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NR 302 Exam 1 Study Guide/NR 302 Exam 1 Study Guide/NR 302 Exam 1 Study Guide/NR 302 Exam 1 Study Guide/NR 302 Exam 1 Study Guide/NR 302 Exam 1 Study Guide/NR 302 Exam 1 Study Guide/NR 302 Exam 1 Study Guide
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First level priority problem :emergent and life-threatening problems that are immediate
o Mental status change o Acute pain
o Free of feelings, perceptions and prejudices o Obtained by 5 senses ▪ Hear it? ▪ See it? ▪ Smell it? ▪ Touch it? ▪ Taste it? o Examples ▪ Heart rate ▪ Respiratory rate ▪ Heart rhythm on cardiac monitor ▪ BP ▪ Bleedin g Types of Databases
o smaller in scope and more targeted than the complete database. o Concerns mainly one problem/cue complex/body system o History follows direction of presenting concern
Communication
o fatigue o sleep disturbance.
o Disorientation o disordered thinking and perceptions (illusions and hallucinations)
September 21, 2021 Exam #1 Health Assessment I o defective memory o agitation o inattention. Dementia : chronic gradual, progressive process, causing decreased cognitive function even though the person is fully conscious and awake
September 21, 2021 Exam #1 Health Assessment I inappropriate, rambling, repetitious Prognosis Reversible with proper and timely treatment Not reversible; progressive Reversible with proper and timely treatment
September 21, 2021 Exam #1 Health Assessment I PHYSICAL EXAM Requires use of technical skills through senses (sight/smell/touch/hearing) to obtain data Skills include: o Inspection :Close, scrutiny, first of individual as a whole and then of each body system ▪ First step of the assessment phase ▪ begins the moment you first meet the person and develop a “general survey.” ▪ initial impression of the person can be helpful as you proceed through your assessment ▪ requirements:
September 21, 2021 Exam #1 Health Assessment I
September 21, 2021 Exam #1 Health Assessment I