Heart rate is 136
What is tachycardia?
At the beginning, the patient's health history is collected
What is interview?
Specific and relevant areas are examined
What is focus assessment?
Spoken information or symptoms that is difficult to validate
What is subjective data?
Identifies a problem, potential problem, or opportunity for improvement
What is nursing diagnosis?
These factors influence temperature, especially in women
What is hormones?
It includes medication, food, and environmental agents
What is allergies?
A systematic method for collecting data on all body systems
What is review of systems?
Four senses nurses use to collect objective data
What is sight, hearing, touch, and smell?
Collection from patients, family members, friends, medical records, etc.
What is assessment data?
The pressure exerted by the circulating volume of blood on the arterial walls
What is blood pressure?
Includes meal preparation, shopping, 24 hour diet intake
What is the Activities of daily living (ADLs)?
The order of the four assessment techniques used to complete a comprehensive physical examination
What is inspection, palpation, percussion, and auscultation?
Documented in direct quotes
What is subjective data?
Establishing short/long term goals
What is planning?
Difficulty breathing experienced in positions other than sitting or standing
What is orthopnea?
Tell me about your relatives
What is family history?
On auscultation, two distinct heart sounds
What is S1 (lub) and S2 (dub)?
Reported pain 7 on scale 0-10
What is objective data?
A patient's response to a nursing intervention
What is evaluation?
The radial pulse is slower than the apical pulse rate
What is pulse deficit?
First step in the nursing process
What is physical assessment?
Objective assessment tool used to define a person's level of consciousness
What is Glasgow Coma Scale?
Open wound that is malodorous
What is objective data?
What is implementation?