respiratory digestive system study guide part three

What is the difference between an objective and subjective finding?

Objective: You can see it or touch it. Subjective: Patient experienced it or felt it.

How do you label the finding: 'Patient states, "My stomach has been hurting all morning."'

Subjective (S)

How do you label the finding: 'Temperature is 101.4°F.'

Objective (O)

How do you label the finding: 'Patient reports feeling dizzy when standing.'

Subjective (S)

How do you label the finding: 'Skin is warm to the touch.'

Objective (O)

How do you label the finding: 'Patient states their BP was 150/90 this morning.'

Subjective (S)

How do you label the finding: 'Nurse measures BP at 148/92.'

Objective (O)

How can you determine whether information is objective or subjective?

Objective: If it is visible to you. Subjective: If you didn't actually observe it.

What does the 'Problem' part of the nursing diagnosis tell you?

What is happening with the patient.

What does the 'Related to' part of the nursing diagnosis indicate?

What is causing the problem.

What does the 'As evidenced by' part of the nursing diagnosis refer to?

What you saw, heard, or touched.

What is a nursing diagnosis?

A statement of a patient's problem written in NANDA style.

What is the difference between a short-term goal and a long-term goal?

A short-term goal should be during hospital stay and within a day or two.

How many nursing interventions should a care plan have at minimum?

2

What is the meaning of acute pain?

Short term pain.

What is the meaning of chronic pain?

Long term pain.

What is the meaning of radiating pain?

Pain that travels or spreads from one area to another.

What does lethargic mean?

Drowsy & difficult to keep awake but can be woken up.

What does edema refer to?

Swollen area from excess fluid.

What does cyanosis indicate?

Bluish lips from low oxygen.

What does dyspnea mean?

Labored or difficulty breathing.

How long must pain persist to be considered chronic?

More than 3 months.

What might cyanosis tell the nurse about a patient's oxygen level?

It is too low.

Describe the supine position.

Laying on back with face upward.

What does abduction mean?

Movement raising away from the body's midline.

What does adduction mean?

Movement towards the body's midline.