NUR 188- EXAM 1 study guide
Questions And Answers
/. Patient interview strategies - Answer-✅- professional appearance
- sit facing patient at eye level
- privacy
- establish confidentiality
- watch nonverbal communication
- verbal communication
use social distance (4-12 feet)
/.subjective data - Answer-✅what the patient says
documented in the health history
/.objective data - Answer-✅-findings the nurse can hear, see, smell, touch or measure
-inspecting, percussing, palpation, ausculating patient during physical examination
/.what are the complete health history components? - Answer-✅1. **Demographic
Information**:
-
2. **Chief Complaint**:
3. **History of Present Illness (HPI)**:
4. **Past Medical History**:
5. **Medication History**:
6. **Allergies**:
7. **Family History**:
8. **Social History**:
9. **Review of Systems (ROS)**:
10. **Functional Assessment**:
-
11. **Mental Health History**:
-12. **Immunization History**:
, /.General survey components - Answer-✅- gait , appearance, speech, posture, facial
expression, etc
/.oral temperature - Answer-✅96.4-99.1 F (35.8-37.3 C)
/.rectal temperature - Answer-✅38 C, 99.6F (range 97.4-100.1F)
/.axillary temperature - Answer-✅36 C, 97.6 F (range from 95.4-98.1F)
/.tympanic temperature - Answer-✅38C, 99.6F (range from 97.4-100.1F)
/.temporal temperature - Answer-✅range 97.4-100.1F
/.how do you count respirations?how long? - Answer-✅do not tell patient, count for 60
seconds
/.what is the normal respiratory rate for adults and infants ? - Answer-✅adults ( 12-20)
infants is faster
/.what are the pulse sites? - Answer-✅temporal, carotid, brachial, radial, femoral,
popliteal, posterior tibial, dorsalis pedis, apical
/.what are the normal pulse assessment rhythm, rate and force normal values? -
Answer-✅2+ normal healthy pulse,
/.what are the values that are lower than expected called? - Answer-✅hypo
/.what are the pulse values that are higher than expected called? - Answer-✅hyper
/.what is a regular rhythm ? - Answer-✅normal even tempo
/.what is an irregular rhythm? - Answer-✅sinus arryhtmia
/.what are the locations for BP assesement? - Answer-✅brachial artery, thigh, popliteal
/.what does a blood pressure finding mean? - Answer-✅force of blood pushing against
side of its container- the vessel wall
/.what are some wrong things to do when obtaining a BP? - Answer-✅-avoid arms with
an IV
- do not use arm on side with breast mastectomy
- position arm at heart level
- place cuff 1-2 inches above anticubital
-not through clothing
Questions And Answers
/. Patient interview strategies - Answer-✅- professional appearance
- sit facing patient at eye level
- privacy
- establish confidentiality
- watch nonverbal communication
- verbal communication
use social distance (4-12 feet)
/.subjective data - Answer-✅what the patient says
documented in the health history
/.objective data - Answer-✅-findings the nurse can hear, see, smell, touch or measure
-inspecting, percussing, palpation, ausculating patient during physical examination
/.what are the complete health history components? - Answer-✅1. **Demographic
Information**:
-
2. **Chief Complaint**:
3. **History of Present Illness (HPI)**:
4. **Past Medical History**:
5. **Medication History**:
6. **Allergies**:
7. **Family History**:
8. **Social History**:
9. **Review of Systems (ROS)**:
10. **Functional Assessment**:
-
11. **Mental Health History**:
-12. **Immunization History**:
, /.General survey components - Answer-✅- gait , appearance, speech, posture, facial
expression, etc
/.oral temperature - Answer-✅96.4-99.1 F (35.8-37.3 C)
/.rectal temperature - Answer-✅38 C, 99.6F (range 97.4-100.1F)
/.axillary temperature - Answer-✅36 C, 97.6 F (range from 95.4-98.1F)
/.tympanic temperature - Answer-✅38C, 99.6F (range from 97.4-100.1F)
/.temporal temperature - Answer-✅range 97.4-100.1F
/.how do you count respirations?how long? - Answer-✅do not tell patient, count for 60
seconds
/.what is the normal respiratory rate for adults and infants ? - Answer-✅adults ( 12-20)
infants is faster
/.what are the pulse sites? - Answer-✅temporal, carotid, brachial, radial, femoral,
popliteal, posterior tibial, dorsalis pedis, apical
/.what are the normal pulse assessment rhythm, rate and force normal values? -
Answer-✅2+ normal healthy pulse,
/.what are the values that are lower than expected called? - Answer-✅hypo
/.what are the pulse values that are higher than expected called? - Answer-✅hyper
/.what is a regular rhythm ? - Answer-✅normal even tempo
/.what is an irregular rhythm? - Answer-✅sinus arryhtmia
/.what are the locations for BP assesement? - Answer-✅brachial artery, thigh, popliteal
/.what does a blood pressure finding mean? - Answer-✅force of blood pushing against
side of its container- the vessel wall
/.what are some wrong things to do when obtaining a BP? - Answer-✅-avoid arms with
an IV
- do not use arm on side with breast mastectomy
- position arm at heart level
- place cuff 1-2 inches above anticubital
-not through clothing
