subjective data
Things a person tells you about that you cannot observe through your senses; symptoms
objective data
information that is seen, heard, felt, or smelled by an observer; signs
Primary data source
patient
Secondary Data Sources
family members, health records, significant others
...
NUR 265 Final Exam Questions and
Answers 2024
subjective data
Things a person tells you about that you cannot observe through your senses; symptoms
objective data
information that is seen, heard, felt, or smelled by an observer; signs
Primary data source
patient
Secondary Data Sources
family members, health records, significant others
General Survey
physical appearance, body structure, mobility, behavior
Complete database
full physical exam
Focused database
focuses on 1 or 2 systems
Follow-up database
follow-up after implementation
inspection
use of sight to gather data
used throughout PE
tools used to enhance inspection (penlight)
palpation
start light to deep
palpate tender areas last
dorsum for temp
NUR 265 Exam
,NUR 265 Exam
palms for pulsations
tips of fingers for texture, moisture, mass, edema
percussion
tapping on a surface to determine the difference in the density of the underlying
structure (flatness, dullness, resonance, hyperresonance, tympany)
Auscultation
Diaphragm- BP, lungs, BS, heart
Bell- vascular sounds, murmur
Auscultation
gender role
a set of expected behaviors for males or for females
gender
in psychology, the biologically and socially influenced characteristics by which people
define male and female
gender identity
one's sense of being male or female
pressure injuries
injuries or wounds that result from skin deterioration and shearing
Stage 1 Pressure Injury
non-blanchable erythema of intact skin
Stage 2 Pressure Injury
partial-thickness skin loss with exposed dermis
NUR 265 Exam
, NUR 265 Exam
Stage 3 Pressure Injury
full-thickness skin loss; not involving underlying fascia
Stage 4 Pressure Injury
full-thickness skin and tissue loss
Unstageable Pressure Injury
obscured full-thickness skin and tissue loss
Deep Tissue Pressure Injury
persistent non-blanchable deep red, maroon, or purple discoloration
prevention of pressure injuries
NUR 265 Exam
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