SCF Nursing Level 1 Final Exam
Auscultatory gap - A brief period when Korotkoff sounds disappear during auscultation of blood
pressure; common with hypertension
What is acceptable temperature range? - 97.6 - 99.6
What does pyrexia mean? - Fever
Heat Exhaustion vs Heat Stroke - Heat exhaustion: nausea vomiting, pale, cold, and clamy.
Heat stroke: hot, red, and dry; loss or change of consciousness
What kind patients should avoid rectal temperatures - Rectal surgery and cardiac conditions
(Vagal Nerve)
Healthy resting heart rate - 60 - 100 bpm
pulse dificit - Fails to transmit pulse wave, inefficient contraction of the heart
Bradycarida - Pulse <60 bpm
Tachycardia - Pulse >100 bpm
Ventilation - Movement of gases in and out of the lungs
Diffusion - Movement of oxygen and carbon dioxide between alveoli and red blood cells
Perfusion - Distribution of red blood cells to and from the pulmonary capillaries
,Inspiration is _______
Expiration is ______ - Active
Passive
Normal respiratory rate - 12 - 20 bpm
Eupnea - Normal breathing
Bradypnea - <12 breaths/min
Tachypnea - >20 breaths/min
What are the Five vital signs - Body Temp, Pulse Rate, Respiratory Rate, Blood Pressure, and Pain
Apnea - Absence of breathing
Dsypnea - Difficulty breathing
Healthy BP - <120/<80
Pulse pressure - Difference between systolic and diastolic pressure
Name of blood pressure cuff - Sphygmomanometer
How to find the starting point for BP - Palpate radial pulse, pump up BP cuff until no longer can be
felt and add 30 mmHg to number
, Proper size for BP cuff: - 40% circumference and 2/3 length
Too large BP cuff causes - False lower reading
Too small BP cuff causes - False higher reading
ANA - Protection, promotion, and optimizing of health and abilities; prevention of illness and
injury
ADOPIE - Assessment
Diagnosis
Outcome identification
Planning
Implementation
Evaluation
Nurse Practive Act - Regulate scope of nursing practice
How often do you remove restraints and for how long - Every 2 hours and remove for 5 minutes
Latrogenic HAI - From a procedure in a hospital
Exogenous HAI - From microorganisms outside the individual
Endogenous HAI - When patient's normal flora becomes altered and an overgrowth results (C.diff)
Medical asepsis - Absence of pathogenic microorganisms
Auscultatory gap - A brief period when Korotkoff sounds disappear during auscultation of blood
pressure; common with hypertension
What is acceptable temperature range? - 97.6 - 99.6
What does pyrexia mean? - Fever
Heat Exhaustion vs Heat Stroke - Heat exhaustion: nausea vomiting, pale, cold, and clamy.
Heat stroke: hot, red, and dry; loss or change of consciousness
What kind patients should avoid rectal temperatures - Rectal surgery and cardiac conditions
(Vagal Nerve)
Healthy resting heart rate - 60 - 100 bpm
pulse dificit - Fails to transmit pulse wave, inefficient contraction of the heart
Bradycarida - Pulse <60 bpm
Tachycardia - Pulse >100 bpm
Ventilation - Movement of gases in and out of the lungs
Diffusion - Movement of oxygen and carbon dioxide between alveoli and red blood cells
Perfusion - Distribution of red blood cells to and from the pulmonary capillaries
,Inspiration is _______
Expiration is ______ - Active
Passive
Normal respiratory rate - 12 - 20 bpm
Eupnea - Normal breathing
Bradypnea - <12 breaths/min
Tachypnea - >20 breaths/min
What are the Five vital signs - Body Temp, Pulse Rate, Respiratory Rate, Blood Pressure, and Pain
Apnea - Absence of breathing
Dsypnea - Difficulty breathing
Healthy BP - <120/<80
Pulse pressure - Difference between systolic and diastolic pressure
Name of blood pressure cuff - Sphygmomanometer
How to find the starting point for BP - Palpate radial pulse, pump up BP cuff until no longer can be
felt and add 30 mmHg to number
, Proper size for BP cuff: - 40% circumference and 2/3 length
Too large BP cuff causes - False lower reading
Too small BP cuff causes - False higher reading
ANA - Protection, promotion, and optimizing of health and abilities; prevention of illness and
injury
ADOPIE - Assessment
Diagnosis
Outcome identification
Planning
Implementation
Evaluation
Nurse Practive Act - Regulate scope of nursing practice
How often do you remove restraints and for how long - Every 2 hours and remove for 5 minutes
Latrogenic HAI - From a procedure in a hospital
Exogenous HAI - From microorganisms outside the individual
Endogenous HAI - When patient's normal flora becomes altered and an overgrowth results (C.diff)
Medical asepsis - Absence of pathogenic microorganisms
