NUR 120 Exam 1 With 100% Accurate Answers.

The nurse notes that the pt has an irregular pulse. What is the 1st action the nurse should take? a. Asses the pulse at the carotid artery b. Asses the pulse with a Doppler ultrasound c. Assess the pulse for a full minute d. Asses the pulse at two different sites - -ANSWER-- C fidelity - -ANSWER-- faithfulness, loyalty, keeping promises. Tort - -ANSWER-- wrongful act committed against another person that does not involve a contract Which assessment findings would require the nurse to further assess the pt? a. A young adult male with a pulse rate of 136 after running 2 miles b. A 40 yr old female with a BP of 110/70 when 1st awakened c. A 72 yr old female with a respiratory rate of 10 breaths per min. c. A 50 yr old male with a pulse rate of 88 beats per min. - -ANSWER-- C Veracity - -ANSWER-- truthfulness, honesty Nonmaleficence - -ANSWER-- do no harm; preventing harm The nurse is completing a postoperative assessment on a pt in the post-anesthesia recovery unit. Which VS requires further assessment by the nurse for the possible hypovolemic (low blood volume) shock? a. An increase in HR b. An increased temp. reading c. A decrease in BP d. A decrease in RR - -ANSWER-- A Confidentiality - -ANSWER-- Respecting the privacy of both parties and keeping details secret The nurse is caring for a pt with a temp of 103 F, respirations of 30 per min., pulse rate of 50 beats per minute, and BP of 100/60. The pt is cold and clammy. What does the nurse conclude abt these findings? a. The temp is causing a lowered pulse rate; it will improve if the temp. decreases. b. The low pulse rate is causing a decreased cardiac output, which has caused a low BP c. The pulse rate and BP are compensatory mechanisms to decrease the increased metabolic rate from the temp. d. The cool, clammy skin will help to increase the BP and pulse as the body tries to warm the skin - -ANSWER-- B Patient advocacy is best demonstrated by the nurse: A. Learning how to do a new procedure