Health Assessment NRSG 2220 Exam 3 Questions With
Complete Solutions
Reiterating breathing pattern acessed by:
rate, rhythm, depth and symmetry
Patterns of Adult Respiration
Normal: 12-20 breaths per minute
Tachypnea: greater than 24 breaths per minute
Bradypnea: less than 10 breaths per minute
lobes of left lung
2 l(superior and inferior)
lobes of right lung
3 (superior, middle, inferior)
Normal Ideal SpO2
Greater than 90%
Oxygen Safety Considerations
- O2 is combustible
- pts shouldn't smoke
- check flow rate regularly (part of general survey)
- check water level in reservoir for humidified oxygen (is it
filled to the line and gently bubbling?)
Oxygen concentrator ***
(look at announcement/ask for office hours)
,Basal metabolic Rate
amount of energy requited to fuel the involuntary activities of
the body at rest
Factors that increase BMR
Pregnancy, infections, fever, environmental temperatures,
elevated levels of certain hormones, growth etc.
Factors that decrease BMR
sleep, aging, prolonged fasting
Saturated fats
solid at room temperature, most animal fats, RAISE cholesterol
levels
Unsaturated fats
liquid at room temperature, most vegatable fats, LOWER
cholesterol levels
High fiber diet
- make you poop more (treat constipation)
- whole grain, fruits, legumes)
Low fiber diet
- treat diarrhea
Clear liquid Modified Diet
- clear liquids or foods that can be liquid at room temperature
- Prep bowel surgery, acute GI disorders
Pureed Modified diet
, - blended food (all foods allowed)
- difficulty chewing, swallowing
Mechanically altered diet
- exludes most raw fruits, nuts, dried fruit (hard to mash)
- foods will be chopped, ground, mashed or soft
-chewing/swallowing issues, post surgery head, neck, mouth
Nasogastric Tubing Placement
verify with:
- X-ray
- pH (aspirate fluid)
Parental Nutrition
- contains the three primary components necessary to maintain
nutrition: amino acids, carbs, and lipids
- high concentrated, hypertonic solution
- given intravenously through a central venous access
- monitor and prevent complications (this can lead to refeeding
syndrome)
Abdominal Assessment Order
1. inspection
2. auscultation
3. palpation
4. percussion
Abdominal Assessment: Inspection
Abdominal Assessment: Auscultation
Complete Solutions
Reiterating breathing pattern acessed by:
rate, rhythm, depth and symmetry
Patterns of Adult Respiration
Normal: 12-20 breaths per minute
Tachypnea: greater than 24 breaths per minute
Bradypnea: less than 10 breaths per minute
lobes of left lung
2 l(superior and inferior)
lobes of right lung
3 (superior, middle, inferior)
Normal Ideal SpO2
Greater than 90%
Oxygen Safety Considerations
- O2 is combustible
- pts shouldn't smoke
- check flow rate regularly (part of general survey)
- check water level in reservoir for humidified oxygen (is it
filled to the line and gently bubbling?)
Oxygen concentrator ***
(look at announcement/ask for office hours)
,Basal metabolic Rate
amount of energy requited to fuel the involuntary activities of
the body at rest
Factors that increase BMR
Pregnancy, infections, fever, environmental temperatures,
elevated levels of certain hormones, growth etc.
Factors that decrease BMR
sleep, aging, prolonged fasting
Saturated fats
solid at room temperature, most animal fats, RAISE cholesterol
levels
Unsaturated fats
liquid at room temperature, most vegatable fats, LOWER
cholesterol levels
High fiber diet
- make you poop more (treat constipation)
- whole grain, fruits, legumes)
Low fiber diet
- treat diarrhea
Clear liquid Modified Diet
- clear liquids or foods that can be liquid at room temperature
- Prep bowel surgery, acute GI disorders
Pureed Modified diet
, - blended food (all foods allowed)
- difficulty chewing, swallowing
Mechanically altered diet
- exludes most raw fruits, nuts, dried fruit (hard to mash)
- foods will be chopped, ground, mashed or soft
-chewing/swallowing issues, post surgery head, neck, mouth
Nasogastric Tubing Placement
verify with:
- X-ray
- pH (aspirate fluid)
Parental Nutrition
- contains the three primary components necessary to maintain
nutrition: amino acids, carbs, and lipids
- high concentrated, hypertonic solution
- given intravenously through a central venous access
- monitor and prevent complications (this can lead to refeeding
syndrome)
Abdominal Assessment Order
1. inspection
2. auscultation
3. palpation
4. percussion
Abdominal Assessment: Inspection
Abdominal Assessment: Auscultation
