Nur 216 exam 1 - Study guides, Class notes & Summaries

An older adult patient who has a speech impairment exhibits facial expressions and gesture to suggest being in moderate pain, but the patient is unable to fully express feelings. Which approach should the nurse take to assess the patient's condition accurately? A. Use an interpreter B.Speak Slowly C.Use a whiteboard or picture board D. Use sign language correct answer: Use a whiteboard or picture board A patient is being admitted for dehydration. The patient can understand English b...

NUR 216 exam 5 Stage 1 Tanner Breast ️ Prepuberty; elevation of the papilla (nipple). **Stage 2 Tanner Breast** ️ "Breast bud stage"; elevation of breast and nipple with increased diameter of areola. **Stage 3 Tanner Breast** ️ Areola deepens in color and enlarges; glandular tissue begins to develop beneath the areola. **Stage 4 Tanner Breast** ️ Areola and breast appear as a mound. **Stage 5 Tanner Breast** ️ Mature stage; areola recesses to contour of b...

NUR 216 - EXAM 1 (Modules 1-3) Questions and Answers (100% Pass) What is an assessment? - Answer️️ --A data collection process -A continuous process -A method to establish a baseline What is primary subjective data? Give an example. - Answer️️ -Client reports feelings/thoughts Ex. "I have a headache" What is secondary subjective data? Give an example. - Answer️️ -Anyone, other than the client, reports feelings/thoughts. Ex. Spouse states, "She complained of pain in her a...

comprehensive assessment correct answer: An assessment that includes a complete health history and physical assessment; Usually brand new patients focused assessment correct answer: assessment conducted to assess a specific problem; focuses on pertinent history and body regions HIPAA correct answer: Health Insurance Portability and Accountability Act The nursing process correct answer: Assessment Diagnosis Planning Implementation Evaluation Assessment (ADPIE) correct answer:...

A patient with a serum potassium level of 6.8 mEq/L would be expected to have which of the following manifestations? correct answer: peaked t-waves on EKG While cleaning and changing the dressing on a large pressure ulcer, a nurse scrubs vigrously and removes all of the bright, moist red tissue that had formed in the bed of the wound. The nurse has most likely removed which type of cells/tissue from the healing wound? correct answer: granulation tissue Edema is defined as correct answer:...

NUR 216 - EXAM 1 (Modules 1-3) 80+ Q&A/ . Terms like: What is the "A" in the nursing process? - Answer: Assessment - gather information and review the patient’s history What is the "D" in the nursing process? - Answer: Diagnose - identify problem list What is the "P" in the nursing process? - Answer: Plan - develop SMART goals, desired outcomes, and action plans

OLDCARTS - ANS For pain assessment O: Onset L: Location D: Duration C: Character A: aggravating/relieving R: radiation T: timing S: severity ADPIE - ANS for Critical Thinking + Clinical Judgement Assess: 1st step, subjective and objective data Diagnosis: analysis, formulation of nursing diagnosis Planning: prioritize problems, determine goals, plan of care Intervention: nursing action (rather than medical action) Evaluate: compare outcomes, communic...

What is Health Assessment? - ANS Requires the use of: hearing,seeing,smelling,and touching Nursing is a practice profession Health assessment is an essential skill to nursing practice A key goal of health assessment is to identify patient cure for normal and abnormal findings Person-centered care is the ultimate goal of health assessment What is the definition of Health? - ANS Health has different meaning for each individual, family, community, and population Nurse s...

NUR 216 - EXAM 1 (Modules 1-3)