exam 1

• ADPIE - Nursing Process

  Assessment, Diagnosis, Planning, Implementation, Evaluation

  steps to nursing process, ADPIE
• autonomy

  beneficence

  confidentiality

  justice

  nonmaleficence


  ethical principles

  ABCJN
• therapeutic communication


  Verbal and nonverbal communication techniques that encourage patients to express their feelings and to achieve a positive relationship.
• verbal communication

  communication that uses written or spoken words
• nonverbal communication

  communication using body movements, gestures, and facial expressions rather than speech
• Identify

  Situation

  Background

  Assessment

  Recommendation

  Read back


  ISBARR
• Inspection

  Palpation

  Percussion

  Auscultation


  IPPA Assessment
• Normal Vital Signs

  Blood pressure: 90/60 - 120/80

  Respirations: 12 - 18

  Pulse: 60 - 100

  Temperature: 96.7°F - 100.4°F; avg 98.6 °F (37°C)

  O2 Sat: 95 - 100%
• underweight: < 18.5

  normal: 18.5 - 24.9

  overweight: 25 - 29.9

  obese: >30


  BMI ranges
• general survey

  physical appearance, body structure, mobility, behavior
• FICA

  Faith

  Importance

  Community

  Address