NR 304 Final Exam Questions with 100% Correct Answers

Progress towards outcomes, use ongoing assessment to revise diagnoses/outcomes/plans, disseminate results to patient and family Correct Answer What happens during the evaluation step of the nursing process? Compare clinical findings with normal and abnormal variation and developmental events, interpret data, validate and document diagnoses. Correct Answer What happens during the diagnosis stage of the nursing process? For limited or short term problems. Collect mini/targeted databases. Focuses on only one problem or body system and is used in all clinical settings. Ex: two days post-op patient suddenly becomes SOB with congestive cough and fatigue; focus on respiratory and cardiovascular systems Correct Answer What is a problem center database? Give an example. Begins during first patient encounter.. Includes their physical appearance, body structure, mobility, behavior, body measurements Correct Answer What are the components of a general survey? 3+ Full, bounding 2+ Normal 1+ Weak, thready 0 Absent Correct Answer What is the grading of pulse force? Acute myocardial infarction, shock, hemorrhage, vasodilation, Addison's disease Correct Answer What are causes of hypotension? Less than 95/60 mmHg Correct Answer What is the blood pressure measurement for hypotension? Decreased Correct Answer Acute myocardial infarction and shark causes a _____ cardiac output which leads to hypertension? decreased Correct Answer Hemorrhage causes a _____ total blood volume that leads to hypotension decreased Correct Answer Vasodilation causes a ____peripheral vascular resistance that leads to hypotension decreased Correct Answer Addison's disease (hypofunction of adrenal gland) is caused by a ___ circulating aldosterone which causes hypotension