Lecture 5 Flashcards
1
Q
Objective data
A
perceived by the nurse, what the nurse sees, hears, measures, and feels
Examples: vital signs, abnormal lung or heart sounds
2
Q
Subjective data
A
nurse encourages a full description by the patients, usually put into “quotation marks”
3
Q
Assessment
A
an evaluation of appraisal of the pts condition
4
Q
Nursing Assessment
A
consists of subjective and objective data collection
5
Q
Focused Assessment
A
attention is directed to a particular part of the body where signs and symptoms are localized or most active
6
Q
Turgor
A
elasticity of the skin caused by the outward pressure of the cells and interstitial fluid
7
Q
Pitting Edema scale
A
1+ : barely perceptible
2+ : rebounds in 10-15 seconds
3+ : lasts for 30 seconds - > 1 minute
4+ : lasts as long as 2 - 5 minutes
