NU 203 Test 1 Study Guide with Complete Solutions

NU 203 Test 1 Study Guide with Complete Solutions Normal range of temperature - Answer-96-100 F Pyrexia - Answer-Fever Febrile - Answer-having a fever Most accurate route of temperature - Answer-Rectal Oral temperature can be affected by - Answer-eating, drinking and smoking within 15 min Tympanic can be affected by - Answer-ear wax, exercise, shivering Temporal can be affected by - Answer-sweating No. 1 reason for low temperature - Answer-operator error term for low temperature - Answer-hypothermia another reason for low temperature - Answer-old age three reasons for high temp - Answer-fever infection heatstroke EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024 Page 2/20 Normal range for pulse - Answer-60-100 term for slow heartbeat - Answer-bradycardia two reasons for bradycardia - Answer-medications (beta blockers) hypothermia term for high heart rate - Answer-tachycardia 4 reasons for high HR - Answer-Pain Stress Activity Blood Loss *age has a smaller effect on pulse normal range for respirations - Answer-12-20 2 reasons for low respiratory rate - Answer-resp. failure (brain damage) narcotics 3 reasons for high respiratory rate - Answer-pain/anxiety hypoxia acidosis pain elevates _______ _________ and _______ - Answer-RR EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024 Page 3/20 HR BP normal range for BP - Answer-90-120/60-80 high normal range for BP - Answer-121-139/81-89 The sounds you listen to for BP are called __________ phases - Answer-korotkoff 5 phases - Answer-loud clear tappping swishing loud tapping sudden muffling sounds disappears orthostatic BP - Answer-lying-sitting-standing BP cuff too large will cause the BP to be (low/high) - Answer-low dehydration will cause the BP to be (low/high) - Answer-low pain will cause the BP to be (low/high) - Answer-high stress will cause the BP to be (low/high) - Answer-high anti-hypertensives will cause the BP to be (low/high) - Answer-low two scales for measuring pain - Answer-numeric and wong-baker faces EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024 Page 4/20 Three things to assess about pain - Answer-presence intensity characteristics normal range for O2Sat - Answer-92-100% If O2 Sat is lower than 92%, what do we need to ask the patient to do - Answer-Ask him to cough, take a deep breath and then recheck vital sign machine - Answer-dynamap when to document vital signs - Answer-within 30 min when documenting temperature, note__________ - Answer-route when documenting pulse, note___________ - Answer-location when documenting blood pressure,____________ - Answer-specify limp and position Manual vs Dynamap When documenting O2 sat - Answer-specify amount and mode of oxygen CHG - Answer-chlorhexdine gluconate Why would a patient be prone to bleeding - Answer-when he's taking anticoagulant, has hemophilia and low platelet count When do we need to use an electric razor - Answer-when the patient is prone to bleeding EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024 Page 5/20 Bladder can hold________mL of urine - Answer-600-1000 People feel the urge to void when the amount is - Answer-400-600 mL ml of urine in bladder indicates - Answer-severe urinary retention UTI is caused by bacteria _______ - Answer-E. Coli (small intestine) term for bacteria in the urine - Answer-bacteriuria complications for UTI - Answer-pyelonephritis (kidney infection) bacteremia Symptoms for UTI - Answer-dysuria redness discoloration cystitis (cause urinary urgency) foul smell Special symptoms for the elderly - Answer-not behaving the same way, confused Incontinence that comes and goes - Answer-transient Incontinence that has nothing to do with urinary tract, but something else is preventing them form going to the restroom - Answer-functional EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024 Page 6/20 usually related to chronic urinary retention, too much that the muscle fails at times, can be treated by scheduling - Answer-overflow Incontinence that is due to weakened muscle around the urethra - Answer-stress incontinence common after women give birth - Answer-stress incontinence due to overactive bladders and involuntary contraction of the bladder - Answer-urge always secondary to a spinal cord injury - Answer-reflex preventable by scheduling and catheterization - Answer-reflex incontinence management - Answer-pelvic muscle floor tr