GC Jersey College Foundations Questions and Answers

GC Jersey College Foundations Questions and Answers Nursing interventions for fever tepid bath, treat underlying cause, remove excess clothing/bedding, hydrate, antipyretics Indentify variations in v/s and possible causes Physiological factors which influence blood pressure Cardiac output and systemic vascular resistance CO= hr, contractility, blood volume, venous return increases in any of these increase CO and B/P Systemic vascular resistance: amount of constriction or dilation of blood vessels increase in SVR increases B/P decrease in SVR decreases B/P What is hypertension? elevated b/p on at least 2 separate occassions What are the levels of HTN? Elevated: SYS 120-129 and DIA LESS than 80 STAGE 1: SYS 130-139 OR DIA 80-89 STAGE 2: SYS greater than or equal to 140 OR DIA greater than or equal to 90 What factors increase risk for HTN? Age, stress. ethnicity, sex, medications, obesity, family hx What nursing interventions for HTN? encourage smoking cessation, rest for 5 minutes prior to taking b/p, encourage weight loss, dietary changes Apply nursing process to administration of antihypertensives check b/p and pulse Asses for and identify the presence of orthostatic hypotension orthostatic hypotension: drop in b/p of at least 10-20 when changing positions assess for dizziness/weakness, have patient sit at side of bed dangling feet for at least 1 minute prior to getting up how are pulses described? 0= absent 1+ = diminished 2+ = brisk (normal) 3+ = increased 4+ = bounding bradycardia- low tachycardia- high how are respirations described? rate/depth/rhythym bradypnea- low tachypnea- high Identify proper order of assesment of each body system: Skin, head and neck, eyes, ears nose mouth throat, breasts, respiratory, cardio, gi, gu, muskuloskeletal, neuro, mental, endo, allergic inspect, ausculatate, palpate