NUR 352- final exam (with complete answers)

how do you assess pain? correct answers Ask about pain based on a scale of 0-10 PQRSTU P-palliative or provoking factors Q- the quality of pain (stabbing/aching) R- the region of pain/ does it radiate? S- severity of pain T- timing of the pain U- how does it affect you? what kinds of things should you be specifically looking for when doing a general survey? correct answers gender, race, age, body type, posture, gait, movement, dress, odor, mood, speech, signs of abuse, substance abuse normal vital signs correct answers HR: 60-100 RR: 12-20 O2 SAT: 95-100 TEMP: 96.8-100.4 F. 36-38 C BP: 120/80 what can cause temperature alterations? correct answers Age, Exercise, Hormone level, Circadian rhythm, Stress, Environment, Temperature alterations example of what disease need contact precautions correct answers MRSA, Clostridium difficile, Shigella what do you put in place for contact precautions correct answers Private room or cohort patients, gloves, gowns; patients may leave their room for procedures or therapy if infectious material is contained or covered and placed in a clean gown and hands cleaned example of what disease need droplet precautions correct answers Diphtheria (pharyngeal), rubella, streptococcal pharyngitis, pneumonia or scarlet fever what do you put in place for droplet precautions correct answers Private-room or cohort patients; mask or respirator (refer to agency policy) examples of disease that require airborne precautions correct answers Measles, chickenpox (varicella), disseminated varicella zoster, pulmonary or laryngeal tuberculosis what do you put in place for airborne precautions correct answers Private-room, negative-pressure airflow of at least 6 to 12 exchanges per hour via HEPA filtration; mask or respiratory protection device, N95 respirator examples of treatment that require protective precautions correct answers Allogeneic hematopoietic stem cell transplants