Data Collection in Client Care Chapter 47

Questions and Answers

The formation of pus is called __________________________.

Suppuration

A canal or passage leading to a/an ________________________ is called a wound sinus.

Abscess

What does the nursing diagnosis focus on?

The nursing diagnosis focuses on the client and his or her needs in response to the disease.

A/An ______________________ disease develops suddenly and runs its course in days or weeks.

Acute Signup and view all the answers

__________________________ is the inflammation of the gallbladder.

Cholecystitis Signup and view all the answers

What is percussion used for?

Helps determine fractures and other pathology. Signup and view all the answers

What does auscultation help determine?

Helps determine a client's digestive or respiratory structure and function. Signup and view all the answers

What does observation help determine?

Helps determine the presence of cancer and other disorders. Signup and view all the answers

What is the purpose of palpation?

Helps evaluate a client's cardiovascular status. Signup and view all the answers

What does inspection help determine?

Helps determine the status of the client's nervous system. Signup and view all the answers

Who determines the medical diagnosis in a healthcare facility?

Primary healthcare providers, such as a physician, an osteopath, or an advanced practice nurse. Signup and view all the answers

What is complementary and alternative medicine (CAM)?

CAM uses treatments such as vitamins, herbs, or homeopathic remedies. Signup and view all the answers

What are the different stages of complications that may occur in a client?

Complications may occur at early, continuing, late, or terminal stages of a disease. Signup and view all the answers

What is the importance of laboratory tests?

Laboratory tests help primary healthcare providers establish medical diagnoses and plan client care. Signup and view all the answers

What are the nursing responsibilities before a diagnostic test?

Assist the client with diet requirements, administer medications, ensure charts are up to date, and reassure the client. Signup and view all the answers

What precaution should a nurse take when assisting the client for radiology?

Follow standard precautions and wear lead shields to protect from radiation. Signup and view all the answers

What should a nurse do to obtain knee-jerk reflexes?

Use a reflex hammer, hold it between the thumb and index finger, and strike the tendon briskly. Signup and view all the answers

Study Notes

Data Collection in Client Care

Suppuration refers to the formation of pus, indicating an infection or inflammation.
A wound sinus is a canal or passage leading to an abscess, which can complicate healing.
Nursing focuses on the individual’s needs in response to disease, rather than solely on the disease itself.
Acute diseases develop suddenly and typically resolve within days to weeks.
Cholecystitis is the medical term for inflammation of the gallbladder.
Percussion is a diagnostic technique that can help identify fractures and other pathological conditions.
Auscultation is used to assess digestive or respiratory function and structure in clients.
Observation aids in detecting cancer and other disorders through visual examination.
Palpation is utilized to evaluate a client’s cardiovascular status through touch.
Inspection is essential for determining the status of the client's nervous system via visual examination.

Medical and Nursing Diagnosis

Medical diagnoses are determined by primary healthcare providers, including physicians, osteopaths, and advanced practice nurses.
Nursing diagnoses center on the client’s responses to health issues and provide problem-centered descriptions aligned with NANDA guidelines.

Complementary and Alternative Medicine (CAM)

CAM encompasses treatments like vitamins, herbs, or homeopathic remedies. Some forms are beneficial, while others can pose risks due to self-diagnosis.

Complications in Client Care

Complications represent unexpected developments in a disease's progression, potentially hindering recovery. These can occur at various stages, including early, continuing, late, or terminal phases.

Importance of Laboratory Tests

Laboratory tests are critical for establishing medical diagnoses and informing client care plans. They can be used for screening or targeting specific disorders.

Nursing Responsibilities and Precautions

Before diagnostic tests, nursing duties include:
- Assisting clients with diet requirements
- Administering special medications as ordered
- Updating the client’s chart
- Referring to checklists for specific requirements
- Helping clients change into hospital gowns
- Ensuring proper voiding instructions are followed
- Providing reassurance and answering questions
When assisting clients undergoing radiology treatments, nurses must observe standard precautions and use lead shields to protect against radiation exposure for themselves and staff.

Measuring Reflexes

To assess knee-jerk reflexes, nurses should:
- Use a reflex hammer and position the extremity to slightly stretch the tendon.
- Encourage the client to relax or utilize distraction techniques.
- Strike the tendon briskly and compare reflex responses on both sides.
- Reflexes are graded on a scale of 0 to 14, with 12 being normal.
- Abnormal findings should be appropriately documented and reported.

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This quiz features flashcards focusing on key concepts from Chapter 47 of Data Collection in Client Care. It includes essential terms related to nursing, wound management, and patient responses. Test your knowledge and understanding of critical definitions in client care.