Evidence Based Asessment
Name this type of data: heart rate 58, respirations 12, and lungs sounds clear bilaterally
What is objective data
This statement is what part of the interview: "I would like to ask some questions about your health and your usual daily activities."
What is opening or introduction of the interview
This provides a database of subjective information about the patient's past and current health
What is the purpose of the health history
This technique is always used first
What is inspection
This type of pain is associated with organ pain that is dull and difficult to locate.
What is visceral pain?
Information that the patient tells us
What is subjective data
The type of data collected during the interview portion of data collection
What is subjecitve data
Diseases that parents and siblings have had
What is a family history
The dorsal surface of the hand
What is the best part of the hand to use to assess for temperature
Behaviors such as guarding, grimacing Vocalizations such as moaning, agitation, restlessness, stillness, Diaphoresis(sweating), Change in vital signs. is associated to what type of pain
What is the ACUTE Pain
Assessment, diagnosis. outcome identification, planning, implementation, and evaluation
What are the steps of the nursing process
4-6 feet or the distance which the majority of the interview will take place
What is social distance
Physical findings related to each body system
What is the review of systems
This is when nurses use the sense of touch to assess texture, temperature, moisture, and swelling
What is palpation
Behaviors like this are associated to what type of pain? Bracing, rubbing, diminished activity, sighing, change in appetite
What is chronic pain
laboratory data, patient's records, objective data and subjective data all together create what?
What is the data base
reduces noise by turning off radios and televisions
How does the nurse control the physical environment to promote the success of the interview
Performing self-breast examination is considered this type of self-care.
What is an example of a health promotion activity
This is best for auscultating high-pitched sounds
What is the diaphragm of the stethoscope
described as shooting/burning. Implies an abnormal processing pain message difficult to assess and txt.
Nueropathic pain
Nurses formulate this by the using diagnostic reasoning
What is the nursing diagnosis
This type of questioning asks for narrative information.
What is an open ended question
This measures a person's self-care ability in the areas of general physical health or absence of health
What is a functional assessment
This device is used to locate a pulse that is not palpable
What is a doppler
most reliable indicator for pain evaluation
what is subjective data