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NUR 231 Exam 1 Questions and Answers 100% Solved

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NUR 231 Exam 1 Questions and Answers 100% Solved 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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©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
NUR 231 Exam 1 Questions and

Answers 100% Solved


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

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
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

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