NURS 203 Lecture Notes - Lecture 1: Crepitus, Otoscope, Palpation
Document Summary
Fingers and thumb- size of organs, type of masses or lumps, etc. Base of the fingers- palpating lungs, feeling for crepitus. Auscultation- listening for sounds produced by the heart, blood vessels, lungs, and abdomen using a stethoscope or dopler. You must identify patterns, group similar: report and document the information, uses clinical judgment to provide a basis for outcomes and interventions, nanda international problems and prioritize. Diagnosis- for an individual, a family or a whole community: using a rationale (i. e. using related to phrases, types of nursing diagnosis: Actual nursing diagnosis, risk nursing diagnosis, health promotion nursing diagnosis, wellness nursing diagnosis: establishing priorities by ranking each problem under the following categories: Third level- important, addressed after more important problems. Planning- occurs from first contact and continues until discharge, results in a care plan: set a patient centered goal or desired outcome that is: singular, observable, measurable, time limited, mutual, realistic and uses noc (nursing outcomes classification)
