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27 Cards in this Set

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