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NUR-120-ALT Exam 2 Questions with 100% Correct Answers $13.49   Add to cart

Exam (elaborations)

NUR-120-ALT Exam 2 Questions with 100% Correct Answers

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  • Course
  • NUR-120-ALT
  • Institution
  • NUR-120-ALT

General health assessment Correct Answer an assessment of the physical, mental, spiritual, socioeconomic, and cultural status of an individual, group, or community Nursing Assessment Correct Answer Focus on the client's functional abilities and physical responses to illness and other stressors. ...

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  • November 5, 2024
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  • 2024/2025
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  • NUR-120-ALT
  • NUR-120-ALT
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NUR-120-ALT Exam 2 Questions with 100%
Correct Answers
General health assessment Correct Answer an assessment of the physical, mental,
spiritual, socioeconomic, and cultural status of an individual, group, or community

Nursing Assessment Correct Answer Focus on the client's functional abilities and
physical responses to illness and other stressors.

Purpose of physical exam Correct Answer Establish baseline data.
Identify nursing diagnoses, collaborative problems, or wellness diagnoses.
Monitor the status of an identified problem.
Screen for health problems

Types of physical exam Correct Answer Comprehensive- Interview plus complete head-
to-toe
Focused- "Focused" on presenting problem
System specific- one body system
Ongoing- Performed as needed. Evaluates client outcomes

preparing for the physical exam Correct Answer Theoretical Knowledge
Self Knowledge
Knowledge about patient
Nursing plan of care

Preparing the environment Correct Answer Privacy
Noise
Lighting
Temperature
Equipment

Preparing the Client Correct Answer Develop rapport
Respect cultural differences
Use proper positioning

Physical exam techniques Correct Answer Inspection
Palpation (touch)
Percussion (tapping producing vibration)
Auscultation (Direct or Indirect)
Olfaction (Smell)

Physical Exam for Elderly (SPICES) Correct Answer S leep disorders
P roblems with eating or feeding
I ncontinence

, C onfusion
E vidence of Falls
S kin Breakdown

Structure of skin Correct Answer epidermis, dermis, subcutaneous

Factors affecting skin Correct Answer Age
Mobility
Nutrition/hydration
Sensation
Impaired circulation
Medication
Moisture/fever
Infection
Lifestyle

Classification of Wounds Correct Answer Open/closed

Acute/chronic

Clean/contaminated/ infected

Superficial/partial or full-thickness

Penetrating

Level of contamination Correct Answer clean

clean-contaminated (surgical incision w/ increased risk of infection)

contaminated (break in asepsis. High risk of infection)

infected (bacteria above 100,000 organisms/gram)

Abrasion Correct Answer Scrape of the superficial layers of skin

Abscess Correct Answer localized collection of pus

Contusion Correct Answer bruise, closed wound

Crushing Correct Answer A wound caused by force leading to compression or
disruption of tissues

Incision Correct Answer An open, intentional wound caused by a sharp instrument

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