NURS 247 Exam 1 Questions with Verified Solutions 100% Correct (Latest 2025)

NURS 247 Exam 1 Questions with Verified Solutions 100% Correct (Latest 2025) what is subjective vs objective data - Answers subjective- info that has been collected from patient such as pain ratings, medical history objective- info the nurse has gathered such as lab work, temp, EKGs what are some examples of objective data - Answers gathered thru physical examination -inspection (smell, looking) -palpation (touching) -auscultation (listening, Steth) -percussion (doctor's use) what are some assessment tips - Answers having a warm, quiet, and well lit room raising the bed to a working height HOB 45 know normals and pt normals having all supplies ready what is inspection - Answers begins as soon as you walk in the room you begin to make observations about the patient what is palpation - Answers examination of the body using touch, checking for temp, pain, swelling, moisture, tenderness, texture, crepitus what are some tips when palpating the skin - Answers warm hands, do the tender area last, explain what you're doing, use dorsal side of hand to feel temps What is percussion? - Answers tapping skin to assess underlying structures, only advanced providers do this What is ascultation? - Answers listening to the sounds of the body like heart, lungs, gut what does the diaphragm vs the bell of a stethoscope allow - Answers diaphragm (large flat part)- allow for high pitch sounds bell (small flat)- allow for low pitch sounds what are some tips for when auscultating - Answers never listen thru a gown, press firmly against chest hair to prevent crackling noise, clean before and after use what are the 4 parts to a general survey - Answers 1. Physical appearance 2. Body structure 3. mobility 4. behavior what does the physical appearance of someone tell you - Answers age = do they look older or younger than they actually are sex = did their body mature properly LOC = are they alert and oriented skin = are they yellow or grey, tattoos, bruising, skin tears facial features = is their face symmetrical what does the body structure of someone tell you - Answers stature = thin, fat, muscular nutrition = malnourished or over nourished symmetry posture/position = can they hold themselves up right physical deformities = any missing limbs, droopy eyes what do you look for when assessing mobility - Answers gait = how well do they walk ROM MAE = can they move all extremities what can someone behavior tell you about them - Answers expressions mood speech = is the slurred or patchy dress = do their clothes fit them hygiene = are they smelly, is their hair brushed, have they shaved what should you do before taking someone's weight - Answers have them take their shoes off What are the BMI ranges? - Answers underweight: 18.5 normal: 18.5-24.9 overweight: 25-29.9 obese: 30 how should you take someone's height - Answers shoes off, shoulders back, heels and butt against wall, look straight ahead how to take someone's waist circumference - Answers measure around top of iliac crest, make sure tape is parallel, measure when they expel what is an abnormal weight circumference and what can that put someone at risk for - Answers women: 35 men: 40 increase heart disease, stroke, type 2 what things influence temperature - Answers circadian rhythm, menstruation cycle, time of day (lower in AM), exercise, age (lower as we age) what is a normal and abnormal temp - Answers normal: 98.6 F or 37 C hypothermia: 95 F hyperthermia: 100.4 F what are some different ways to take a temperature - Answers oral, rectal, axillary, dermal scan, temporal, tympanic how to take a oral temp - Answers 98.6 F blue probe under tongue towards back with lips closed wait 15 min if any liquids were drank how to take an axillary temp - Answers 97.6 F (1 degree lower than oral) blue probe fully under arm skin on skin how to take a rectal temp - Answers 99.6 F (1 degree higher than oral, closest to core temp) have patient lay on side with knees slightly to chest, lube red probe and insert about 1 inch how to take a tympanic temp - Answers good for children pull pinna up and back