Basics- Unit 1 Flashcards
Subjective
From the direct source/patient
Objective
From your assessment/someone else
Inspection
Watching/observing
Palpation
Touch
Percussion
Tapping
Auscultation
Listening with stethoscope
What are two ways that you as the nurse will keep your patient safe
Wash hands/sanitary precaution
Use of PPE
The general survey is based upon 4 categories provide one example from each category:
Physical appearance: age
Mobility: any walking devices
Behavior: speech
Body: waist circumference
Nursing process
Assessment
Diagnoses
Outcomes
Identification
Planning
Implementation
Evaluation
Normal heart rate
60-100
Blood pressure
120/80
Hypotension
Less than 90/60
Respirations
12-20
Temperature
98.6
96.4-99.1
Pulse Oximeter
95-100
Diaphragm of stethoscope
Flat end- normal sounds
Bell of stethoscope
Deep, hollow, cup like shape. Not normal sounds
Positive result
Test result that shows that a person has what they are being tested for
Negative result
Test result that shows the person does not have what they are being tested for
WNL
Within normal limits
Primary source
Direct source of information
Secondary source
Information that is derived from someone else
EHR
Electronic health records
Acute
Severe symptoms for a short course
Chronic
Persisting for a long time
Orthostatic hypotension
Abnormal decrease in blood pressure when someone stands up
Patient safety
Most important value as a nurse
Hand hygiene
1 way to prevent the spread of infection
Pain
Unpleasant sensory + emotional experience 0-10
Universal precautions
Safety precautions used with every patient
Initial pain assessment
Provocation/palliation-what brings on pain
Quality-what does it feel like
Region/radiation-what is pain
Severity-how to rate it on a scale
Timing-when does pain occur
