Nursing 220-Exam # 1 Questions And Answers Already Graded A+
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Course
Nursing 220
Institution
Nursing 220
A patient is placed in contact precautions due to an infection caused by methicillinresistant Staphylococcus aureus. The nurse prepares to provide colostomy care. Which
PPE are needed?
A. Gown and gloves.
B. Gloves and goggles
C. Gloves, gown, and mask
D. Gloves, gown, goggles and/or face shie...
Nursing 220-Exam # 1
A patient is placed in contact precautions due to an infection caused by methicillin-
resistant Staphylococcus aureus. The nurse prepares to provide colostomy care. Which
PPE are needed?
A. Gown and gloves.
B. Gloves and goggles
C. Gloves, gown, and mask
D. Gloves, gown, goggles and/or face shield - ✔️✔️D
The nurse is caring for a client who has an oral temperature of 99.6 °F at 0800. The
client's orders indicate that vital signs should be taken once a shift. In planning care for
the client, which action is most appropriate?
A. Ensure that the temperature is taken promptly at 1600.
B. Call the physician for a more frequent order.
C. Take the temperature as necessary.
D. Begin cooling measures - ✔️✔️C
Four Vital Signs - ✔️✔️-temperature
-pulse
-respiratory rate
-blood pressure
5th vital sign - ✔️✔️pain
normal temperature ranges for adults - ✔️✔️36-38 celcius ot 96.8 to 100.4 F
influencing factors of temperature - ✔️✔️-age
-exercise
-hormones
-environment
-stress
where to measure temperature - ✔️✔️-oral
-rectal
-tymphanic membrane (ear)
when to measure vitals - ✔️✔️-on admission
-during assessments
-doctors orders
-before/after surgery
, -before, during, after blood transfusions
-before, during, after medications
-patient change
-patient feels funny
-routinely in hospital
-before, during, after nursing interventions
what would happen if blood pressure cuff too big.... - ✔️✔️false low reading
what would happen if blood pressure cuff to small... - ✔️✔️false high reading
positions for respirations - ✔️✔️-body straight promotes good respirations
-body slumped impaired respirations
-body laying down prevents full chest expansion
position for pulse - ✔️✔️-supine/sitting
position for blood pressure - ✔️✔️-sitting with arm at heart level
normal pulse for adult - ✔️✔️60-100 beats/min
normal pulse of adolescent - ✔️✔️60-90 beats/min
normal pulse for toddler - ✔️✔️90-140 beats/min
normal pulse for infant - ✔️✔️120-160 beats/min
normal pulse oximetry - ✔️✔️>= 90%
normal respiration rate for adults - ✔️✔️12-20 breaths/min
normal respiration rate for adolescent - ✔️✔️16-20 breaths/min
normal respiration rate for toddler - ✔️✔️25-32 breaths/min
normal respiration rate for infant - ✔️✔️30-50 breaths.min
normal respiration rate for newborn - ✔️✔️30-60 breaths/min
normal blood pressure for adults - ✔️✔️Systolic <120 mm Hg
Diastolic <80 mm Hg
Pulse pressure: 30 to 50 mm Hg
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