Exam (elaborations)
nurs224 - module 2 Questions With Complete Solutions
- Course
- Nur 224
- Institution
- Helene Fuld College Of Nursing
nurs224 - module 2 Questions With Complete Solutions
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nurs224 - module 2 Questions With Complete Solutionsabnormal blood pressure Correct Answer 140-150 or 90-99
blood pressure equation Correct Answer cardiac output x
peripheral resistance
blood pressure is Correct Answer -force of blood against
arterial walls
-reflects the relationship between cardiac output and perphrial
resistance
blood pressure is recored as a fraction with the systolic being
the_________ and the distolic being the denominator Correct
Answer numerator
Cardiac output equation Correct Answer stroke volume × heart
rate
Common Errors in Blood Pressure Measurements: Correct
Answer 1. Improper cuff size, 2.The arm is not at heart level
3.Cuff is not completely deflated before use
3.stethoscope position
4.Improper cuff placement
5.Defective equipment
6. legs crossed
7. not estimating systolic BP
Do not taking blood pressure on Correct Answer -with an IV
-with a dialysis shunt
,-one side of radical mastetomy
paralyzed extremity
-with a cast
documentation : heart rate includes the Correct Answer rate ,
rhythm , strength
documentation Blood pressure : Correct Answer
systolic/diastolic
(record even numbers! + postion of patients arm and which arm
was used)
documentation: respiratory rate Correct Answer rate , rhythm ,
depth , use of accessory muscles
documentation: tempurature Correct Answer degrees in F or C
equipment in exam room Correct Answer -scale
-sphygomomanometer
-stethoscope
-thermometer
-tongue depressor
-flashlight/penlight
-pocket vision screener
-reflex hammer
-sharp object
-cotton balls
-tuning fork
factors that can affect blood pressure Correct Answer Stress,
age, weight, rest, caffeine, medications, race, diabetes, exercise,
, kidney disease , ethnicity , circadian cycle , gender , position ,
smoking
for pulse rate count Correct Answer -assess the number of
beats per minute
-count for 30 seconds and multiply by 2
general survey : first look (first5) Correct Answer -mobility
(posture , gait , range of motion)
-level of consciousness (awake , alert , oriented x3)
-comfort (pain level)
-skin color or skin abnormalities
-facial expression
general survey : first look (second 5) Correct Answer -behavior
-hygiene
-dress
-speech
-body structure + development
general survey (part3) Correct Answer body structure
-stature (how tall?)
-nutrition (last 24hr of eating)
-symmetry
-posture
-position
-body build
if patients are at risk we should Correct Answer try different
positions
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