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Nursing Theory
Question | Answer |
---|---|
What is the Physiological System? | The way a person responds as a physical being to stimuli from their environment. |
what two pieces of information are needed for physiological assessment? | Objective and subjective data |
What is objective data? | Physical health assessment. Signs or overt data. Data that you as a nuse can hear, feel, smell, or see. Done through different assessment techniques. |
What is subjective data? | Health history. Symptoms or covert data, only the client/patient can feel, or experience, believe, and their attitude. Is is best to quote what the person says. |
All Physiological Sub- Systems? | Oxygenation, endocrine, nutrition, elimination, activity and rest, protection, sensory, fluid and electrolytes, neurological. |
Oxygenation sub- systems? | Involves bodies need for oxygen and the process of ventilation, gas exchange and gas transport |
What does oxygentaion sub-system include? | Includes cardiac, lung, and peripheral vascular assessments. |
What is nutrition sub- system? | Involves a series of processes assoc. with ingestion and assimilation of food for functioning, promotion of growth and replacemnt of worn injured tissue. |
What does nutrition sub- system include? | Includes assessment of diet, height, and weight. |
What is elimination sub- system? | Involved in excretion(getting rid of) metabolic wastes through intestines and kidneys. |
What does elimination sub- system include? | Assessment of bladder and bowel(entire GI tract. |
What is activity and rest sub-system? | Need for balance in physical activity and rest provides func. of body components and periods of restoration and repair. |
What does activity and rest sub-system? | Assessment of mobility, ROM,muscles, bones and sleep. |
What is protection sub- system? | Bodies basic defences, process of immunity, and of structures of integument.(Skin, hair, nails). This serves as an important function against infection, trauma, and temp. changes. |
What does protection sub-sytem include? | Includes assess. of immunological status, skin, hair, nails and temp. |
what is sensory sub- system? | Five senses enable persons to interact with their environment. An example is pain. |
Pain Assessment? | Provocation or palliation, quality, radiation, severity, timing, and clients understanding of pain. |
What is fluid and electrolyte sub- system? | Balance in terms of water, electrolytes, acid/base is necessary for cellular, extracellular systemic function. |
What causes imbalance of electrolytes? | Ineffective functioning of physiological systems. |
What does fluid and electrolyte sub- system include? | Hydration, fluid intake in comparison to output, labs. |
What is neurological sub- system | Integrel part of person coping mechanisms. Control and coordinate bodily movements, consciousness and cognitive-emotional processes. Regulate body organs. |
Mr. Jones' blood pressure was checked- sub. or obj.? | Objective |
Assessment techniques? | Inspection, palpation, percussion, auscultation. |
What is inspection? | using vision, smell, and hearing to obtain data |
What is palpation? | Using touch to collect data |
What is percussion? | Using your hands to create sounds on outside of body to elicit data about internal organs. |
What is auscultation? | Using a stethoscope to amplify your hearing to gather data from internal structure and organs. |
What is the most important factor in physical assess.? | Comparing symmetry in the clients body using all four assess. techniques. |
What is included in inspection? | mood, dress, behaviour, body odour, breath, gait, coordination, body appearance. |
What are two types of palpation techniques? | light palpation, and deep palpation |
What are two types of percussion? | direct percussion-used infrequently indirect percussion- Examiner taps on non-dominant hand over clients body. |
Audible sounds are classified? | pitch-high or low intensity- strong or weak duration- how long |
Quality of percussion? | flat- bone/muscle dull- solid organs, masses, consolidation tympanic- air filled organs except lungs resonant- effective lungs hyperresonance- ineffective lungs |
Auscultation is used to assess? | Breath sounds, heart sounds, blood pressure, vascular bruits, bowel sounds. |
Assessing a rash would you? | Inspection |
Performing a breast exam? | Palpation |
Taking blood pressure? | Ausculation |