NURSING FINAL EXAM with perfect answers 2024

How can you estimate a client's tidal volume? correct answersTidal volume can be estimated by observing the depth of the client's respirations. What is the range of normal for an adult's respiratory rate? correct answersA rate of 12 to 20 breaths per minute is normal for adults Besides the rate, what other characteristics of a client's respirations should you observe? correct answersDepth, rhythm, effort, breath sounds, and chest movement should be observed in addition to rate. What are some common clinical signs associated with poor oxygenation? correct answersPallor or cyanosis of the nails, lips, or skin; restlessness; apprehension; confusion; dizziness; fatigue; changes in pulse and blood pressure; and decreased level of consciousness are associated with poor oxygenation. Which of the Korotkoff sounds would you record as the systolic pressure? correct answersFirst Which of the Korotkoff sounds would you record as the diastolic pressure? correct answersFifth A nurse is auscultating a BP. He hears the first sound at 170 mm Hg. The sound disappears immediately. At 150 mm Hg, the sound appears again and continues until there is silence at 80 mm Hg. The pressures were taken in the client's right arm while the client was lying down. How should the nurse record these pressures? correct answersBP RA, supine, 170/80 with an auscultatory gap from 170 to 150 How do you explain what happened? correct answersAn auscultatory gap occurred. A gap is most commonly heard in hypertensive clients, whose systolic blood pressure is higher than the adult normal limit of 140 mm Hg. Which of the following patients has hypertension? One with a BP of: 150/80 on two separate occasions 180/100 on one occasion 138/88 on two occasions correct answers150/80 on two separate occasions Which of the following client(s) has/have primary hypertension? Client A, who is obese and has a high sodium intake Client B, who is in renal failure Client C, who has hypertension induced by pregnancy