Foundations of Nursing by Christensen Kockrow, 6th edition, pages 93-120
Signs and symptoms are both perceptions
Signs are seen, symptoms are felt
Signs are subjective and symptoms are objective
Signs and symptoms are both subjective and objective
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Itchiness
Blisters
Headache
Blood pressure of 130/90
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Drainage
Exudate
Pus
Mirobes
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Drainage
Exudate
Turgor
Edema
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Erythema is a color and pruritus is a sensation
Erythema is what we see and pruritus is what we feel
Erythema is a sign and pruritus is a symptom
Erythema and pruritus are indications of a disorder
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Age
Genetic and physiologic
Hobbies and vices
Environment
Lifestyle
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Chronic
Organic
Functional
Acute
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Infection
Inflammation
Pathologic
Virulent
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Infection
Inflammation
Pathologic
Virulent
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Erythema (redness)
Edema (swelling)
Heat
Pain
Purulent drainage
Loss of function
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Lifestyle
Environment
Hereditary
Congenital
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Platelets are produced to stop bleeding
White blood cells and plasma move from the blood to affected area
Internal color of the tissue changes
Exudate is accumulated
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Edema
Erythema
Ecchymosis
Pruritus
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Purulent
Necrotic
Fetid
Cyanotic
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Inspection
Diagnosis
Assessment
Check-up
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Nursing Care Plans
Nursing diagnosis
Nursing assessment
Nursing Intervention
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Patient file and medical history
Individualized plan of nursing care
Insurance and billing purposes
Information sold to a gossip magazine
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Nursing health history
Police blotter if any
Physical examination findings
Results of laboratory and diagnostic tests
Information from health care team members
History of employment data
Information from family members and significant others
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Physical assessment
Nursing intervention
Check the vital signs
Administer medication
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Psychosocial screening and evaluation
Warburg Pincus Test
Laboratory and diagnostic tests
Physio-Diamterical analysis
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Auscultation
Percussion
Interview
Palpation
Inspection
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Wash your hands before you enter and talk to the patient
Introduce yourself, stating your name, your position and the purpose of the interview
Go to the gift shop and purchase a small gift
After washing, offer your hands for a hand shake
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Communicate your trustworthiness and discretion to patient
Compliment the patient on how he or she looks like
Spend an extra time to build patient rapport
Convey an attitude of professionalism and competence
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Personal interview
Nursing health history
Head to toe assessment
Gather biographic data
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The registered nurse during the interview
Admitting department
The LPN as delegated by the nurse before the patient goes to room
The CNA during the first bath
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Name and gender
Date of birth
Orientation and vital statistics
Address and marital status
Source of health care and insurance payments
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Medical diagnosis
Chief complaint
Nursing diagnosis
Illness
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Etiology
History
Onset
Biographic data
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History of present illness
Nursing health history
Medical history
Biographical history
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Assessment of Maslow's needs
Review of Systems
Vital Signs
History of Present Illness
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