Let’s be nosey
Diagnosis
Wait…let me think
What are you going to?
100

information provided by a patient to a nurse from the patient's viewpoint

What is subjective data. 

100

when a patient has an unsteady gate

risk for Falling

100

this step of the nursing process, you prioritize the diagnosis in order of importance and figure out what nursing interventions need to take place

What is planning

100

A patient admitted to the medical unit with HF is exhibiting signs and symptoms of pulmonary edema. The nurse is aware that positioning will promote circulation. How should the nurse best position the patient?

In High Fowler Position 

200

temperature or blood pressure, or something observed with the senses, such as a rash or a cough.

What is objective data

200

This is the step of the nursing process where you do the PES (Problem, Etiology, and Signs/Symptoms)

What is Diagnosis

200

Specific, Measurable, Achievable, Relevant, and Time-Bound.

What are SMART goals

200

A nurse is caring for a patient who is exhibiting ventricular tachycardia (VT). Because the patient is pulseless, the nurse should prepare for what intervention?

Defibrillation

300

this type of assessment Detailed nursing assessment of specific body system(s) relating to the presenting problem or current concern(s) of the patient.

What is a focused assessment

300

A patient has a blood clot or dvt

What is Impaired tissue integrity

300

the nurse should do this step during the evaluation step of the nursing process?

Evaluate the plan

300

A nurses should expecta a patient who  takes Keppra, Valporic Acid, or Phenytoin should be placed on what?

Seizure precautions 

400

This involves collecting, organizing, validating, and documenting the clients’ health status.

What is health assessment

400

Labs K: 7, Na: 128, Mg:1.9 are signs of what?

What is electrolyte imbalance

400

Individualize a nursing plan of care based on the assessment findings by establishing what?

priorities

400

The physician states to the nurse that the patient has fluid noted in the pleural space. The nurse should expect the patient and prepare the patient for a…

thoracentesis

500

This is performed to identify a life-threatening problem (choking, stab wound, heart attack).

Emergency assessment

500

Maladaptive coping responses include avoidance of the stressful condition, withdrawal from a stressful environment, disengagement from stressful relationships, and misuse of drugs and/or alcohol.

What is Ineffective Coping

500

This type of planning is initiated during the admission of the patient into the hospital.

what is discharge planning

500

The nurse is caring for a client whose respiratory status has declined since shift report. The client has tachypnea, is restless, and displays cyanosis. Which noninvasive diagnostic test should be assessed first?

Pulse oximetry