NUR 1600 Final 1
- critical indicators
Answer introduce self, hand hygiene, 2 patient identifiers (name and DOB) allergies, pronouns/ how patient wants to be addressed
- interviewing your patient
Answer asking their name and date of birth, allergies, and pronouns, and asking what brings them in and questions about their condition
- VS throughout the lifespan
Answer see doc
- pain assessment
Answer numeric scale or faces for children
- brief head to toe
Answer introduce self, orientation X4, PERRLA, lung and heart sounds, abdomen sounds, skin assessment, skin turgor, capillary refill, extremities, check for skin breakdown in back elbows and feet, patient safety (bed is in lowest position, rails are up, safety socks, call button in reach, and room is free of spills and cords)
- holistic assessment
Answer spirituality in patient care
addresses all human needs/ all aspects of patient (not just physical) 1 / 4
- signs vs symptoms
Answer signs objective medical provider can prove symptoms subjective what patient describes
- therapeutic communication
Answer engaged listening, empathy, ask for clarification, reflect, interpretation, summarize, kind confrontation (confrontation does not have to be a bad thing), communication enhancement, create trusting relationship (we want patient to feel comfortable telling us everything so that we can give them the best care)
- open ended vs closed ended questions
Answer open ended
describe for me closed ended
do you have a bowel movement everyday?
- subjective vs objective data
Answer subjective
what the patient describes (symp- toms) objective can be proven by nurse by tests and data 2 / 4
- health history
Answer a collection of subjective data that provides information about the patient's health status (previous or current conditions, medications, procedures, etc.)
- general survey
Answer studying the physical appearance of the patient. simply looking, no questions
13. OLD CARTS ICE
Answer onset
location duration characteristics aggravating factors relieving factors treatment severity impact on ADLs
coping strategies emotional response
14. ISBAR
Answer Introduction Situation
Background Assessment Recommendation
- comprehensive assessment
Answer history and physical assessment
- problem assessment
Answer chief complaint
- episodic assessment 3 / 4
Answer follow up
- shift assessment
Answer brief head to toe
- screening assessment
Answer exams to detect disease
- fluid and electrolytes
Answer skin turgor tells us how hydrated someone is
- thermoregulation
Answer taking temperature
- perfusion
Answer heart rate, respirations, o2 sat, blood pressure, capillary refill
- gas exchange
Answer Breathing, transport of gases, and exchange of gases with tissue cells; Provides O2 for cellular respiration and removes its waste product, CO2
- infection
Answer invasion of the body by a pathogenic organism
- safety
- / 4
Answer