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Summary NUR 111 - Exam 2 study guide.

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NUR 111 Exam 2 Study Guide What is the importance of assessing a pt's pain status? It is critical to understand the patient's clinical status and progress. Which cultures care for ill members by protecting them from bad news about their health? collectivistic -Hispanic -African -Asian Why...

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  • October 21, 2024
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  • 2024/2025
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NUR 111 Exam 2 Study Guide
What is the importance of assessing a pt's pain status?
It is critical to understand the patient's clinical status and progress.
Which cultures care for ill members by protecting them from bad news about
their health?
collectivistic
-Hispanic
-African
-Asian
Why do we analyze vital signs?
To interpret their significance and make decisions about appropriate interventions.
Which approach ensures accuracy when taking vitals?
organized & systematic
What 3 actions should be taken when a significant change in vitals is
observed?
1. verify changes
2. communicate changes
3. document changes
When a pt's condition suddenly worsens, which site should be used to find a
pulse quickly?
carotid
What is the most reliable & noninvasive way to assess cardiac function?
apical pulse
The exchange of oxygen & carbon dioxide between cells of the body & the
atmosphere is ___________________ & the mechanical movement of gases
into & out of the lungs is ___________________.

, respiration, ventilation
ABG values measure...
-arterial blood pH
-partial pressure of 02 & C02
-arterial oxygen saturation
CBC values measure...
-red blood cell count
-volume of red blood cells
-concentration of hemoglobin
Clinical judgment regarding vitals includes...
-which vitals to measure
-when to obtain the measurements
-frequency of assessment
Why would a critically ill child have cool skin & a high core body
temperature?
poor perfusion to the skin
Why are older adults at high risk for hypothermia?
-diminished sensation of cold
-abnormal vasoconstrictor responses
-impaired shivering
What is indicated by the peripheral pulse?
status of blood perfusion to that particular area
When does hypotension occur?
When the systolic BP falls below 90mmHg.
What is indicated by orthostatic changes in vital signs?
blood volume depletion
List several factors that contribute to false elevations in BP.

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