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Nursing Theory

QuestionAnswer
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
Created by: saraho
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