Week 1 Flashcards
4 types of nursing assessment
Initial comprehensive assessment
Ongoing or partial
Focused or problem oriented
Emergency assessment
Data collection
Subjective and objective data
Subjective data
Symptom
What the patient tells you
Objective data
Sign- evidence
What you see
How to ID the problem with a patient
History -70%
Physical - 15-20%
Diagnostic tests - 10-15%
Steps in evaluating a new patient
Chief complaint
Physical exam
Psych evaluation
Provide a translator
Ensure the healthcare provider has ordered the right tests
Physical exam will include
Stature/gait/mobility
Over all health status
Adl
Hygiene and grooming
Signs and skin break down
Breath body oder
Overall mood and psych
Vital signs
Hight and weight
Review of system