NUR 231 Exam 1 Questions and
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nursing assessment and care PACU - ✔✔-Airway, breathing, and
circulation
-Drainage Hemorrhage, tubes, lines in and out, vitals q 15 mins
-Pain control
Considerations during the nursing assessment to be used every time -
✔✔consider the type of surgery, wound, exposure, movement and
positioning, vitals (especially <BP), assessments (lungs, airway, heart,
bleeding stability), warm, dry, comfort
What happens to the pulse and blood pressure if someone has internal
bleeding? - ✔✔pulse increases, BP decreases
head to toe assessment techniques - ✔✔i. Breath and heart sounds under
the gown
ii. Listen to bowels before palpation
iii. Pedal and radial pulses
iv. Turgor- clavicle
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WBC Count - ✔✔5,000-10,000
Hemoglobin - ✔✔12-16
Hematocrit - ✔✔35-50
priority of care - ✔✔1. Airway
2. Breathing
3. Circulation
4. Infection
5. Safety
6. Nutrition
7. Psychosocial
8. Acute vs. chronic
9. Stable vs. unstable
changing patterns - ✔✔1. How long we have patients stay
2. Foley catheters
3. Blood
4. Movement
5. Eradication of some diseases but newer ones are now a problem
6. More chronic illnesses
, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
medicare - ✔✔a. Is for older people (65+) or those with permanent
disability
b. What the parts do
i. Part A: Hospital insurance
ii. Part B: medical insurance
iii. Part C: Medicare advantage plan
iv. Part D: medications
Medicare Part D - ✔✔medications
Medicaid - ✔✔a. For the low income clients
b. Federally and state funded
c. Single moms, etc
Who sets the national patient safety goals? - ✔✔set by QSEN and joint
commisssion
What are the national patient safety goals? - ✔✔2 patient identifiers, mark
the operative site, universal protocols, label specimen container in
presence of patient, "time outs"
staff communicatiion - ✔✔1. right person gets information at the right time