100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NR 304 Final Exam, NR 304 FINAL EXAM Questions and Correct Answers the Latest Update and Recommended Version $13.49
Add to cart
Quickly navigate to
Preview
  2.  
  3. NR 304
  4.  
  5. NR 304

Exam (elaborations)

NR 304 Final Exam, NR 304 FINAL EXAM Questions and Correct Answers the Latest Update and Recommended Version
 0 purchase
  • Course
  • NR 304
  • Institution
  • NR 304

What happens during the evaluation step of the nursing process? → Progress towards outcomes, use ongoing assessment to revise diagnoses/outcomes/plans, disseminate results to patient and family What happens during the diagnosis stage of the nursing process? → Compare clinical findings with...

[Show more]

Preview 4 out of 37  pages

Document information

  • October 20, 2024
  • 37
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nr 304 final exam nr 304 final exam questions and
  • what happens during the evaluation step of the nur

Written for

  • NR 304
  • NR 304

Seller

avatar-seller
SmartExam

Reviews received

Content preview

2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!


NR 304 Final Exam, NR 304 FINAL EXAM
Questions and Correct Answers the Latest
Update and Recommended Version
What happens during the evaluation step of the nursing process?


→ Progress towards outcomes, use ongoing assessment to revise
diagnoses/outcomes/plans, disseminate results to patient and family


What happens during the diagnosis stage of the nursing process?

→ Compare clinical findings with normal and abnormal variation and developmental
events, interpret data, validate and document diagnoses.


What is a problem center database? Give an example.

→ For limited or short term problems. Collect mini/targeted databases. Focuses on only
one problem or body system and is used in all clinical settings.
→
→ Ex: two days post-op patient suddenly becomes SOB with congestive cough and
fatigue; focus on respiratory and cardiovascular systems


What are the components of a general survey?

→ Begins during first patient encounter.. Includes their physical appearance, body
structure, mobility, behavior, body measurements


What is the grading of pulse force?


→ 3+ Full, bounding
→ 2+ Normal
→ 1+ Weak, thready
→ 0 Absent


What are causes of hypotension?

1|Page| GradeA+ | 2 0 0 2 5

,2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!

→ Acute myocardial infarction, shock, hemorrhage, vasodilation, Addison's disease


What is the blood pressure measurement for hypotension?


→ Less than 95/60 mmHg


Acute myocardial infarction and shark causes a _____ cardiac output which leads to

hypertension?

→ Decreased


Hemorrhage causes a _____ total blood volume that leads to hypotension


→ decreased


Vasodilation causes a ____peripheral vascular resistance that leads to hypotension

→ decreased


Addison's disease (hypofunction of adrenal gland) is caused by a ___ circulating aldosterone

which causes hypotension

→ decreased


How do you count respirations?


→ Count while assessing radial pulse to make patient unaware that you were counting
respirations. Count for 30 seconds of normal or 1 minute if abnormal


What are the effects of smoking on blood pressure?

→ Vasoconstriction of the arteries which makes your blood pressure increase. Long-term
cause of hypertension


1|Page| GradeA+ | 2 0 0 2 5

,2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!

What is the ABCDEF skin lesions mean?

→ Asymmetry, border irregularity, color variation, diameter greater than 6mm,
elevation/evolution, funny looking


What are the physiological changes associated with acute pain responses?

→ Tachycardia, elevated blood pressure, increased cardiac output, hypoxia,
hypoventilation, atelectasis, decreased cough, nausea, vomiting, ileus, oliguria, urinary
retention, spasm, joint stiffness, increased adrenergic activity, fear, anxiety, fatigue,
impaired immunity, wound healing


How do you assess for clubbing?

→ Put nail beds back to back and view profile sign index. Normal is 160°. Early clubbing
is 180° and lake clubbing is anything less than 160°


What patients does clubbing occur?

→ Smoking, lung cancer, pulmonary disease, congenital cyanotic heart disease


How do you detect pallor in a light skinned patient?


→ Generalized pallor


How do you detect pallor in a dark skinned patient?

→ Ashen gray, dull, loss of glow, cool to palpation


How do you detect jaundice in a light-skinned patient?

→ Yellow sclera, hard palate, skin, mucous membranes


How do you observe jaundice in a dark skinned patient?




1|Page| GradeA+ | 2 0 0 2 5

, 2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!

→ Observe the palms, hard and soft palates


How do you observe cyanosis in a light skinned patient?


→ Dusky blue appearance


How do you observe cyanosis in a dark skinned patient?

→ Dullness, check conjunctiva, oral cavity, nails


How do you observe erythema in a light skin patient?

→ Red or bright pink color


How do you observe erythema in a dark skinned patient?


→ Purpleish tinge, difficult to observe, palpate for warmth


What is the name and characteristics of a stage one pressure injury?

→ Stage 1 non-blanchable erythema
→ Intact skin with a localized area of non-blanchable erythema


What is the name and characteristics of a stage 2 pressure injury?

→ Stage 2 partial thickness skin loss
→ Partial skin loss with an exposed dermis. Pink/red and moist visible wound base. Looks
like a ruptured blister. Usually associated with moisture. Slough and eschar not noted.


What is the name and characteristics of a stage 3 pressure injury?




1|Page| GradeA+ | 2 0 0 2 5

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

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

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 SmartExam. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

64302 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Recently viewed by you

Exam (elaborations) ·

(0)

Into to Vet Tech & Practice Act Questions & Answers, VERIFIED./LATEST UPDATES, 2024/25/ EXAMS PREDICTION PAPER/

Exam (elaborations) ·

(0)

HESI OB Maternity Exam TEST BANK (300+ Ques & Ans) with (2023 / 2024) Questions and Verified Answers, 100% Guarantee Pass

Case ·

(0)

Case NRSG 3302 (NRSG3302) (answered) Michelle Moore 38yr old case study placental abruption unfolding reasoning

Exam (elaborations) ·

(0)

CPRP: Certified Psychiatric Rehabilitation Practitioner Exam| Questions and Verified Answers (2023/ 2024 Update)

Exam (elaborations) ·

(0)

TEST BANK FOR HEALTH PROMOTION THROUGHOUT THE LIFE SPAN 22 ACTULATE (Questions$ Answers) 9TH EDITION. (GRADED A+)

Exam (elaborations) ·

(2)

RN ADULT MEDICAL SURGICAL REAL EXAMS FOR 2023/2024 A FOR NGN QUESTIONS AND ANSWERS EXPERT GRADED A+ GUARANTEED PASS

Exam (elaborations) ·

(1)

Chapter 5 Astro: Light and Matter// LEVEL 1 CERT EXAM ACTUAL QUESTION AND CORRECT DETAILED ANSWERS LATEST 2023-2024.

Exam (elaborations) ·

(0)

TEST BANK FOR SUCCESS IN PRACTICAL VOCATIONAL NURSING 8TH EDITION BY KNECHT (LATEST STUDY GUIDE) ALL CHAPTERS

Exam (elaborations) ·

(0)

VATI RN MED SURG ADULT /ATI MED-SURG ADULT PROCTORED EXAM 2019 100 QUESTIONS WITH 100% CORRECT ANSWERS(UPDATED)
$13.49
  • (0)
Add to cart
Added