The Nursing Process
When the nurse establishes the database by interviewing the patient during the assessment step of the nursing process.
What is a nursing history?
The systematic and continuous collection, analysis, validation, and communication of patient data, or information.
What is assessing?
Difficulty breathing
What is dyspnea?
5th intercostal space, mid clavicular line
What is the PMI?
HIPPA
What is the Human Insurance Portability and Accountability Act?
The fifth phase of the nursing process, when the nurse and patient together measure how well the patient has achieved the outcomes specified in the care plan.
What is the evaluating phase of the nursing process?
Performed shortly after the patient is admitted to a health care facility or service.
What is an initial assessment?
The medical terminology for the color red
What is erythro?
Palpate anterior chest wall for ____, _____, and _____
What is tenderness, lumps, and masses?
(breathing) the movement of air into and out of the lungs. This process has two phases: inspiration (inhalation) and expiration (exhalation).
Pulmonary ventilation?
The phase of the nursing process where the evidence-based nursing actions planned are carried out.
The purpose of this phase is to help the patient achieve valued health outcomes: promote health, prevent disease and illness, restore health, and facilitate coping with altered functioning.
What is the implementation phase?
The two types of patient data collected during the assessment.
What is subjective and objective data?
The medical terminology suffix that means surgical creation of an opening.
What is -ostomy?
The pulse that can be found on the top of the foot
What is the pedal pulse?
30mLs in an hour and/or 240mLs in eight hours.
What is the expected UOP volume?
The nurse identifies factors that contribute to the patient’s ability to achieve expected outcomes and, when necessary, modifies the plan of care.
What happens when a nurse is evaluates patient outcome achievement?
When the nurse gathers data about a specific problem that has already been identified. Helpful questions include:
What is a focused assessment?
The medical terminology word for stomach.
What is gastr/o ?
Located between the wrist bone and the tendon on the thumb side of the wrist
What is the radial artery?
Whatever the patient says it is
Subjective data
Considered the 5th vital sign
What is pain?
The number of components included in a patient's diagnosis.
What is 3?
NANDA (North American Nursing Diagnosis Association?
RT (related to?
AEB (as evidenced by?
The nurse who screens patients to determine the extent and severity of their problems and then recommend appropriate follow-up. When working for an internal medicine practice this nurse will take phone calls from patients without appointments experiencing distressing symptoms such as shortness of breath, pressure or tightness in the chest, or increases in temperature.
What is a triage nurse?
The medical term describing the head.
What is cephal?
Located in your chest (your thorax). Your thoracic cavity is the name of the space that contains this organ. This organ rest on a muscle called your diaphragm.
What are the lungs?
At risk for:
Decreased Peristalsis
Skin breakdown
Bone demineralization
Urinary stasis
Impaired gas exchange
What are immobile patients?