(see full question)
A nurse is collecting both subjective and objective data in
assessment of a client's mental health. Which of the following are
examples of subjective data? Select all that apply.
Glasgow Coma Scale score
Signs of abuse
Teeth/bite marks= suspicious if adult like, more in infants
Pattern bruising, linear, handprint (sparing in btwn fingers), lateral aspect of soft tissues
Scrapes/brusing on harder surface like shin not really indicative of abu
Chapter 8 Questions:
1) How does the nurse prevent the spread of infection and implement infection control measures?
The nurse can prevent the spread of infection and implement infection control measures in various ways.
First and most importantly, would
Health notes 2/14/17
Appropriate bp cuff of arm should be 40% of pt extremity (LUE, RUE, LLE, RLE) circumference, do not use
upper arm if pt has h/o mastectomy or fistula/dialysis access, pt has reduced lymphatic drainage
(edema), use pillows to increase
Chapter 7: Nutrition Assessment
Provide the bodys main source of energy
Serves important functions in cell structure and tissue
Fats help maintain body functions by providing essentia
Chapter 4: Documentation and Interdisciplinary Communication
Failure of communication is the root cause of sentinel events. It can
happen verbally or in writing.
Sentinel Events: Any unanticipated event in a healthcare setting
Chapter 5: Vital Signs and General Survey
o Begins during the interview phase of the health assessment
o Includes assessing overall appearance, hygiene and dress, skin
color, body structure and development, behavior, facial
Chapter 10: Assessment of Social, Cultural, and Spiritual Health
Models of Health
o Biomedical model
Views health as the absence of disease.
The biomedical model continues to serve as the
philosophical basis for Western medical care.
o Complementary an