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NR304 Final Exam Study Guide / NR 304 Final Exam Review (Latest-2021): Chamberlain College of Nursing $15.49   Add to cart

Exam (elaborations)

NR304 Final Exam Study Guide / NR 304 Final Exam Review (Latest-2021): Chamberlain College of Nursing

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NR304 Final Exam Study Guide / NR 304 Final Exam Review (Latest-2021): Chamberlain College of Nursing

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  • October 5, 2021
  • 21
  • 2021/2022
  • Exam (elaborations)
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 Pulse- palpate or auscultate an apical rate
 Respirations- watch infants abdomen for diaphragmatic respirations; sleeping rate
most accurate
a. Neonate = 30-40 bpm
b. 1 y/o = 20-40 bpm
c. 2 y/o = 25-32 bpm
 Blood Pressure- annual BP 3 y/o and up; most common error is wrong size cuff;
crying stopped for 5-10 mins before measuring
- Peripheral Artery Disease
 Affects noncoronary arteries supplying the limbs; usually caused by
atherosclerosis
 More men have PAD than women
 S/s- coolness in skin, weak thready pulse
 Ankle-Brachial Index of 0.9 or lower = PAD
 Beginning vs end stage?
- COPD
 Obstruction of air flow
 S/s- barrel chest, wheezing, decreased breath sounds, accessory muscle use,
clubbing, paradoxical pulse
 A-P diameter = transverse
- Contact Dermatitis
 Local inflammatory reaction to an irritant in the environment or an allergy
 S/s- erythema, swelling, wheals (urticaria), maculopapular vesicles, scales,
intense pruritus
 Can be caused by poison ivy
 Vaginal-
a. Red, swollen vesicles
b. Weeping of lesions
c. Crusts
d. Scales
e. Thickening of skin

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f. Excoriations from scratching
g. Pruritus
 Diaper Dermatitis-
a. Red, moist, maculopapular patch with poorly defined borders in the diaper
area,
b. Extending along inguinal and gluteal folds
c. History of infrequent diaper changes or occlusive coverings
d. Inflammatory disease caused by skin irritation from ammonia, heat,
moisture, occlusive diapers.
 Atopic Dermatitis (Eczema)-
a. Erythematous papules and vesicles, with weeping, oozing, and crust
b. Lesions usually on scalp, forehead, cheeks, forearms, and wrist, elbows,
back of knees
c. Paroxysmal and severe pruritis
d. Family history of allergies
- Pursed Lip Breathing
 Inhaling through the nose and exhaling through pursed lips
 Lips are puckered when exhaling
 Helps the airways stay open during exhalation
- Emphysema
 Caused by destruction of pulmonary connective tissue; permanent enlargement of
the air sacs distal to terminal bronchioles and rupture of interalveolar walls;
increased airways resistance; hyperinflated lung and increased lung volume
 S/s-
a. Increased AP diameter (barrel chest)
b. Accessory muscle use
c. Tripod position
d. SOB
e. Respiratory distress
f. Tachypnea
g. Decreased tactile fremitus

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