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CH 6
I & E
CH 7
DOCUMENTATION
CH 22
DATA COLLECTION
NURSING PROCESS
100
INTERVENTIONS THAT DO NOT REQUIRE A PHYSICIAN'S ORDER
What is INDEPENDENT
100
THE MEDICAL RECORD/CHART IS THE PROPERTY OF .....
What is HEALTH AGENCY
100
LIST THE 4 PHYSICAL EXAMINATION TECHNIQUES IN ORDER FROM MOST TO LEAST INVASIVE
PERCUSSION PALPATION AUSCULTATION INSPECTION
100
CARRYING OUT INTERVENTIONS BY PRIORITY
What is IMPLEMENTATION
200
EXAMINATION OF A SERIES OF PATIENT RECORDS TO DETERMINE IF CARE MEETS STANDARDS/OUTCOMES
What is AUDIT
200
CONCISE AND EXACT USE OF WORDS IN CHARTING; SHORTNESS OF TIME
What is BREVITY
200
THIS VALVE AREA OF THE HEART IS LOCATED AT THE APEX (PMI)
What is MITRAL
200
SORTING AND ANALYZING THE ASSESSMENT DATA TO IDENTIFY POTENTIAL HEALTH PROBLEMS
What is DIAGNOSIS
300
PHASE OF THE NURSING PROCESS IN WHICH ORDERS ARE CARRIED OUT
What is IMPLEMENTATION
300
WHAT IS REQUIRED IF ERROR IN DOCUMENTATION OCCURS IN ADDITION TO SINGLE LINE CROSS OUT, SIGNATURE, DATE AND TIME
What is "MISTAKEN ENTRY" "ME"
300
USING THE NOSE TO IDENTIFY ODORS CHARACTERISTIC OF CERTAIN PROBLEMS
What is OLFACTION
300
ASSESSING PATIENT TO SEE IF RESPONSES COMPARE WITH EXPECTED OUTCOMES
What is EVALUATION
400
A MULTIDISCIPLINARY STEP-BY-STEP APPROACH TO PATIENT CARE (USED INSTEAD OF A NURSING CARE PLAN); AN OUTGROWTH OF MANAGED CARE
What is CLINICAL PATHWAY / CARE MAP
400
TRANSLATE THE FOLLOWING STANDARD TIMES INTO MILITARY TIME: 3:14PM 10:02PM 4:56AM 12:01AM
1514 2002 0456 0001
400
TECHNIQUE TO PROVIDE UNNECESSARY EXPOSURE OF PATIENT'S BODY DURING EXAMINATION
What is DRAPING
400
COLLECTING, ORGANIZING, DOCUMENTING & VALIDATING PATIENT’S HEALTH DATA
What is ASSESSMENT
500
PHASE OF THE NURSING PROCESS USED TO DETERMINE IF INTERVENTIONS PLANNED AND IMPLEMENTED WERE EFFECTIVE
What is EVALUATION
500
WHAT ARE APPROVED ABBREVIATIONS FOR: DIAGNOSIS BY MOUTH STROKE URINALYSIS
DX PO CVA U/A
500
SCALE USED TO SCORE NEUROLOGIC EXAM ASSESSMENT
What is MASLOW COMA
500
SETTING PRIORITIES AND GOALS TO ELIMINATE, DIMINISH OR CONTROL IDENTIFIED PROBLEMS
What is PLANNING