West Coast University, ATI|NURS 100 Nursing Fundamental Final Study Guide,100% CORRECT
2 views 0 purchase
Course
ATI|NURS 100
Institution
ATI|NURS 100
West Coast University, ATI|NURS 100 Nursing Fundamental Final Study Guide
WEEK 1
- Medical Asepsis – CLEAN TECHNIQUE
- Surgical asepsis – STERILE TECHNIQUE
- Clean the last soiled areas first to prevent moving more contaminate
- Vital Signs
o BP: Less than 120/80 NORMAL
o NOTE: 120/8...
ati|nurs 100 nursing fundamental final study guide
Written for
ATI|NURS 100
All documents for this subject (1)
Seller
Follow
ElonMusk
Reviews received
Content preview
West Coast University, ATI|NURS 100 Nursing Fundamental Final Study Guide
WEEK 1
- Medical Asepsis – CLEAN TECHNIQUE
- Surgical asepsis – STERILE TECHNIQUE
- Clean the last soiled areas first to prevent moving more contaminate
- Vital Signs
o BP: Less than 120/80 NORMAL
o NOTE: 120/80 is considered prehypertension
- Oxygen Saturation: 95-100 unless COPD then it is okay to be normal.
o Example – if a patient that has COPD and is on oxygen and their O2 saturation
is 99% that’s a problem since its too damn high for COPD
- Respiratory Rate: 12-20 Breaths/minute
o NORMAL
- Pulse Rate: 60-100 Beats/Minute
o Normal
- Temperature: 96.8-100.4
o Rectal Temp is 0.9F higher than oral and tympanic
o Axillary temp is 0.9F lower than oral and tympanic
o Temporal is 1F higher than oral and 2F higher than axillary
- Know PQRST for assessing patient with pain
o Provocation: What caused it?
o Quality: What does it feel like?
o Radiate:where does it hurt?location?
o Scale:Severity 0-10
o Time-how long has it been hurting
- Prioritizing vital signs; who to assess first(Remember ABC)
o Baby with high fever and diarrhea for three days
o Older patient with diarrhea for days and cant breath.
- Korotkoff Sounds
o Phase 1: Characterized by first appearance of faint; first sound of systolic
o Phase 2: Characterized by muffle/swishing. Sounds may also temporarily
disappear also called auscultatory gap
o Phase 3: Characterized by distinct, loud sound as blood flows relatively free
through an increasingly open artery
o Phase 4: Characterized by distinct, abrupt, muffling sound with sound, blowing
quality. Considered to be the first diastolic pressure
, o Phase 5: The last sound heard before period of continuous silence. Also the second
diastolic pressure
- Communication(therapeutic/non therapeutic)
o Do not ask WHY
o Use open ended questions and
o Touch is therapeutic
▪ Sympathetic touch on a patient who just found out they have cancer
, WEEK 2
- Know Head to toe assessment and know why you’re checking them – BRADEN SCALE
- Skin turgor
o Use to check for dehydration
o Grasp a skin fold on the chest under the clavicle, release it, and note whether it
springs back.
o If you see “tenting” occur, it can mean that patient is dehydrated
o LOOK AT STERNAL BORDER (so CLAVICLE is CLOSEST to STERNUM)
- PERRLA
o P: Pupil clear
o E: Equal and between 3-7 mm in diameter
o R: Round
o RL: Reactive to light
o A: Accommodation
- Abnormal breath Sound
o Crackles: Coarse bubbly sound like rice Krispy; usually with pneumonia, HF,
bronchitis, when there's fluid in the lungs
o Wheezing: High pitched whistling; usually with asthma, tumors or buildup
secretion
o Rhonchi: Coarse, loud, low pitch; snoring/COPD patients
o Absence of breath: from lung collapse of atelectasis (do not hear lung sounds)
o Stridor: Airway obstruction in children; barking sound(choking); is an Emergency
- 5 landmarks for heart (APETM)
o Aortic; Right 2nd intercostal
o Pulmonic; Left 2nd Intercostal
o Erb; left 3rd intercostal
o Tricuspid; left 4th intercostal
o Mitral; Left 5th intercostal; also, site of maximal impulse AKA apical pulse
- Abdomen Assessment:
o Inspect, Auscultate, percuss, palpate (Big on abdomen)
o Auscultate order: Right lower→ Right upper→ Left upper→ Left Lower
- When checking for pulse; you PALPATE
- When checking Capillary refill
o When checking refill, it should refill within 2 seconds
o If it takes 3-4 seconds, it is unexpected finding
o Assess by applying firm pressure to the nail bed to blanch it.
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 ElonMusk. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
