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27 Cards in this Set
- Front
- Back
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What is subjective data?
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what the person says about him or herself during history taking
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What is objective data?
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what you observe by inspecting, percussing, palpating, and auscultating
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Name the Nursing Process
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Assessment, Diagnosis, Outcome ID, Planning, Implementation, Evaluation
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Move to expertise by ________ not by _____
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critical thinking; rote
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What are nursing diagnoses?
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Clinical judgments about a person's acutal or potential health state
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Name three types of nursing diagnoses
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actual, risk, and wellness
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Name the types of assessment
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Complete, episodic or problem-centered, follow-up, and emergency
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Name the vital signs
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general physical appearance, body structure, mobility, behavior, weight, height, temp, pulse, respirations, BP
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What is included in general physical appearance?
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age, sex, level of consciousness, skin color, facial features, signs of distress
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What is included in body structure?
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stature, nutrition, symmetry, posture, position, obvious physical deformities
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What is included in mobility?
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gait, ROM, involuntary movements
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What is included in behavior?
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facial expression, mood and affect, speech, dress, personal hygiene
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Some factors that affect temp are:
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age, time of day, ovulation, exercise
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What are the 4 things to pay attention do concerning pulse?
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rate, rhythm, force, and elasticity
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Bradycardia is:
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a weak or slower pulse
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Tachycardia is:
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a faster pulse
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Tachycardia can be caused by:
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anxiety, arrythmia, infections, caffeine
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One example of an abnormal pulse rhythm is:
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PVC (premature ventricular contraction)
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What is SV?
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Stroke volume is the amt of blood pumped by the heart with every beat
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Decreased SV can be due to:
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dehydration
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Increased SV can be due to:
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anxiety, exercise
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Systolic BP is:
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max pressure felt during left ventricular contraction
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Diastolic BP is:
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the pressure that exists btwn contractions
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Variation in BP can be due to:
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age, pregnancy, race, time of day, weight
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When are orthostatic vital signs taken:
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when volume depletion, HTN, fainting, or syncope is suspected
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What other vital sign is taken in infants:
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head circumference
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What vital signs change with age?
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gait, weight, height, temp, pulse, resp, BP
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