NS 233 exam 1 Questions With Verified Correct Answers

NS 233 exam 1 Questions With Verified Correct Answers cardiovascular assessment - ANS pale, cool, clammy (damp) skin n/v SOB dizziness, weakness, faintness hypotension dyspnea tachycardia diaphoresis mild to severe chest pain confusion or disorientation cyanosis decreased urinary output unresponsiveness normal sinus rhythm - ANS HR 60-100 regular R-to-R clearly see P, QRS, T sinus bradycardia - ANS HR below 60 regular R-to-R clearly see P, QRS, T sinus tachycardia - ANS HR 100-150 regular R-to-R clearly see P, QRS, T SVT - ANS sudden onset of tachycardia (greater than 151) may be seen with caffeine, nicotine, and some street drugs supraventricular tachycardia (SVT) - ANS HR above 151 regular R-to-R clearly see P, QRS, T premature atrial complex - ANS occurs within sinus rhythms complex occurs earlier than next expected may have compensatory or non-compensatory pause after secondary to anxiety, caffeine, nicotine, meds, exercise sinus bradycardia with PAC - ANS HR below 60 clearly see P, QRS, T maybe beat comes early irregular R-to-R sinus rhythm with PAC - ANS HR 60-100 clearly see P, QRS, T maybe beat comes early irregular R-to-R sinus tachycardia with PAC - ANS HR 101-150 clearly see P, QRS, T maybe beat comes early irregular R-to-R atrial flutter - ANS irritability on single site within the atria saw-toothed or jagged baseline with no true P waves atria quiver occurs with MI or heart disease F waves - instead of P or T waves atrial flutter with slow ventricular response - ANS HR below 60 regular R-to-R unclear P, QRS, T a. flutter with controlled ventricular response - ANS HR 60-100 regular R-to-R unclear P, QRS, T a. flutter with rapid ventricular response - ANS HR 100-150 regular R-to-R unclear P, QRS, T atrial fibrillation - ANS increased irritability of atrial tissue electrical impulses generated in various places in atria atria quiver and very disorganized wavy baseline with no true P waves occurs with MI or heart disease irregular rhythm secondary to random electrical impulses going through AV node a. fib with slow ventricular response - ANS HR below 60 irregular R-to-R unclear P, QRS, T a. fib with controlled ventricular response - ANS HR 60-100 irregular R-to-R unclear P, QRS, T PR interval - ANS less than or equal to 0.20 QRS interval - ANS less than or equal to 0.12 QT interval - ANS less than or equal to 0.40 pain - ANS it is what the patient says it is location, intensity, frequency COLDERRA acute pain - ANS sudden onset typically clearly linked to a specific event injury or illness chronic pain - ANS pain lasting more than 3 months results from underlying medical conditions, injury, medical treatment, inflammation, or unknown causes nociceptive pain - ANS caused by damage to somatic or visceral tissue superficial somatic - sharp, burning, prickly; skin, mucous membranes, subcutaneous tissue deep somatic - aching, throbbing; bone, joint, muscle, connective tissue visceral - visceral organs; cramping nonopioids, opioids, adjuvants, analgesi