NSE 103 Questions and Answers

NSE 103 Questions and Answers What are first-level priority problems ABC+V Emergencies, life-threatening, and immediate What are second-level priority problems? - Mental status change - Untreated medical problems requiring immediate attention (ex: diabetic who has not received insulin) - Acute pain - Acute urinary elimination problems - Abnormal lab values - Risk of infection Previous Pause Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen Brainpower Read More Third-level priority problems important to px health but can be addressed after more urgent health problems are addressed Collaborative problems approach to treatment involves multiple disciplines What is the behavioural model? health care extends beyond treating disease to include secondary and primary preventions, with emphasis on changing behaviours and lifestyles What is the socio-environmental model Incorporates sociological and environmental aspects in addition to the biomedial and behavioural ones - social determinants of health & health promo What is a relational approach to nursing? refers to the fact that health, illness, and the meanings they hold for a person are shaped by the person's relations/intersections What are 4 types of data collection? 1. complete 2. episodic/problem-centered 3. follow up 4. emergency What is a complete data set? complete health history full physical exam Describes current and past health states and forms a baseline against which all future changes can be measured What is an episodic/problem centered Database - For a limited or short term problem small in scope, and more focused than the complete database -concerns mainly one problem, one cue complex, or one body system What is a follow-up database? Status of any ID problem should be evaluated at regular intervals What is an emergency database? Rapid collection of the data often compiled while life-saving measures are occuring What are 3 levels of disease prevention? Primary Secondary Tertiary What are characteristics of primary disease prevention? - sanitation and immunization People and populations are prevented from becoming ill, sick, or injured in the first place What are characteristics of secondary disease prevention? Early detection of disease What are characteristics of tertiary disease prevention? Prevention of complications when a condition or disease is present or has progressed What is cachexia? extreme wasting and malnutrition How should you palpate for temperature? Dorsal aspect of hand Which part of the hand should be used to feel for vibration or pulsatility? Metacarpophalangeal joints What type of percussion is often used to assess the lungs and the abdomen? Indirect percussion Where is resonance heard? over lung tissue and sometimes the abdomen What is "low pitched sound that is hollow in terms of sound quality with a moderate duration?" Resonance What is "low pitched but more booming sound, and has a longer duration"? Hyperresonance Where is hyperresonance heard? Small children's chest - If found in adultsa nd older children, it can be a cue for possible hyperinflation of lungs (emphysema, pneumothorax) What is "high pitched, sounds like a drum"? Tympany Where do is tympany heard? Fluid filled organs like stomach, bladder, and bowels - Can be more dull or flat if cx has adipose tissue or muscles over abdomen What is "quiet thud" Dullness Where is dullness heard? normal when percussing tissues that are dense in consistency like the liver - abn if heard over lungs, intestines, stomach, or bladder What is "more quiet than dullness with an even shorter duration and a high pitch"? Flatness Where is flatness heard? detected over bone or heavy muscle Where might you find high pitched sounds when auscultating a cx? Lung sounds, bowel sounds, some heart sounds Where might you find low-pitched sounds when auscultating a cx? Some heart sounds, sounds associated with abnormal vascular sounds of the arotid arteries and the aorta Which area of the stethoscope is used to auscultate high pitch sounds? Diaphragm Which area of the stethoscope is used to auscultate low-pitch sounds? Bell How is BMI measured? km/m2 What is "normal" BMI range? 18.5-24.9 What is the most rapid period of growth in the life cycle? Birth - 4 mos What does the Canadian Pediatric Society and Health Canada recommend for breast feeding? - first 6 months of life - all breastfed and partially breastfed full term infants take 1- mcg or 400 IU of Vit D When does solid food consumption start in infants? ~6months When can whole cow's milk be offered? 9 - 12 months - earlier = associated with occult blood loss in stool, especially in the first 6 months of life What kind of complications are teen parents more likely to experience? Anemia, Hypertension, Pre-eclampsia, renal disease, depressive disorders Why are older adults more at risk for over nutrition? decreasing metabolic rate + inactive lifestyle What is the ideal BMI fo a 70 YO? 25-32 What is the ideal weight percentile for children? 3 - 84th percentile Does hand hy-gel remove all bacteria and viruses? No, does not get rid of , cryptosporidium, or other germs that can cause diarrhea What is the pain assessment mneumonic? PQRSTU What is PQRSTU? Provocative/Palliative Quality/Quantity Region/radiation Severity Timeline/treatment Understanding What is the order that you should assess for vital signs in a newborn? Respirations pulse O2 sat Temp If necessary BP What is the order that you should assess for vital signs in an adult? o2+pulse Respirations BP Temp Quick! It's an emergency! Which vital sign do you take first? Pulse and BP What is a pulse? pressure wave of blood Where is the radial pulse? Thumb side of wrist Where is the brachia pulse? Medial and a little above the antecubital fossa Where is the carotid pulse? In the neck just below the jaw bone Common for emergency procedures Where is the apical pulse? 5th intercostal space What is normal range for adult pulse? 60-100 bpm What is the normal range for newborn pulse? 100-175 BPM What is the normal range for 1 mo - 2 YO pulse? 90 - 160 What is the normal range for 2 - 6 YO pulse? 70-150 What is the normal range for 12-18 YO pulse? 50-110 What pattern does pulse/HR follow in the lifespan? HR gradually decreases until young adulthood and then gradually increases with age When pregnant, HR is _______ than pre-pregnant HR. Slightly higher