NSE 103 Questions and Answers
What are first-level priority problems
ABC+V
Emergencies, life-threatening, and immediate
What are second-level priority problems?
- Mental status change
- Untreated medical problems requiring immediate attention (ex: diabetic who has not received insulin)
...
NSE 103 Questions and Answers
What are first-level priority problems - answer ABC+V
Emergencies, life-threatening, and immediate
What are second-level priority problems? - answer - Mental status change
- Untreated medical problems requiring immediate attention (ex: diabetic who has not
received insulin)
- Acute pain
- Acute urinary elimination problems
- Abnormal lab values
- Risk of infection
Third-level priority problems - answer important to px health but can be addressed
after more urgent health problems are addressed
Collaborative problems - answer approach to treatment involves multiple disciplines
What is the behavioural model? - answer health care extends beyond treating
disease to include secondary and primary preventions, with emphasis on changing
behaviours and lifestyles
What is the socio-environmental model - answer Incorporates sociological and
environmental aspects in addition to the biomedial and behavioural ones
- social determinants of health & health promo
What is a relational approach to nursing? - answer refers to the fact that health,
illness, and the meanings they hold for a person are shaped by the person's
relations/intersections
What are 4 types of data collection? - answer 1. complete
2. episodic/problem-centered
3. follow up
4. emergency
What is a complete data set? - answer complete health history
full physical exam
Describes current and past health states and forms a baseline against which all future
changes can be measured
What is an episodic/problem centered Database - answer - For a limited or short
term problem
small in scope, and more focused than the complete database
-concerns mainly one problem, one cue complex, or one body system
, What is a follow-up database? - answer Status of any ID problem should be
evaluated at regular intervals
What is an emergency database? - answer Rapid collection of the data often
compiled while life-saving measures are occuring
What are 3 levels of disease prevention? - answer Primary
Secondary
Tertiary
What are characteristics of primary disease prevention? - answer - sanitation and
immunization
People and populations are prevented from becoming ill, sick, or injured in the first
place
What are characteristics of secondary disease prevention? - answer Early detection
of disease
What are characteristics of tertiary disease prevention? - answer Prevention of
complications when a condition or disease is present or has progressed
What is cachexia? - answer extreme wasting and malnutrition
How should you palpate for temperature? - answer Dorsal aspect of hand
Which part of the hand should be used to feel for vibration or pulsatility? - answer
Metacarpophalangeal joints
What type of percussion is often used to assess the lungs and the abdomen? - answer
Indirect percussion
Where is resonance heard? - answer over lung tissue and sometimes the abdomen
What is "low pitched sound that is hollow in terms of sound quality with a moderate
duration?" - answer Resonance
What is "low pitched but more booming sound, and has a longer duration"? - answer
Hyperresonance
Where is hyperresonance heard? - answer Small children's chest
- If found in adultsa nd older children, it can be a cue for possible hyperinflation of lungs
(emphysema, pneumothorax)
What is "high pitched, sounds like a drum"? - answer Tympany
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