what are the four broad goals of nursing - ANSWER promote health,
prevent illness, treat human responses to illness, and advocate
what is an assessment - ANSWER a systematic data collection that
predicts health risks and identifies health promotion
what are the four types of nursing assessments - ANSWER initial,
ongoing, emergency, focused
what aMaslow'sre maslows hierarchy of needs from bottom to top -
ANSWER physiological, safety (includes health and well being),
love/belonging, esteem, self actualization
what is the abs assessment - ANSWER airway, breathing, circulation,
consciousness, safety
what are the steps to a awell-bis eingbccs assessment - ANSWER 1.
airway. is the patient's airway compromised?
2. breathing- assess the ness of oxygen delivery. Take Blood oxygen
percentage
3. circulation. assess radial pulse first then carotid pulse, skin color,
moisture, and temperature.
4. consciousness, notice if they are drowsy alert etc.
5. safety- check for allergies, oxygen saturation, brakes on bed, bed rail,
call bell, check for dysphagia (difficulty swallowing)
what might be included in a focused respiratory exam - ANSWER pt
history of smoking, family history of pulmonary disease, signs and
symptoms, O2 percentage, respiratory rate
what might be included in a focused cardiovascular and peripheral
vascular system assessment - ANSWER data about the clients diet,
exercise, weight, BMI, stress levels, smoking history, family history,
pulse,
, what is subjective data - ANSWER data obtained from the patient
and/or family members,
what is a symptom - ANSWER subjective data that the pt reports
what is a primary source vs a secondary source - ANSWER the patient
is the primary source, the pt's family/caregivers are secondary
what is objective data - ANSWER something you can observe and
measure
what are several areas for a comprehensive health history - ANSWER
demographic/biological data, reason for seeking healthcare, current/past
medical history, family health history, functional health/ADL, review of
body systems
what are some things to figure out during the demographic/biological
data part - ANSWER name, emergency contacts, contact information,
birthday, gender, allergies, preferred language, relationship status,
occupation/education, resuscitation status,
what is a chief complaint - ANSWER the reason the patient is seeking
medical care
what is OLD CARTS ICE - ANSWER questions to ask about a
symptom. Onset, location, duration, characteristics, aggravating factors,
relieving factors, treatments, impact on ADL, coping strategies,
emotional response
what is medication reconciliation - ANSWER comparing current
medications with a previous list, done with every visit to the
hospital/clinic
what are some categories in a current and past health history interview -
ANSWER current health, medication, allergies, childhood illness,
chronic illness, acute illness, surgery, accidents, injuries, reproductive
health, immunizations