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Chapter Five

Horizontales
Assessment concerned with one specific problem
Data obtained from the patient verbally that only the patient can describe and verify.
LVN's may assign the tasks of weighing, measuring, and obtaining a urine specimen for a newly admitted patient to these personnel.
This between the LVN and RN is imperative to ensuring that the patient's health care needs are met.
Abnormalities that can be verified by repeat examination and are objective data
Information obtained through the senses and hands-on physical examination.
Verticales
All of the information gathered about a patient.
Pieces of data or information that influence decision.
Another word for "nursing orders"
Factors the patient has said are occurring that cannot be verified by examination. Are subjective data.
Medication administration record (abbreviation)
Conversation in which facts are obtained
Pieces of specific information on a specific topic.
A broad idea of what is to be achieved through nursing intervention.