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NUR 2755 MULTIDIMENSIONAL CARE IV EXAM
PREPARATION PACK 2026 KEY CONCEPTS
AND REVISION NOTES

◉ Hypothermia Preventions
Answer: ii. Cover the pt with blankets iii. Use heating devices
iv. Increase room temp
v. Infuse warm solutions
vi. Remove wet clothing


◉ Hyperthermia
Answer: temperature above the normal range that may be related to
exercise or exposure to an abnormally hot environment
-Temp is greather than 104 degrees


◉ What is perfusion?
Answer: Adequate arterial blood flow to the peripheral tissue.


◉ What does peripheral and central perfusion relate to?
Answer: Peripheral=peripheral tissue
Central=major organs

,◉ Definition of pulse?
Answer: rhythmic expansion of an artery produced when a bolus of
oxygenated blood is forced into it by contraction of the heart.


◉ Bradycardia pulse rate
Answer: less than 60 bpm


◉ Tachycardia pulse rate
Answer: beats higher than 100/min


◉ Influences for pulses?
Answer: o Exercise
o Age
o Gender
o Anxiety
o Pain


◉ Documentation for pulse?
Answer: o Rhythm - even tempo
o Strength (0-4+, absent, weak or thready, normal, strong, bounding)

,o Regular rhythm: 30 seconds x 2- or 15-seconds x 4o Irregular
rhythm (regular/irregular); full minute; apical.
o •Amplitude is what is measured
o •Rate, rhythm (regular or irregular), and quality (strong, weak or
bounding)


◉ Quality of pulse
Answer: strong, weak or bounding


◉ Strength of pulse
Answer: 0 = absent
1+ = thready or weak
2+ = normal
3+ = strong
4+ = bounding


◉ Rhythm of pulse
Answer: regular or irregular


◉ Peripheral pulses (Normal, bradycardia, tachycardia)
Answer: - Normal= 60-100 beats per minute
o Bradycardia = beats below 60/min

, o Tachycardia= beats higher than 100/min


◉ rhythm of respiration
Answer: even, regular


◉ Depth of respiration
Answer: deep, moderate, shallow


◉ Inspiration
Answer: drawing air into the lungs (diaphragm contracts > lungs
expand); Breathing in


◉ expiration
Answer: expulsion of air from the lungs (diaphragm relaxes > lungs
recoil); breathing out


◉ systolic blood pressure
Answer: ventricles contract, 90-120, maximum pressure on the
arteries


◉ Pain assessment before and after treatment
Answer: Scale of 0-10(0 being no pain 10 being the worst pain you
have ever felt)

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