Exam (elaborations)
NUR 155 exam 1 Questions & answers
- Course
- Institution
NUR 155 exam 1 Questions & answers
[Show more]
Seller
Follow
EXAMQA
Reviews received
Content preview
NUR 155 exam 1-pnea - ✅✅-breathing
(Lung sounds) Rales are - ✅✅-short 'crackly' sounds/ high pitched
(Lung sounds) rhonchi are - ✅✅-low/ deep pitched, snoring sounds
(Lung sounds) Stridor is - ✅✅-a harsh, high pitched sound
(Lung sounds) wheezes are - ✅✅-high pitched, 'squeaky' sounds
5 RIGHTs of Delegation - ✅✅-1. RIGHT task
2.RIGHT circumstance
3. RIGHT person
4. RIGHT direction/communication
5. RIGHT supervision/education
✅✅-without/ missing
a- -
Abduction - ✅✅-Movement away from the midline of the body: legs, arms,
fingers
Abnormal skin disorder: - ✅✅-Jaundice, Cyanosis, Erythema, vitiligo, edema,
etc.
Aduction - ✅✅-movement toward the midline: legs, arms, fingers
Afebrile - ✅✅-without fever
normal temp: 96.8-99.5
Apical Pulse - ✅✅ -a central pulse located at the apex of the heart
listen for 1 minute
PMI
Apnea - ✅✅-not breathing
,Arrhythmia/ Dysrhythmia -✅✅-Irregular/ Abnormal heart rhythm
Assertive communication: - ✅✅--communication that takes a listener's feelings
and rights into account
-telling patient what you/they will be doing
-"I" statements
Assess: - ✅✅-collect data, collect patient's chief complaint
Atrophy - ✅✅-wrinkles
Bacteremia - ✅✅-presence of bacteria in the blood / reveals microorganisms
Bathing process: - ✅✅-- No soap on face
-Face: start inward from inner canthus to outer canthus
-Hot spots:
change towel after each one
move/get under fat rolls/breasts/under neck
-vagina: front to back & spread labia ( use wipes not towels)
-penis: uncircumcised, pull down foreskin & wipe, wipe shaft & scrotum
-keep areas covered/ conservative/ warm as you move about body
-change linens after
✅✅-slow
brady- -
Bradycardia - ✅✅-Adult: <60
slow heart rate
bradypnea - ✅✅-slow breathing
<12
✅✅-Anterior over trachea, minimal sound
bronchial -
Broncho-vesicular - ✅✅-At 1st/2nd Intercostal space, moderate sound, normal
breath sounds heard over the upper anterior chest and intercostal area
C-Diff specifics - ✅✅-- not killed by alcohol
, - wash hands (soap & water)
- contact PPE
- endospores
-patient in contact isolation
-private room
✅✅-pertaining to the heart
cardio- -
Charting by Exception: - ✅✅--use of predetermined standards and norms to
record only significant/abnormal assessment data
-involves check marks or initials
-shorthand method
Circumduction - ✅✅-circular movement of a limb at the far end: head,
arms/shoulders, fingers, legs, feet
Communication Methods - ✅✅-Assertive, non assertive, & therapeutic
Correct way to assess abdomen: - ✅✅-Inspect (Look)
Auscultate (Listen)
Palpate (feel) RLQ then clockwise
Critical Thinking - ✅✅-Problem Solving
Decision Making
Delegation
✅✅-scabs
crust -
D A R - ✅✅-Document
Action
Response
Diagnosis formulated:
PED- ✅✅-Problem ; Etiology ; Defining Characteristics
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller EXAMQA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81989 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now