NR 302 Final Exam Concept Review- Health Assessment What is the definition of a proficient nurse?A nurse who has added time on top of their 2-3 years experience and understand the patient's situation as a whole and applies long term goals
What is the definition of a expert nurse?A nurse who has a mastery of an area of learning and performance is based on clinical judgement using intuitive analysis
Who determines the recommendations for immunizations?The CDC
What should be taken into consideration when assessing recommendations for immunizations?
- Lifestyle
- Occupation
- Travel
What is a medication reconciliation?A comparison of current medications versus prior medications lists
What should be noted in medication reconciliation?
- Name of meds
- Med dosage 1 / 4
- Schedule of med intake (when / how long/ how many x's per day)
- If they stopped, what was their reasoning
What does medication reconciliation do?-Reduces risks of errors
- Promotes patient safety
What does the P in PQRST mean?Provocative or palliative
What does the Q in PQRST mean?Quantity or Quality
What does the R in PQRST mean?Region or Radiation
What does the S in PQRST mean?Severity (0-10 pain scale
What does the T in PQRST mean?Timing of onset
What does the U in PQRSTU stand for?Understanding patient's perception of problem
- / 4
What is a Review of systems?An account that evaluates past / present state of each body part
What should one record during a review of systems?
- Subjective data only
- patients statements (subjective)
- Only relevant body parts
What does Orientation mean?The awareness of the objective world in relation to the self
What does orientation process include?
- time
- place
- person
What does Alert mean?
- Patient is fully aroused and oriented
- Fully aware of external / internal stimuli and responds appropriately
- conducts meaningful interpersonal interactions
What does lethargy mean?
- Patient is not fully awake
- Patient drifts off to sleep when not stimulated
- Can be aroused to name when called in normal voice but looks drowsy
- responds appropriately to questions or commands but thinking seems slow / fuzzy
- inattentive 3 / 4
- loses train of thought
- spontaneous movements are decreased
What is a coma?
- Patient is completely unconscious
- no response to pain or any external or internal stimuli
What is a light coma?
- Patient has some reflex activity but no purposeful movement
What is a deep coma?
- Patient has no motor response
What does delirium mean?
- Clouding of consciousness
- inattentive
- incoherent conversation
- impaired recent memory / confabulatory of recent events
- often agitated and has visual hallucinations
- disoriented w/ confusion worse at night when environmental stimuli are
decreased
What does the A in ABCT mean?Appearance
- / 4