Nursing Assessment
Involves data collection to complete a thorough patient database.
What is the assessment phase of the nursing process.
After a thorough assessment the nurse should proceed to this next step.
What is formulating a nursing dx
The phase of the nursing process that establishes mutual goals with the patient and prioritizes care.
What is the planning phase
Tools used to inspect lice in a patient's hair.
What is tongue blade and gloves
To prevent heat loss newborns need to wear this.
What is a cap.
Focuses on the patient's current problem or presenting situation.
What is a problem-oriented-approach
Acute Pain is a ___________approved nursing dx.
What is NANDA-I
A broad statement describing a desired change in behavior.
What is a goal.
Patients who are immobile are at risk for what?
What is impaired skin integrity.
This cannot be delegated to unlicensed assistive personnel.
What is the nursing process.
A patient's feelings, perceptions, and reported symptoms
What is subjective data
The "related to" in a nursing diagnosis is the _________behind the nursing dx.
What is the pathology
A specific and measurable change is that is expected as a result of nursing care.
What is an expected outcome.
Patients with diabetes have frequent foot ulcers which are a precursor to this problem.
What is amputation.
To determine central blood circulation and circulation of blood to the brain the nurse would check this pulse.
What is the carotid pulse.
Includes information about the patient's home and work surroundings.
What is a thorough nursing history
Another term for defining characteristics in a nursing dx.
What are assessment findings or signs and symptoms
Administering morphine sulfate is known as this type of nursing intervention.
What is dependent.
The term for extremely bad breath.
What is halitosis
Oxygen needs to be used cautiously in patients with this type of medical problem.
What is Chronic Lung Disease patients.
Physical examination findings, patient expectations, environmental history, and diagnostic data are components
What is a nursing health history
This type of nursing diagnosis should be a priority when the nurse is planning patient interventions.
What is the problem-focused diagnosis.
Implementing interventions based on scientific rationale.
What is evidenced based practice.
Chemotherapy and radiation can lead to these types of problems in cancer patients.
What are oral problems.
The location to quickly measure a patient's oxygen saturation who has peripheral vascular disease.
What is the ear lobe.
The male patient is lying in bed following surgery. He denies pain but is grimacing and holding his abdomen. The nurse uses these behaviors as cues to _______ that he really is having pain.
(Inference)
What is the environment.
(Page 248)
The letters in the acronym SMART.
The medical term for dry mouth.
What is xerostomia.
The temperature is usually lowest between 1:00 a.m. and 4:00 a.m. and reaches a maximum temperature value around 4 p.m. due to this.
What is the Circadian Rhythm.