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Nurs 226 Quiz 1 Questions and Correct Answers
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  • NUR 226

Normal ranges for vitals temperature 96.8-100.4F or 36-38C blood pressure <120/<80 respirations 12-20 breaths/min oxygen saturation 95-100% pulse 60-100 bpm What is critical thinking open-mindedness, continual inquiry, and perseverance combined with a willingness to look at each unique pati...

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  • September 22, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nurs 226 quiz 1 questions and correct answers
  • normal ranges for vitals temperature 968 1004f
  • what is critical thinking open mindedness contin

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  • NUR 226
  • NUR 226

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Nurs 226 Quiz 1 Questions and Correct
Answers
Normal ranges for vitals ✅temperature 96.8-100.4F or 36-38C
blood pressure <120/<80
respirations 12-20 breaths/min
oxygen saturation 95-100%
pulse 60-100 bpm

What is critical thinking ✅open-mindedness, continual inquiry, and perseverance

combined with a willingness to look at each unique patient situation and determine
which identified assumptions are true and relevant

Critical thinking skills ✅1. Determining that a vital sign is normal or abnormal based
upon further assessment of the patient
2. being able to determine how often a patient should be reassessed
3. knowing when a situation requires immediate action or when it can wait

How to develop your critical thinking ✅1. journaling
2. discussing with colleagues
3. reflecting

Modes of taking temp ✅Oral: easy, cheap, but mouth movement required
Axillary: easy noninvasive, inaccurate, takes long
Skin
Tympanic: rapid, accurate, but wax and aids
Rectal: reliable rapid, pushback and stool
Temporal: noninvasive, no probe, rapid, sweat

Heat exhaustion ✅fluid deficit, still sweating!
low electrolytes
faint/dizzy
cool, pale, clammy
rapid weak pulse

heat stroke ✅medical emergency
temp over 104 (40)
hot, dry skin
confusion, LOC, HA
rapid strong pulse
no heat loss mechanism,s

, Pulse deficit ✅difference between the apical and radial pulse rates

Modes of taking pulse ✅Apical
Radial
Ulnar
Femoral
Popliteal
Pedalis
Brachial
Carotid

When do you need to check the apical pulse? ✅1. weak or irregular radial
2. Tachy or Brady
3. Patient on cardiac meds
4. Infants 3-4
5. Dyspnea, Pallor, Cyanosis, Syncope, Palpations

Classifications of pulse ✅Rate: Tachy over 100
Brady under 60
Strength: 0: none
1: weak
2: regular
3: strong
4: bulging
Rhythm: regular or irregular

Ventilation ✅movement of air (gas) in and out of the lungs
assess w/ RR and depth

Diffusion ✅O2 and CO2 exchange between alveoli and RBCs

Perfusion ✅distribution of RBCs to and from pulmonary capillaries

Assessing resp rate ✅Eupnea: normal
Apnea: absence
Tachypnea: over 20
Bradypnea: lower than 12

Assessing resp rhythm ✅Regular: Diaphragmatic/Thoracic
Irregular: Cheyne: apnea then hyperventialtion
Biot's: similar to apnea slight rise and fall of chest
Kussmaul's: deep/fast, seen in DKA, build up CO2

Factors that may effect pulse ox reading ✅nail polish, temperature, skin pigment,
tobacco use, skin thickness

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