PNR 104 EXAM 2 Questions With Correct
Answers
Nursing Process assessment
diagnosis - includes prioritizing the diagnosis
planning - working with the client to identify priorities and health goal
implementation - carrying out nursing action
evaluation- continual process to determine patient response to nursing intervention.
signs and symptom of low blood pressure? diaphoresis, dizziness, fainting
systolic pressure maximum pressure exerted on the artery
diastolic pressure lower pressure exerted on the artery
orthostatic hypotension Decrease in blood pressure related to positional or postural
changes from lying to sitting or standing positions
most common work related injury to health care workers? back
vesicular (lung sounds) over the periphery of the lung fields
, bronchovesicular (lung sounds) heard over central chest
bradypnea (lung sounds) slow breathing
trachypnea (lung sounds) fast breathing
apical (heart sounds) left, mid-clavicular, 5th intercostal
Bradycardia (heart sounds) slow heart rate less than 60
Tachycardia (heart sounds) fast greater than 100
independent (nursing action) practice exercises, turn and reposition
dependent (nursing action) require doctors order
problem solving process first define the problem clearly
second consider all possible alternatives as solutions
third consider outcome for each alternative
fourth predict likelihood
fifth chose alternative with best chances of success and fewest undesirable outcomes
Answers
Nursing Process assessment
diagnosis - includes prioritizing the diagnosis
planning - working with the client to identify priorities and health goal
implementation - carrying out nursing action
evaluation- continual process to determine patient response to nursing intervention.
signs and symptom of low blood pressure? diaphoresis, dizziness, fainting
systolic pressure maximum pressure exerted on the artery
diastolic pressure lower pressure exerted on the artery
orthostatic hypotension Decrease in blood pressure related to positional or postural
changes from lying to sitting or standing positions
most common work related injury to health care workers? back
vesicular (lung sounds) over the periphery of the lung fields
, bronchovesicular (lung sounds) heard over central chest
bradypnea (lung sounds) slow breathing
trachypnea (lung sounds) fast breathing
apical (heart sounds) left, mid-clavicular, 5th intercostal
Bradycardia (heart sounds) slow heart rate less than 60
Tachycardia (heart sounds) fast greater than 100
independent (nursing action) practice exercises, turn and reposition
dependent (nursing action) require doctors order
problem solving process first define the problem clearly
second consider all possible alternatives as solutions
third consider outcome for each alternative
fourth predict likelihood
fifth chose alternative with best chances of success and fewest undesirable outcomes
