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Nurs258 (SDSU) Exam 1 Questions and Correct Answers the Latest Update
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Nurs258 (SDSU) Exam 1 Questions
and Correct Answers the Latest
Update
PHYSICAL ASSESSMENT
Biggest thing to remember when working with infants and toddlers?
✓ Do least invasive first
PHYSICAL ASSESSMENT
Biggest thing to remember when working with preschoolers?
✓ Do not offer choices if none to be made. Body first then head
PHYSICAL ASSESSMENT
Biggest thing to remember when working with school age children?
✓ Tell them what you are doing before you do it. Head to toe assessment with good
explanation.
PHYSICAL ASSESSMENT
Biggest thing(s) to remember when working with aging adult?
✓ Monitor comfort, do not assume hearing difficulty, be aware of changes in senses,
rest periods.
✓ Head to toe assessment (minimal position changes)
PHYSICAL ASSESSMENT
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What is the order of physical exam technique?
✓ Inspection (when you first see the patient)
✓ Palpation (confirms inspection)
✓ Percussion (tapping on skin) (direct vs indirect)
✓ Auscultation (listening
Definition for: Indicate some of the body's basic functions but reflect many
things about health
✓ Vital Signs
VITAL SIGNS
When should you do more frequently?
✓ Critical situation
✓ After surgery
✓ During blood transfusions
✓ Changes in patient status
VITAL SIGNS
Adult body temp range and average?
✓ Range - 96.4-99.1 F and 35.8-37.3 C
✓ Average - 98.6 F and 37 C
VITAL SIGNS
Factors influencing body temp?
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✓ Age
✓ Environment
✓ Time of day
✓ Exercise and Stress
✓ Hormone levels
VITAL SIGNS
When do we not take an oral temp?
✓ Unconscious, confused, seizure activity, prone, oral surgery, oral trauma, or young
children that are patients
VITAL SIGNS
Type of temp we take that is the last resort and gives core temperature?
✓ Rectal
VITAL SIGNS
Type of temp we take that is good for children but we question the accuracy
✓ Tympanic
VITAL SIGNS
Type of temp we take that is not at as accurate and must be done right
✓ Axillary
VITAL SIGNS
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Type of temp we use commonly and involved an artery
✓ Forehead (temporal artery)
VITAL SIGNS
Definition of contraction of ventricles pumps blood into arteries through aorta
✓ Pulse
VITAL SIGNS
Pulse site that is the most acurate?
✓ Apical
VITAL SIGNS
Pulse site that is the most common?
✓ Radial
VITAL SIGNS
When do you count for a full minute during pulse?
✓ When the count is irregular
✓ Otherwise 30 seconds and x by 2
VITAL SIGNS
Factors that are influencing Pulse
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