NUR 218 Final Exam
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Terms in this set (401)
most convenient and accurate way to record
oral
temperature:
rectal most accurate way to record temp:
tympanic accurately measures body temp:
tympanic temp site used for unconscious patients:
37 degrees (98.6) but can normal oral temp reading:
be 96.4-99.1
cardiac output, peripheral level of BP is determined by what 5 factors?
vascular resistance,
volume of circulating
blood, viscosity, elasticity
of vessel walls *** ALL
HAVE DIRECT
RELATIONSHIP
80 BP cuff should cover --- % of arm:
high, low, blood supply to with coarctation of the aorta, arm pressure is ---- and
the thigh is below thigh pressure is ---- because....
constriction
140/90 BP that is considered hypertension:
95/60 BP that is considered hypotension:
,MI, shock, hemorrhage, causes of hypotension:
vasodilation, addison's
disease
brief pain pain inventory that scales pain 0-10 in 24 hrs:
pain inventory that ranks a list of descriptors in terms
McGill pain questionairre
of intensity:
92% or above normal pulse oxygen level:
renal disease, renal artery potential causes of secondary hypertension:
stenosis, aldosteronism,
thyroid disorders,
coarctation of the aorta
the ------ muscles are the primary muscles of
external intercostals,
inspiration and they ------ AP chest diameter during
increase
inspiration
elevates systolic crying effect on BP:
falsely high when angry or anxious effect on BP:
falsely low BP arm above heart effect on BP:
falsely high BP arm below heart effect on BP:
falsely high diastolic when person supports their own arm effect on BP:
falsely high too narrow cuff effect on BP:
no is pain a normal process of aging?
falsely low too wide cuff effect on BP:
guarding, grimacing, acute pain behaviors:
diaphoresis, restlessness,
agitation, moaning,
stiffness
pain in infants what is kicking and legs drawn up a sign of?
dehydration, shock, reasons for a weak, thready pulse:
bleeding
,anxiety, exercise reasons for a full, bounding pulse:
bracing, rubbing, sighing, behaviors with chronic pain:
change in appetite
true of false: whites receive more analgesic therapy
true
than black or hispanics
abnormal processing of neuropathic pain:
pain message
occurs in patients whose where does excoriation of the skin usually occur?
skin is exposed to bodily
fluids such as stool, urine,
or gastric juices and
places where skin rests on
skin
people with diabetes that what type of people may not be able to differentiate
suffer from peripheral between hot and cold?
neuropathy
Feet and hands are describe foot and hand care:
soaked briefly during the
bath except for in diabetic
patients have a decreased
ability to heal, and soaking
their feet may lead to skin
breakdown.
because of drying of the why should patients with peripheral neuropathy
tissue and the risk of (diabetes, heart disease) not soak their feet?
infection.
, A young girl with long hair is experiencing a problem
with matting. The most appropriate action to take
would be
B A. Cutting the matted hair away.
B. Braiding the hair to reduce tangles.
C. Using a grease-type product to tame the hair.
D. Keeping the hair oil free by applying powder every
morning.
they are susceptible to oral concern for Patients who are NPO:
drying of the oral mucosa
how often should oral care be provided for NPO and
every 2 hours
unconscious patients?
when should the nurse report coughing or choking
immediately
symptoms during oral care?
Noncompliance with care of contact lenses is one of
the largest contributors to -----, a potentially very
microbial keratitis dangerous infection of the eye that can result in loss
of vision and most often results from contact lens
wear.
Lower-body paralysis paraplegia:
cervical injury what causes quadriplegia?
Immobility may cause effects of immobility:
weakness, instability,
anorexia, elimination
alterations, decreased
muscle tone, circulatory
stasis, and skin
breakdown.
Save
Terms in this set (401)
most convenient and accurate way to record
oral
temperature:
rectal most accurate way to record temp:
tympanic accurately measures body temp:
tympanic temp site used for unconscious patients:
37 degrees (98.6) but can normal oral temp reading:
be 96.4-99.1
cardiac output, peripheral level of BP is determined by what 5 factors?
vascular resistance,
volume of circulating
blood, viscosity, elasticity
of vessel walls *** ALL
HAVE DIRECT
RELATIONSHIP
80 BP cuff should cover --- % of arm:
high, low, blood supply to with coarctation of the aorta, arm pressure is ---- and
the thigh is below thigh pressure is ---- because....
constriction
140/90 BP that is considered hypertension:
95/60 BP that is considered hypotension:
,MI, shock, hemorrhage, causes of hypotension:
vasodilation, addison's
disease
brief pain pain inventory that scales pain 0-10 in 24 hrs:
pain inventory that ranks a list of descriptors in terms
McGill pain questionairre
of intensity:
92% or above normal pulse oxygen level:
renal disease, renal artery potential causes of secondary hypertension:
stenosis, aldosteronism,
thyroid disorders,
coarctation of the aorta
the ------ muscles are the primary muscles of
external intercostals,
inspiration and they ------ AP chest diameter during
increase
inspiration
elevates systolic crying effect on BP:
falsely high when angry or anxious effect on BP:
falsely low BP arm above heart effect on BP:
falsely high BP arm below heart effect on BP:
falsely high diastolic when person supports their own arm effect on BP:
falsely high too narrow cuff effect on BP:
no is pain a normal process of aging?
falsely low too wide cuff effect on BP:
guarding, grimacing, acute pain behaviors:
diaphoresis, restlessness,
agitation, moaning,
stiffness
pain in infants what is kicking and legs drawn up a sign of?
dehydration, shock, reasons for a weak, thready pulse:
bleeding
,anxiety, exercise reasons for a full, bounding pulse:
bracing, rubbing, sighing, behaviors with chronic pain:
change in appetite
true of false: whites receive more analgesic therapy
true
than black or hispanics
abnormal processing of neuropathic pain:
pain message
occurs in patients whose where does excoriation of the skin usually occur?
skin is exposed to bodily
fluids such as stool, urine,
or gastric juices and
places where skin rests on
skin
people with diabetes that what type of people may not be able to differentiate
suffer from peripheral between hot and cold?
neuropathy
Feet and hands are describe foot and hand care:
soaked briefly during the
bath except for in diabetic
patients have a decreased
ability to heal, and soaking
their feet may lead to skin
breakdown.
because of drying of the why should patients with peripheral neuropathy
tissue and the risk of (diabetes, heart disease) not soak their feet?
infection.
, A young girl with long hair is experiencing a problem
with matting. The most appropriate action to take
would be
B A. Cutting the matted hair away.
B. Braiding the hair to reduce tangles.
C. Using a grease-type product to tame the hair.
D. Keeping the hair oil free by applying powder every
morning.
they are susceptible to oral concern for Patients who are NPO:
drying of the oral mucosa
how often should oral care be provided for NPO and
every 2 hours
unconscious patients?
when should the nurse report coughing or choking
immediately
symptoms during oral care?
Noncompliance with care of contact lenses is one of
the largest contributors to -----, a potentially very
microbial keratitis dangerous infection of the eye that can result in loss
of vision and most often results from contact lens
wear.
Lower-body paralysis paraplegia:
cervical injury what causes quadriplegia?
Immobility may cause effects of immobility:
weakness, instability,
anorexia, elimination
alterations, decreased
muscle tone, circulatory
stasis, and skin
breakdown.
