NUR 216 Final Exam Review – Questions With In Depth
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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Practice questions for this set
Learn 1 /7 Study using Learn
Bruising, discoloration of the skin resulting from bleeding underneath
Choose an answer
Pulse oximeter alternate locations when
1 General survey components 2
fingers are unavailable
3 Objective data 4 Ecchymosis
Don't know?
Terms in this set (122)
General survey components A written summary of overall health
Gather information from the first initial encounter with patient,
make observations throughout assessment
Done at first encounter
What is included in the general survey Physical appearance
components Body structure
Mobility
Behavior
Vital signs
First orientation to be lost Time
Subjective data pt report symptoms
Objective data Observed
, Precautions Use gloves in situations involving possible contact with blood
or bodily fluids, mucous membranes, non-intact skin (ex.
exposed skin that is chapped, abraded or with dermatitis)
Ranges for RR Normal 12-20
Low >12 = COPD
High <1 = dehydration, respiratory distress, anxiety, fever
Ranges for HR Normal 60 to 100/min
Lower than 60 (bradycardia)
Higher than 100 (tachycardia)
Ranges for BP Normal 120/80
Elevated - 120-129 / <80 (ATI book 141)
HTN Stage 1 - 130--89
HTN Stage 2 - > or = 140 / > or = 90
HTN with 3 separate visits
Hypotension - systolic < 90
Ranges for SpO2 Normal 95-100%
Hypoxia - below 90% (ATI)
Temperature ranges 36 - 38 degrees Celsius
96.8 - 100.4 degrees Fahrenheit
Sodium intake effects on BP Raises BP
Pulse oximeter alternate locations when Earlobe
fingers are unavailable
Factors that affect HR Exercise (however, marathon runners will have bradycardia for
resting HR)
Fever
Medications
Changing positions
Acute pain
Hyperthyroidism
Anemia
Stress
Shock
Types of pain Visceral - dull crampy, organ pain
Somatic - joint, muscles, ligament pain
Neuropathic - related to nerves, diabetics have this type of
pain
Acute - < 6 months
Chronic - > 6 months
PQRST Provoking - what makes it better or worse?
Quality - what does it feel like?
Region - where is the pain located?
Severity - pain rating
Timing - onset/duration
How to appropriately utilize an interpreter Nurse must provide a trained interpreter
Nurse should speak directly to the client
Nurse should avoid medical jargon just like any client
Interpreter should be used for the entire assessment
Solutions
Save
Students also studied
Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Practice questions for this set
Learn 1 /7 Study using Learn
Bruising, discoloration of the skin resulting from bleeding underneath
Choose an answer
Pulse oximeter alternate locations when
1 General survey components 2
fingers are unavailable
3 Objective data 4 Ecchymosis
Don't know?
Terms in this set (122)
General survey components A written summary of overall health
Gather information from the first initial encounter with patient,
make observations throughout assessment
Done at first encounter
What is included in the general survey Physical appearance
components Body structure
Mobility
Behavior
Vital signs
First orientation to be lost Time
Subjective data pt report symptoms
Objective data Observed
, Precautions Use gloves in situations involving possible contact with blood
or bodily fluids, mucous membranes, non-intact skin (ex.
exposed skin that is chapped, abraded or with dermatitis)
Ranges for RR Normal 12-20
Low >12 = COPD
High <1 = dehydration, respiratory distress, anxiety, fever
Ranges for HR Normal 60 to 100/min
Lower than 60 (bradycardia)
Higher than 100 (tachycardia)
Ranges for BP Normal 120/80
Elevated - 120-129 / <80 (ATI book 141)
HTN Stage 1 - 130--89
HTN Stage 2 - > or = 140 / > or = 90
HTN with 3 separate visits
Hypotension - systolic < 90
Ranges for SpO2 Normal 95-100%
Hypoxia - below 90% (ATI)
Temperature ranges 36 - 38 degrees Celsius
96.8 - 100.4 degrees Fahrenheit
Sodium intake effects on BP Raises BP
Pulse oximeter alternate locations when Earlobe
fingers are unavailable
Factors that affect HR Exercise (however, marathon runners will have bradycardia for
resting HR)
Fever
Medications
Changing positions
Acute pain
Hyperthyroidism
Anemia
Stress
Shock
Types of pain Visceral - dull crampy, organ pain
Somatic - joint, muscles, ligament pain
Neuropathic - related to nerves, diabetics have this type of
pain
Acute - < 6 months
Chronic - > 6 months
PQRST Provoking - what makes it better or worse?
Quality - what does it feel like?
Region - where is the pain located?
Severity - pain rating
Timing - onset/duration
How to appropriately utilize an interpreter Nurse must provide a trained interpreter
Nurse should speak directly to the client
Nurse should avoid medical jargon just like any client
Interpreter should be used for the entire assessment
