Home
Flashcards
Preview
Nurs 111 Unit 3.txt
Home
Get App
Take Quiz
Create
author "Maricar Tanner"
tags ""
description ""
fileName "Nurs 111 Theory Unit 3"
freezingBlueDBID -1.0
What is the nursing process?
Problem solving method
A continuous process
A form of scientific reasoning
Helps us think critically
Is used to prevent, lessen severity of, or recover from illness
Components of Nursing process
Assessment
Analysis
Planning
Implementation
Evaluation
Compnents od assessment
Data collection
Cluster and validate data
Components of analysis
Analyze and interpret data
Identify client needs
Nursing diagnosis
Components of planning
Prioritize
Establish client-centered goals
Develop expected outcomes
Plan nursing care
Component of implementation
Action
Doing
Components of evaluation
Assess client response as compared to expected outcome
Determine if EOC is met or not
Data base of assessment
Acticity/rest
Pain/discomfort
Hygiene
Safety
Neurosensory
Respiration
Circulation
Food/fluid
Database of assessment
Elimination
Sexuality
Social interaction
Ego integrity
Spirituality
Teaching/learning
Discharge planning
What is subjective?
What the client says
Define cluster data
What is their reason for seeking care?
Vital signs, and diagnostic test results
Physical assessment
Define validate data
Make sure data is correct
Compare with another source
Components of analysis
What does data mean?
What are clients needs?
Identify nursing diagnoses
Components of planning
Based on the nursing diagnosis
What is most important to address?
What are your expected outcomes that you wish to reach?
What interventions do u need to implement to reach these outcomes
Criteria for expected outcomes- MOSTR
Measurable
Observable
Specific
Time bound
Realistic
What are vital signs
BP
Pulse
Respirations
Temperature
BMI
what is BP?
Systolic pressure/diastolic pressure
What is systolic pressure?
Peak pressure of blood forced into arteries
What is diatolic pressure?
Minimum pressure of blood forced into arteries
What is pulse pressure?
Pulse pressure= Systolic BP- diastolic pressure
What is pulse?
The palpation of the pulse wave of blood flowing through the perpheral arteries
What does pulse rate =
The # of pulsations in 1 minute
What does pulse assess?
Rate
Rhythm
Strength
Equality
What are the components os respiration
Ventilation
Diffusion
Perfusion
Assessment
Respiratory rate
Reapiratory depth
Ventilatory rhythm
Arterial oxygen saturation
Author
maricar2517
ID
136496
Card Set
Nurs 111 Unit 3.txt
Description
Nurs 111
Updated
2012-02-20T19:28:44Z
Show Answers
Home
Flashcards
Preview