Exam (elaborations)
NUR 436 midterm ASU Exam Questions with Latest Update
- Course
- Institution
NUR 436 midterm ASU Exam Questions with Latest Update
[Show more]
Content preview
NUR 436 midterm ASU Exam Questionswith Latest Update
Adults vital signs - Answer-BP: 120/80
HR: 60-100
RR: 12-20
O2: above 95%
Temp: 98.6 (between 97-99 ok)
Pediatric vital signs: HR
A(awake) and S(sleeping) - Answer--Neonate 0-1 month: A 100-205; S 90-160
-Infant 1-12 month: A 100-180; S 90-160
-Toddler 1-3 yr: A 98-140; S 80-120
-Preschool: 3-6 yr: A 80-120; S 65-100
-School Age 6-12 yr: A 75-118; S 58-90
-Adolescent 12-18 yr: A 60-100; S 50-90
Pediatric vital signs: BP systolic - Answer--Neonate 0-1 month: under 60
-Infant 1-12 month: under 70
-Toddler 1-3 yr, preschool: 3-6 yr:, school age 6-12 yr: under 70 + 2x age yr
-Adolescent 12-18 yr: under 90, but will increase closer to 120 as age increases
Pediatric vital signs: RR - Answer--Neonate 0-1 month: 30-60
-Infant 1-12 month: 30-53
-Toddler 1-3 yr: 22-37
-Preschool: 3-6 yr: 20-28
-School Age 6-12 yr: 18-25
-Adolescent 12-18 yr: 12-20
Pediatric vital signs: O2 and temp - Answer--Temp: 98.6 (between 97-99 ok)
-O2: over 95%
Head to toe assessment - Answer--Neuro: LOC, PERRLA, AxO
-CV/perfusion: heart sounds, cap refill, extremities (warm/cold, color, edema)
-Pulmonary: lung sounds, RR, work of breathing, LOC
-GI: bowel sounds, I&O
-Skin: bruising, color, intact, turgor, overall appearance
-Lines/drains: inspect for patency, infection, dressings
ABC assessment - Answer--Airway: breath sounds, voice
(Swallow screen: sit upright, swallow 3 oz of water, assess for coughing/choking)
-Breathing: RR, chest movement, lung auscultation, O2 sat
-Circulation: palpate pulse, heart auscultation, EKG, BP, cap refill, skin color, dry/moist
, Ventricular fibrillation (V-fib) - Answer--No coordinated activity, ventricle quivering,
messy on EKG
-Patient will not have a pulse
-CODE BLUE: CPR, defibrillate, ACLS
Ventricular tachycardia (V-tach) - Answer--LETHAL - fast dysrhythmias
-Wide and fast QRS's
-May or may not have pulse, but will eventually lose pulse
-Pulse present: oxygen, cardioversion, amiodarone
-No pulse: CODE BLUE - CRP, defibrillate
SVT/PSVT - Answer--Normal QRS, may be narrow
-Unable to separate P wave / T wave
-Interventions: oxygen, vagal maneuvers, adenosine, synchronized cardioversion
Vagal manuevers - Answer--Ice to face
-Valsalva maneuver
-Carotid sinus massage
-Bear down
Medications for dysrhythmia - Answer--Epi: 1mg q3-5 min (adult), 0.01mg/kg q 3-5 min
1mg max (peds)
-Amiodarone: 300mg bolus (adults), 5mg/kg bolus 3x (peds)
-SPEED up heart: atropine, pacing, epi
-SLOW down heart: vagal maneuvers, amiodarone, adenosine, beta-blockers, calcium
channel blockers, synchronized cardioversion
Nursing interventions for care of tracheostomy and suctioning - Answer--Suction PRN,
no order needed
-One right size and one size smaller tubes at the bedside
-Indications: adventitious breath sounds, nasal flaring, retractions, mucus, low O2 sats,
coughing, cyanosis, abnormal RR
-Can also elevate head of head and give O2
-Deep trach suctioning: one hand sterile, one hand clean, suction 5 seconds in and 5
seconds out, use sterile water or sterile NS, 30-second recovery time between suctions
-ALWAYS auscultate after, assess O2, assess patient color
-Need to have ambu bag + mask, humidified O2, suction, obturator, 2 trach tubes in
room, peds code sheet
Nursing interventions for care of ventilator - Answer--High pressure alarm: pulmonary
edema, pneumothorax, bronchospasm, biting, secretions, cough, kink, fighting the vent,
condensation/water in tubing
-Low-pressure alarm: low pressure, cuff leak, tube displacement/extubation,
-Settings: RR, Vt, FiO2, PEEP —> call RT for issues (RN usually only allowed to silence
alarm)
-Monitor for ventilator-associated pneumonia
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 lectknancy. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81989 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now