Head Neck and Neuro
This condition causes gradual, painless clouding of the lens.
Cataract
This type of data comes directly from the patient’s feelings and perceptions.
What is subjective data?
This ethical principle means respecting the patient’s right to make their own healthcare decisions.
What is autonomy?
A wound that extends through the skin into muscle, tendon, or bone is classified as what stage of pressure injury?
What is Stage 4?
Noticing if a patient appears their stated age belongs under this component of the general survey.
What is physical appearance?
The tympanic membrane should normally appear this color
Pearly gray
Asking open-ended questions is an example of this communication style
Therapeutic communication
Creating a safe, supportive environment for healing demonstrates this principle.
What is beneficence?
This scale is commonly used to assess a patient’s risk for developing pressure injuries.
What is the Braden Scale?
his is the term for a patient’s manner of walking.
What is gait?
Patients under 40 with no vision problems should have screening every
Every 5–10 years
This type of diagnosis identifies a patient’s response to a health problem rather than the problem itself.
What is a nursing diagnosis?
Double-checking patient identification before a procedure is an example of this principle.
What is nonmaleficence?
Large bruises are medically referred to as what?
What are ecchymoses?
The nurse notes a heart rate of 120 bpm. This is called what?
What is tachycardia?
Tonsils that are touching each other at midline are graded as
4+
This nurse is responsible for validating and analyzing assessment data
RN
Avoiding favoritism in patient assignments demonstrates this principle.
What is justice?
A raised, fluid-filled lesion, such as a blister.
What is a vesicle?
A drop in systolic BP of ≥20 mmHg upon standing indicates this condition.
What is orthostatic hypotension?
Loss of balance and coordination may indicate dysfunction of this system
Cerebellum
These are actions nurses take to carry out the plan of care.
What are nursing interventions?
Accurately explaining a diagnosis demonstrates this principle.
What is veracity?
Skin that is cool, clammy, and pale may indicate this urgent condition
Shock
A client who is slumped in the chair, avoids eye contact, and speaks softly is demonstrating this type of nonverbal finding
Possible depression or emotional distress