Quiz 1 Flashcards
Chapter 1 + 2
1oz to ml
30ml
1tbs (T) to ml and tsp
15 ml = 3tsp
1oz to tbs
2tbs
1 cup to ml and oz
240 ml = 8oz
1 pint (pt) to ml and oz
500ml = 16oz
1 quart (qt) to ml and oz
1000ml = 32oz
1 pound (lbs) to oz
16oz
1kg to lbs
2.2lbs
1 inch to cm
2.5cm
how to calculate F
1.8*C + 32
how to calculate C
5/9 * (F - 32)
1 pint to cups
2c
1 quart to pints and cups
2 pints = 4 cups
1 gallon to quarts and pints
4 quarts = 8 pints
1 ton to lbs
2000lbs
1foot to inches
12 inches
1 yard to feet and inches
3 feet = 36 inches
Components of Health Assessment
3 primary components + Data collection
Three primary components of health assessment are
History (subjective)
Physical exam (objective)
Documentation
Data collection
- Symptom
- Sign
Symptom
What the patient feels and communicates (subjective)
Sign
Clinical findings (objective) collected during physical exam
Clinical manifestations
signs and symptoms collected utilizing inspection, palpation, percussion, and auscultation
Legal document of patient’s health status
The health record
EHR
electronic health record
amount of information gained during assessment depends on these factors
- context of care
- patient need
- expertise of the nurse
context of care
circumstance or situation related to health care delivery
type of assessments
- comprehensive health assessment
- problem-bases/focused assessment
- episodic (follow-up)
- shift assessment
- screening assessment
comprehensive health assessment
involves detailed history and physical exam performed at onset of care in primary care setting
problem-bases/focused assessment
involves history and physical exam that limited to specific problem or complaint
episodic follow up assessment
usually done when patient follows up with their provider for a previously identified problem
shift assessment
identifies changes to condition from a baseline in hospitalized patients
screening assessment/examinations
short exam focused on disease detection
health promotion
behavior motivated by desire to increase and actualize health potential
health protection
behavior motivated by desire to avoid illness / detect it early
data organization formats
body system (cardiovascular)
conceptual format (perfusion, mobility)
clinical judgment
conclusion about patient’s needs, concerns, or health problems and/or the decision to take action
three levels of health promotion are
- primary
- secondary
- tertiary
primary health promotion
Preventing disease from developing
through promoting healthy lifestyle
secondary health promotion
Screening efforts to promote early
detection of disease
tertiary health promotion
Minimizing disability from acute or chronic illness or injury and allowing for most productive life within limitations
3 phases of the interview
Introduction
Discussion
Summary
Facilitation
uses verbal and nonverbal phrases
to encourage patients to continue talking further
Clarification
used to gather more information
restatement
repeating what patient says in
different words to confirm interpretation
Reflection
repeating what patient said and
encourages elaboration or more information
Confrontation
used when inconsistencies are
noted between patient report and nurse’s observations
Interpretation
used to share conclusions
drawn from data
Summary
condenses data to clarify
sequence of events for patient
comprehensive health history includes
- biographic data
- reason for seeking care
- history of presenting illness
- present health status
- past health history
- family history
- personal and psychosocial history
- review of systems
symptom analysis (old carts)
- Onset - when did symptoms begin
- Location - where is the symptom
- Duration - how long does it last
- Characteristics - describe the symptom
- Aggravating factors - what makes symptom worse
- Related symptoms - are other symptoms present
- Treatment - what factors alleviate it
- Severity - describe intensity
Standards of nursing practice
- Assessment
- Diagnosis
- Outcome identification
- Planning
- Implementation
- Evaluation
Palpation
involves using hands to feel body structures
Inspection
visual examination of the body
Percussion
tapping on the body to assess underlying structures
auscultation
listening to internal body sounds
Assessment
Data collection relative to the health care’s consumer health
Diagnosis
RN analyzes the assessment data to determine actual or potential diagnoses
Outcome identification
RN identifies expected outcomes for a plan
Planning
RN develops a plan to attain desirable outcome
Implementation
Implementation of identified plan
Evaluation
RN evaluates progress toward attainment
