accountability Act
Assessment
Diagnosis
The nursing process Planning
Implementation
Evaluation
Data collection (objective/subjective)
Assessment (ADPIE)
Prioritize Data: Primary (life threatening), Secondary (requires prompt attention), Tertiary (not
urgent)
Planning (ADPIE) NUR 216 Exam 1 Develop SMART goals, plan nursing interventions
1/9
, Implementation (ADPIE) Perform planned nursing interventions
Evaluation (ADPIE) Were the goals met? If not, re-assess
Inspection
Palpation
Percussion
assessment skills Auscultation
(Bowels: Inspection, Auscultation, Percussion. Auscultation) Do not want to alter the bowel
sounds
Observe for Symmetry, size, color, shape
Inspection
Direct: Visualize with our eyes
Indirect: Use and instrument
Fingertips/pads: Palpation Fine sensation (texture, swelling, pulsation. lumps)
Dorsa of hands: Palpation Best for determining temperature
Base of fingers or ulnar surface: vibrations
Light: surface characteristics
Deep: Organs, masses, tenderness (use intermittent pressure)
Palpation
Ballpottement: Size/Shape of free floating objects
- Always palpate tender areas last
Percussion tapping on a surface to determine the difference in the density of the underlying structure
Ausculation listening to sounds within the body
low pitched sounds
Bell
(mummers)
high pitched sounds
Diaphragm
(bowel and lung sounds)
NUR 216 Exam 1
2/9
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