nurse assessment

Question 1

look at patient obtain data organize document data

Answer 1

assessing

Question 2

analyze data, identify health problem give name for problem

Answer 2

diagnosing

Question 3

prioritize problems/ diagnoses select nursing interventions independent things you can do for yourself, goal setting for patient

Answer 3

planning

Question 4

put hands on patient what needs to be done supervise delegated care

Answer 4

implementing

Question 5

collect data outcome, compare data outcomes, see if implementation was successful

Answer 5

evaluating

Question 6

what is nurse assessment

Answer 6

physical most important head to toe, listen feeling, smelling.
mental, spiritual, economic, cultural status

Question 7

what are skills for nurse assessment

Answer 7

IPPA- inspection, palpation, percussion, auscultation

Question 8

seated position

Answer 8

sitting

Question 9

flat on back-lying position with legs extended

Answer 9

supine

Question 10

60 degree angle sitting with head up

Answer 10

fowlers

Question 11

30-40 degree angle sitting with head up

Answer 11

semi-fowlers

Question 12

laying on back with knees flex

Answer 12

dorsal recumbent

Question 13

legs open getting pap smear, legs in stirrup

Answer 13

lithotomy

Question 14

laying on side with top knee toward chest

Answer 14

sims

Question 15

lies on abdomen with head to the side

Answer 15

prone

Question 16

linear crack with sharp edges extending into dermis ex: cracks at corners of mouth hand athlete’s foot

Answer 16

fissure

Question 17

translucent, dry, paper like wrinkled skin, thinning or wasting of skin due to loss of collagen ex: striae, aged skin

Answer 17

atrophy

Question 18

rough thick hard epidermis ex: chronic dermatitis

Answer 18

lichenification

Question 19

deep irregular shape area of skin may bleed ex: pressure ulcers, stasis, ulcers chancres

Answer 19

ulcer

Question 20

elevated irregular darkened area of excess scar tissue ex: keloid from ear piercing or surgery

Answer 20

keloid

Question 21

Linear erosion ex: scratches some chemical burns

Answer 21

excoriation