| nursing process | vitals | hygiene | basic human needs | legal/ ethical |
|---|---|---|---|---|
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What is assessment, diagnosis, outcome, planning, Implementation, and evaluation
A.D.O.P.I.E
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What is 100/60 -120/80
normal blood pressure
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What is primary or direct data
data that comes directly from patient
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orally: 97.6 - 99.6 degrees F
auxiliary: usually 1-3 degrees lower than oral temp rectal: usually 1 degree higher than oral (most accurate)
normal temperatures
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What is secondary or indirect data
data that comes from caregiver, friend, or family
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0: absent
1+: diminished barely palpable, thready 2+: normal, easily palpated; may be noted as weak 3+: full/ increased; may be noted as normal 4+: bounding-- can not be obliterated
how do you rate peripheral pulses
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what is goals
S.M.A.R.T.
S: specific M: measurable A: agreed upon, attainable R: realistic T: time based |
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what is subjective and objective data
only apparent to and verified by the client (pt states)
observations and measurements made by the nurse |
BP of 140/ 90 + for 2 readings at 2 different visits
how to diagnose hypertention
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