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Exam (elaborations)

NUR-275 EXAM 1 QUESTIONS AND CORRECT ANSWERS

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  • NUR-275
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  • NUR-275

NUR-275 EXAM 1 QUESTIONS AND CORRECT ANSWERS...

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  • September 29, 2024
  • 9
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR-275
  • NUR-275
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Easton
NUR-275 EXAM 1 QUESTIONS AND CORRECT ANSWERS



what is holistic assessment

looks at whole person; includes physical, emotional, mental, social, etc

4 types of nursing physical exam

inspection (looking), auscultation (listening), palpation (feeling), percussion (tapping)

inspection (looking)

head-to-toe. tools: penlight, cm ruler, tongue depressor

auscultation (hearing)

listening to sounds of heart, lungs, stomach, intestines, and arteries. tools: stethoscope
and doppler

what are the 2 parts of a stethoscope and what are they used for?

diaphragm (larger): high-pitched, breathing, heart, bowel.

bell (smaller): low pitched, extra heart sounds, murmur

doppler

ultrasound device for blood flow and circulation sounds

palpation (feeling)

using dorsal (back) side of hand to feel areas of body (temp/moisture/etc). tools: gloves,
cotton applicator (to test for sensation)

percussion (tapping)

quick tapping to determine vibrations and sounds (can determine density- fluid/air/solid)

phases of nursing process

assessment, analysis, planning, implementation, evaluation

assessment

nurse gathers subjective and objective data

subjective data

symptoms patient reported

, objective data

measurements and observations

analysis

anaylize data to develop plan of care

planning

collab between nurse, client, and sometimes family; uses evidence-based practice

What is evidence based practice?

based on clinical research, trends, and client preferences

Implementation

closely monitor progress

evaluation (of each step)

evaluate if effective and achievable goals/adjustments must be made. (communication is
very important).

framework for interviewing

ISBARR

I- Identity (who, name/title)

S- Situation (what are the circumstances

B- background (data)

A- assessment (vital signs and other data)

R- recommendations (suggestions)

R- read back orders (verify)

phases in interviewing

1. introductory phase (state your name)

2. information gathering phase

3. closing phase (summary, answer questions, thank)

General assessment: appearance

facial features, emotional state, eye contact, level of consciousness, skin

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