Vital Signs and Nursing Assessment

<p>Stage 4 (B)</p> Signup and view all the answers

<p>To assess for signs of dehydration (A)</p> Signup and view all the answers

<p>Papule (D)</p> Signup and view all the answers

<p>To identify areas of inflammation (D)</p> Signup and view all the answers

<p>Alopecia (C)</p> Signup and view all the answers

<p>Braden Scale (A)</p> Signup and view all the answers

<p>Texture (B)</p> Signup and view all the answers

<p>Diaphoresis (C)</p> Signup and view all the answers

<p>Melanoma (D)</p> Signup and view all the answers

<p>Dorsal region (D)</p> Signup and view all the answers

<p>A change in nail shape associated with hypoxia (D)</p> Signup and view all the answers

<p>All of the above (D)</p> Signup and view all the answers

<p>To assess symmetry and any variations (C)</p> Signup and view all the answers

<p>Interventions causing more harm than good. (A)</p> Signup and view all the answers

<p>Memory (B)</p> Signup and view all the answers

<p>Obtunded (A)</p> Signup and view all the answers

<p>Using bright lighting to illuminate the space. (B)</p> Signup and view all the answers

<p>Being strictly objective and avoiding emotional engagement. (D)</p> Signup and view all the answers

<p>Ensuring that all the equipment is sterilized before use. (C)</p> Signup and view all the answers

<p>Using medical terminology to ensure clear communication. (C)</p> Signup and view all the answers

<p>Physiological needs (B)</p> Signup and view all the answers

<p>Blood glucose levels (B)</p> Signup and view all the answers

<p>Nurses must perform health assessments within their scope of practice, which includes gathering information about health status and interpreting results. (A)</p> Signup and view all the answers

<p>Palpating one carotid artery at a time. (B)</p> Signup and view all the answers

<p>Administering medications via intravenous injection. (B)</p> Signup and view all the answers

<p>The difference between systolic and diastolic blood pressure. (C)</p> Signup and view all the answers

<p>Complete health assessment (C)</p> Signup and view all the answers

<p>Focused assessment (D)</p> Signup and view all the answers

<p>Arteriosclerosis or stiffening of arteries. (D)</p> Signup and view all the answers

<p>Presence of a pacemaker. (B)</p> Signup and view all the answers

<p>Structural (A)</p> Signup and view all the answers

<p>Non-invasive measurements related to body size and fat tissue. (C)</p> Signup and view all the answers

<p>Observing the rate and rhythm of breathing. (A)</p> Signup and view all the answers

<p>Focused assessment (B)</p> Signup and view all the answers

<p>Blood pressure (A)</p> Signup and view all the answers

<p>Monitoring the patient's respiratory rate and depth. (A)</p> Signup and view all the answers

<p>To evaluate the client's overall physical well-being. (D)</p> Signup and view all the answers

<p>All of the above (D)</p> Signup and view all the answers

<p>A patient with a history of diabetes who has been experiencing increased thirst and urination. (A)</p> Signup and view all the answers

<p>Regulates the body's temperature. (B)</p> Signup and view all the answers

<p>Primary survey (A)</p> Signup and view all the answers

<p>A patient's ability to understand and use health information to make informed decisions about their health. (B)</p> Signup and view all the answers

<p>Determining the patient's financial resources and ability to access healthcare. (C)</p> Signup and view all the answers

<p>It could be a sign of a possible fracture or soft tissue injury and may warrant further investigation and treatment. (B)</p> Signup and view all the answers

<p>It indicates a potential problem with the patient's circulation and could require further investigation and treatment. (D)</p> Signup and view all the answers

<p>To identify any visible wounds, injuries, or signs of trauma. (A)</p> Signup and view all the answers

<p>Advocating for stricter regulations on fast food advertising to children. (C)</p> Signup and view all the answers

<p>It could be a sign of a possible infection or respiratory illness that may require further investigation and treatment. (D)</p> Signup and view all the answers

Collecting, organizing, and analyzing client health data.

Information reported by the client, like feelings or symptoms.

Observable and measurable information collected through assessments.

Tasks nurses are legally allowed to perform based on education and licensure.

Specific interventions that can cause harm if performed by unqualified individuals.

Standards established by the CNO for safe nursing practice.

Using nursing knowledge to prioritize client concerns and solutions.

Life-threatening conditions requiring urgent action.

Different assessments like primary, focused, head-to-toe, and complete.

Assessing Airway, Breathing, Circulation, Disability, Exposure.

Strategies to encourage healthy behaviors and improve health literacy.

Lifestyle changes tailored to individual client needs and concerns.

Assessment targeting a specific health issue or concern.

Comprehensive physical exam evaluating all body systems.

Client's ability to understand health information for informed decisions.

Focus on what relieves pain in a patient.

Describes the pain characteristics like aching or burning.

Rate the pain intensity to guide treatment.

A scale to assess pain in non-verbal children.

Assess risk for pressure sores based on skin integrity.

Evaluate moles using asymmetry, border, colour, diameter, evolution.

Reddening of skin due to increased blood flow.

Nail condition indicating hypoxia with an altered angle.

Classifies severity of bed sores from intact to full thickness.

A flat, discolored spot on the skin.

Test skin elasticity to assess hydration status.

Bluish discoloration of skin due to lack of oxygen.

Yellowing of skin indicating liver dysfunction.

Loss of hair, may present as patches on the scalp.

Steps for examining the skin for abnormalities.

Necessary actions required to address a situation effectively.

Different states of awareness, from alertness to unconsciousness.

Measurements of essential body functions: pulse, blood pressure, temperature, and respiration.

The force exerted by circulating blood on the walls of blood vessels.

The pressure in arteries when the heart beats, initiating blood flow.

The pressure in arteries when the heart rests between beats.

The rhythmic expansion and contraction of an artery as blood is pumped.

Short-term pain that arises from a specific injury or condition.

Persistent pain lasting for more than three months, not limited to a specific cause.

Methods to evaluate pain intensity and its impact on quality of life.

Pain caused by tissue damage or injury; includes mechanical and thermal pain.

A test that measures blood oxygen levels using a sensor.

The act of listening to sounds within the body, typically using a stethoscope.

A care practice that recognizes and addresses the impact of trauma on patients.

Understanding and respecting cultural differences in pain perception and expression.