Nur 1020 exam 1 questions with complete solutions
_________ helps to control ventilation in pt with chronic lung
dx correct answer hypoxia- bc low o2 provides the stimulus
that allows the pt to breathe- admin high 02 levels is fatal
____________ is an elevated body temp resulting from the
body's inability to promote heat loss or reduce heat production
correct answer hyperthermia
______________ controls heat production correct answer
posterior hypothalamus
________________ controls heat loss correct answer anterior
hypothalamus
A hereditary condition of uncontrolled heat production that
occurs when susceptible people receive certain anesthetic drugs
correct answer malignant hyperthermia
Acceptable pulse ranges of hr
Infant
Adult correct answer 120-160
60-100
Body temp= correct answer heat produced - heat lost
Complete bed bath correct answer totally dependant pt in bed
,Cuff _________ is 20% more than the upper arm diameter or
40% of the ________ and 2/3 of the arm _______ correct
answer width
Circumference
Length
Diagnosis for patients with body temp alterations correct
answer risk for imbalanced body temp
Hyperthermia
Hypothermia
Ineffective thermoregulation
Distribution of rbc to and from the pulmonary capillaries
correct answer perfusion
Dry mouth correct answer xerostomia
Dx associated with hygiene correct answer activity intolerance
Bathing self care deficit
Dressing self care deficit
Impaired physical mobility
Impaired oral mucous membrane
Ineffective health maintenance
Risk for infection
Dx for bp correct answer • activity intolerance
• anxiety
• decreased cardiac output
• deficient/excess fluid volume
• risk for injury
• acute pain
, • ineffective peripheral tissue perfusion]
Dx for respiratory vital signs correct answer activity
intolerance
Ineffective airway clearance
Anxiety
Ineffective breathing pattern
Impaired gas exchange
Acute pain
Ineffective peripheral tissue perfusion
Dysfunctional ventilatory weaning response
Evening/hour before sleep care correct answer change soiled
linen
Wash face and hands
Oral hygiene
Back massage
Bed pan, urinal
Factors influencing character of respiration correct answer
exercise- hyperpnea
Acute pain- hypoventilation
Anxiety- hyperventilation
Smoking- tachypnea
Body position- fowlers high promotes full chest expansion
Neurological injury- injury to brainstem impairs respiratory
center and inhibits rr and rhythm
Hemoglobin- anemia increases rr- increased altitude increases rr
Sickle cell increases rr
Flat correct answer vertebral injuries
_________ helps to control ventilation in pt with chronic lung
dx correct answer hypoxia- bc low o2 provides the stimulus
that allows the pt to breathe- admin high 02 levels is fatal
____________ is an elevated body temp resulting from the
body's inability to promote heat loss or reduce heat production
correct answer hyperthermia
______________ controls heat production correct answer
posterior hypothalamus
________________ controls heat loss correct answer anterior
hypothalamus
A hereditary condition of uncontrolled heat production that
occurs when susceptible people receive certain anesthetic drugs
correct answer malignant hyperthermia
Acceptable pulse ranges of hr
Infant
Adult correct answer 120-160
60-100
Body temp= correct answer heat produced - heat lost
Complete bed bath correct answer totally dependant pt in bed
,Cuff _________ is 20% more than the upper arm diameter or
40% of the ________ and 2/3 of the arm _______ correct
answer width
Circumference
Length
Diagnosis for patients with body temp alterations correct
answer risk for imbalanced body temp
Hyperthermia
Hypothermia
Ineffective thermoregulation
Distribution of rbc to and from the pulmonary capillaries
correct answer perfusion
Dry mouth correct answer xerostomia
Dx associated with hygiene correct answer activity intolerance
Bathing self care deficit
Dressing self care deficit
Impaired physical mobility
Impaired oral mucous membrane
Ineffective health maintenance
Risk for infection
Dx for bp correct answer • activity intolerance
• anxiety
• decreased cardiac output
• deficient/excess fluid volume
• risk for injury
• acute pain
, • ineffective peripheral tissue perfusion]
Dx for respiratory vital signs correct answer activity
intolerance
Ineffective airway clearance
Anxiety
Ineffective breathing pattern
Impaired gas exchange
Acute pain
Ineffective peripheral tissue perfusion
Dysfunctional ventilatory weaning response
Evening/hour before sleep care correct answer change soiled
linen
Wash face and hands
Oral hygiene
Back massage
Bed pan, urinal
Factors influencing character of respiration correct answer
exercise- hyperpnea
Acute pain- hypoventilation
Anxiety- hyperventilation
Smoking- tachypnea
Body position- fowlers high promotes full chest expansion
Neurological injury- injury to brainstem impairs respiratory
center and inhibits rr and rhythm
Hemoglobin- anemia increases rr- increased altitude increases rr
Sickle cell increases rr
Flat correct answer vertebral injuries
