NR 302 final review 2022
erythema - white skin is redness of the skin produced by capillary congestion objective data - measurable data, for example vital signs after completing an initial assessment on a pt, the nurse charts, vital signs as temp of 100.1 oral, apical HR 98 irregular, RR 24 shallow, B/P 128/90, pulse ox of 90% on RA, what are you worried about - oxygenation, infection, activity intolerance, capillary refill greater than 3 seconds during assessment of the lower extremities of a male patient the nurse is unable to palpate the dorsalis pedis pulse, what action should the nurse take first - reposition the fingers and assess again what is a Doppler? - is a test that uses high frequency sound waves (ultrasound) to measure the amount of blood flow through your arteries and veins, usually those that supply blood to your arms and legs an example of objective data obtained during the physical assessment includes - audible and auscultated inspiratory wheeze, 2x2 cm stage 1 pressure ulcer on right ankle, crackles that clear with cough
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