Nurs 111 Unit 3.txt

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Nurs 111 Unit 3.txt
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2012-02-20 14:28:44
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Nurs 111
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    • 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
  1. Components of Nursing process
    • Assessment
    • Analysis
    • Planning
    • Implementation
    • Evaluation
  2. Compnents od assessment
    • Data collection
    • Cluster and validate data
  3. Components of analysis
    • Analyze and interpret data
    • Identify client needs
    • Nursing diagnosis
  4. Components of planning
    • Prioritize
    • Establish client-centered goals
    • Develop expected outcomes
    • Plan nursing care
  5. Component of implementation
    • Action
    • Doing
  6. Components of evaluation
    • Assess client response as compared to expected outcome
    • Determine if EOC is met or not
  7. Data base of assessment
    • Acticity/rest
    • Pain/discomfort
    • Hygiene
    • Safety
    • Neurosensory
    • Respiration
    • Circulation
    • Food/fluid
  8. Database of assessment
    • Elimination
    • Sexuality
    • Social interaction
    • Ego integrity
    • Spirituality
    • Teaching/learning
    • Discharge planning
  9. What is subjective?
    What the client says
  10. Define cluster data
    • What is their reason for seeking care?
    • Vital signs, and diagnostic test results
    • Physical assessment
  11. Define validate data
    • Make sure data is correct
    • Compare with another source
  12. Components of analysis
    • What does data mean?
    • What are clients needs?
    • Identify nursing diagnoses
  13. 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
  14. Criteria for expected outcomes- MOSTR
    • Measurable
    • Observable
    • Specific
    • Time bound
    • Realistic
  15. What are vital signs
    • BP
    • Pulse
    • Respirations
    • Temperature
    • BMI
  16. what is BP?
    Systolic pressure/diastolic pressure
  17. What is systolic pressure?
    Peak pressure of blood forced into arteries
  18. What is diatolic pressure?
    Minimum pressure of blood forced into arteries
  19. What is pulse pressure?
    Pulse pressure= Systolic BP- diastolic pressure
  20. What is pulse?
    The palpation of the pulse wave of blood flowing through the perpheral arteries
  21. What does pulse rate =
    The # of pulsations in 1 minute
  22. What does pulse assess?
    • Rate
    • Rhythm
    • Strength
    • Equality
  23. What are the components os respiration
    • Ventilation
    • Diffusion
    • Perfusion
    • Assessment
    • Respiratory rate
    • Reapiratory depth
    • Ventilatory rhythm
    • Arterial oxygen saturation

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