Nursing 1100 Final Exam Part 1
Questions With Correct Answers
Most commonly ng tube - CORRECT ANSWER✔✔-Salem Sump
| | | | | | |
Core temperatures - CORRECT ANSWER✔✔-The rectal temperature, a
| | | | | | | |
core temperature, is considered to be one of the most accurate routes.
| | | | | | | | | | | |
Rectal temperature readings are approximately 1 degree higher than
| | | | | | | | |
oral.
Normal Oral Temperature of Adult
| | | |
Normal Oral Temperature of Aged Adults (65+ years) - CORRECT
| | | | | | | | | |
ANSWER✔✔-35.8-37.5 C; 96.4-99.5 F | | |
35.8-36.8 C; 96.4-98.3 F
| | |
Normal Pulse Beats/Minute of Adult
| | | |
Normal Pulse Beats/Minute of Aged Adults (65+ years) - CORRECT
| | | | | | | | | |
ANSWER✔✔-60-100
40-100
Normal Respirations Breaths/Minute of Adults
| | | |
,Normal Respirations Breaths/Minute of Aged Adults (65+ years) -
| | | | | | | | |
CORRECT ANSWER✔✔-12-20 |
16-24
Normal Blood Pressure mm Hg of Adult
| | | | | |
Normal Blood Pressure mm Hg of Aged Adults (65+ years) - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-120/80
120/80 - usually see increases in systolic pressure
| | | | | | |
Assessing Oral Temperature - CORRECT ANSWER✔✔-Patient must be
| | | | | | | |
able to close his or her mouth around the probe. The probe must
| | | | | | | | | | | | |
remain in the sublingual pocket for the full period of measurement. If a
| | | | | | | | | | | | |
patient has had either hot or cold food or fluids or has been smoking or
| | | | | | | | | | | | | | |
chewing gum, the general recommendation is to wait 15 to 30 minutes
| | | | | | | | | | | |
to allow the oral tissues to return to normal temperature. Oral
| | | | | | | | | | |
temperatures should not be taken in people with diseases of the oral
| | | | | | | | | | | |
cavity and in those who have had surgery of the nose or mouth. In
| | | | | | | | | | | | | |
addition, oral temperatures should not be assessed in patients receiving
| | | | | | | | |
oxygen by mask, because the time it takes to assess a reading is likely to
| | | | | | | | | | | | | | |
result in a serious drop in the patient's blood oxygen level. Oral
| | | | | | | | | | | | |
temperature readings range from 35.8°C to 37.5°C (96.4°F-99.5°F)
| | | | | | |
Assessing a Tympanic Membrane Temperature - CORRECT ANSWER✔✔-
| | | | | | |
Should not be used for patients who have drainage from the ear, ear
| | | | | | | | | | | | |
,pain, ear infection, or scars on the tympanic membrane. Tympanic
| | | | | | | | | |
temperature readings are approximately equal to oral | | | | | |
Assessing a Temporal Artery Temperature - CORRECT ANSWER✔✔-
| | | | | | |
Temporal artery temperature readings are approximately equal to oral
| | | | | | | |
Assessing an Axillary Temperature - CORRECT ANSWER✔✔-The axillary
| | | | | | | |
site may be used when both oral and rectal sites are contraindicated or
| | | | | | | | | | | | |
when these sites are inaccessible. Place the probe in the center of the
| | | | | | | | | | | | |
axilla; hold the patient's arm by the patient's side until the
| | | | | | | | | | |
measurement is complete. Axillary temperature readings are | | | | | | |
approximately 1 degree lower than oral. | | | | |
Assessing a Rectal Temperature - CORRECT ANSWER✔✔-The rectal
| | | | | | | |
temperature, a core temperature, is considered to be one of the most
| | | | | | | | | | | |
accurate routes. The rectal site should not be used in newborns,
| | | | | | | | | | |
children with diarrhea, and in patients who have undergone rectal
| | | | | | | | | |
surgery or have a disease of the rectum. Because the insertion of the
| | | | | | | | | | | | |
thermometer into the rectum can slow the heart rate by stimulating the
| | | | | | | | | | | |
vagus nerve, assessing a rectal temperature for patients with heart
| | | | | | | | | |
disease or after cardiac surgery may not be allowed in some institutions.
| | | | | | | | | | |
|In addition, assessing a rectal temperature is contraindicated in patients
| | | | | | | | |
|who are neutropenic (have low white blood cell counts, such as in
| | | | | | | | | | | |
leukemia) and in patients who have certain neurologic disorders (e.g.,
| | | | | | | | | |
spinal cord injuries). Do not insert a rectal thermometer into a patient
| | | | | | | | | | | |
who has a low platelet count. The rectum is very vascular, and a
| | | | | | | | | | | | |
, thermometer could cause rectal bleeding. Rectal temperature readings
| | | | | | | |
are approximately 1 degree higher than oral
| | | | | |
Types of Assemesment:
| |
Emergency Assessment |
Focus Assessment
|
Comprehensive Assessment |
Ongoing Assessment |
Know the difference between and know when are these assessments
| | | | | | | | | |
done - CORRECT ANSWER✔✔-**NEED TO UPDATE**
| | | | |
Patient's bill of rights - CORRECT ANSWER✔✔-Almost all hospitals give
| | | | | | | | | |
some form of a Patient Care Partnership (formerly titled a Patient Bill of
| | | | | | | | | | | | |
Rights) to patients to inform them about what to expect while in the
| | | | | | | | | | | | |
hospital. This document, usually available in several languages, includes
| | | | | | | | |
the rights to high-quality hospital care, a clean and safe environment,
| | | | | | | | | | |
involvement in care, protection of privacy, help when leaving the
| | | | | | | | | |
hospital, and help with insurance claims.
| | | | |
Identify the purpose of ethics committees and the process of ethical
| | | | | | | | | | |
decision making. - CORRECT ANSWER✔✔-Chief functions include
| | | | | | |
education, policy making, case review, consultation, and in some cases
| | | | | | | | | |
research. Some committees focus on clinical ethics and some on
| | | | | | | | | |
organization ethics. These committees are well equipped to deal with
| | | | | | | | | |
the complexities of modern health care because they are
| | | | | | | | |
Questions With Correct Answers
Most commonly ng tube - CORRECT ANSWER✔✔-Salem Sump
| | | | | | |
Core temperatures - CORRECT ANSWER✔✔-The rectal temperature, a
| | | | | | | |
core temperature, is considered to be one of the most accurate routes.
| | | | | | | | | | | |
Rectal temperature readings are approximately 1 degree higher than
| | | | | | | | |
oral.
Normal Oral Temperature of Adult
| | | |
Normal Oral Temperature of Aged Adults (65+ years) - CORRECT
| | | | | | | | | |
ANSWER✔✔-35.8-37.5 C; 96.4-99.5 F | | |
35.8-36.8 C; 96.4-98.3 F
| | |
Normal Pulse Beats/Minute of Adult
| | | |
Normal Pulse Beats/Minute of Aged Adults (65+ years) - CORRECT
| | | | | | | | | |
ANSWER✔✔-60-100
40-100
Normal Respirations Breaths/Minute of Adults
| | | |
,Normal Respirations Breaths/Minute of Aged Adults (65+ years) -
| | | | | | | | |
CORRECT ANSWER✔✔-12-20 |
16-24
Normal Blood Pressure mm Hg of Adult
| | | | | |
Normal Blood Pressure mm Hg of Aged Adults (65+ years) - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-120/80
120/80 - usually see increases in systolic pressure
| | | | | | |
Assessing Oral Temperature - CORRECT ANSWER✔✔-Patient must be
| | | | | | | |
able to close his or her mouth around the probe. The probe must
| | | | | | | | | | | | |
remain in the sublingual pocket for the full period of measurement. If a
| | | | | | | | | | | | |
patient has had either hot or cold food or fluids or has been smoking or
| | | | | | | | | | | | | | |
chewing gum, the general recommendation is to wait 15 to 30 minutes
| | | | | | | | | | | |
to allow the oral tissues to return to normal temperature. Oral
| | | | | | | | | | |
temperatures should not be taken in people with diseases of the oral
| | | | | | | | | | | |
cavity and in those who have had surgery of the nose or mouth. In
| | | | | | | | | | | | | |
addition, oral temperatures should not be assessed in patients receiving
| | | | | | | | |
oxygen by mask, because the time it takes to assess a reading is likely to
| | | | | | | | | | | | | | |
result in a serious drop in the patient's blood oxygen level. Oral
| | | | | | | | | | | | |
temperature readings range from 35.8°C to 37.5°C (96.4°F-99.5°F)
| | | | | | |
Assessing a Tympanic Membrane Temperature - CORRECT ANSWER✔✔-
| | | | | | |
Should not be used for patients who have drainage from the ear, ear
| | | | | | | | | | | | |
,pain, ear infection, or scars on the tympanic membrane. Tympanic
| | | | | | | | | |
temperature readings are approximately equal to oral | | | | | |
Assessing a Temporal Artery Temperature - CORRECT ANSWER✔✔-
| | | | | | |
Temporal artery temperature readings are approximately equal to oral
| | | | | | | |
Assessing an Axillary Temperature - CORRECT ANSWER✔✔-The axillary
| | | | | | | |
site may be used when both oral and rectal sites are contraindicated or
| | | | | | | | | | | | |
when these sites are inaccessible. Place the probe in the center of the
| | | | | | | | | | | | |
axilla; hold the patient's arm by the patient's side until the
| | | | | | | | | | |
measurement is complete. Axillary temperature readings are | | | | | | |
approximately 1 degree lower than oral. | | | | |
Assessing a Rectal Temperature - CORRECT ANSWER✔✔-The rectal
| | | | | | | |
temperature, a core temperature, is considered to be one of the most
| | | | | | | | | | | |
accurate routes. The rectal site should not be used in newborns,
| | | | | | | | | | |
children with diarrhea, and in patients who have undergone rectal
| | | | | | | | | |
surgery or have a disease of the rectum. Because the insertion of the
| | | | | | | | | | | | |
thermometer into the rectum can slow the heart rate by stimulating the
| | | | | | | | | | | |
vagus nerve, assessing a rectal temperature for patients with heart
| | | | | | | | | |
disease or after cardiac surgery may not be allowed in some institutions.
| | | | | | | | | | |
|In addition, assessing a rectal temperature is contraindicated in patients
| | | | | | | | |
|who are neutropenic (have low white blood cell counts, such as in
| | | | | | | | | | | |
leukemia) and in patients who have certain neurologic disorders (e.g.,
| | | | | | | | | |
spinal cord injuries). Do not insert a rectal thermometer into a patient
| | | | | | | | | | | |
who has a low platelet count. The rectum is very vascular, and a
| | | | | | | | | | | | |
, thermometer could cause rectal bleeding. Rectal temperature readings
| | | | | | | |
are approximately 1 degree higher than oral
| | | | | |
Types of Assemesment:
| |
Emergency Assessment |
Focus Assessment
|
Comprehensive Assessment |
Ongoing Assessment |
Know the difference between and know when are these assessments
| | | | | | | | | |
done - CORRECT ANSWER✔✔-**NEED TO UPDATE**
| | | | |
Patient's bill of rights - CORRECT ANSWER✔✔-Almost all hospitals give
| | | | | | | | | |
some form of a Patient Care Partnership (formerly titled a Patient Bill of
| | | | | | | | | | | | |
Rights) to patients to inform them about what to expect while in the
| | | | | | | | | | | | |
hospital. This document, usually available in several languages, includes
| | | | | | | | |
the rights to high-quality hospital care, a clean and safe environment,
| | | | | | | | | | |
involvement in care, protection of privacy, help when leaving the
| | | | | | | | | |
hospital, and help with insurance claims.
| | | | |
Identify the purpose of ethics committees and the process of ethical
| | | | | | | | | | |
decision making. - CORRECT ANSWER✔✔-Chief functions include
| | | | | | |
education, policy making, case review, consultation, and in some cases
| | | | | | | | | |
research. Some committees focus on clinical ethics and some on
| | | | | | | | | |
organization ethics. These committees are well equipped to deal with
| | | | | | | | | |
the complexities of modern health care because they are
| | | | | | | | |
