Nurs 258 Final Review VERIFIED QUESTIONS AND ANSWERS

Nurs 258 Final Review What is the order for physical assessment? - correct answers 1) Inspection 2) Palpation (light, deep) 3) Percussion 4) Auscultation (diaphragm, bell) T/F When performing a physical assessment on infants do more invasive assessments first. - correct answers F do less invasive assessments last (generally ear inspections will be last) A patient presents with a temp of 102 what are factors that may cause this besides infection? - correct answers age, exercise, hormone levels, circadian rhythm, stress enviornment Where do you obtain the apical pulse? What is a normal pulse rate? - correct answers fifth intercostal space midclaviclar line 60-100 bpm Orthostatic hypotension is describe as? - correct answers a drop of 20/10 blood pressure during position change measured between 2-3 minutes Normal Vital Ranges - correct answers T/F incident reports are included in the patient's chart. - correct answers F report is given to nurse supervisor and not included in patient chart Guidelines for documentation - correct answers Factual (descriptive, objective)- no personal opinions Accurate Complete Current Organized Confidential Examples of subjective/Symptom and Objective/Sign - correct answers Subjective: what the patient tells you (has chills, pain) Objective: vital signs, physical assessment