Excelsior College NUR 109 Final Exam Questions With Answers VERIFIED

According to ANA standard 2, who must the nurse verify the nursing diagnosis with? - The patient and family of the patient (if family is approved) Considerations for pharmacological interventions for pain. - "Start low go slow" 1st tier- non-opiod plus adjuvant 2nd- opioid for mild to moderate pain 3rd- opioid for moderate to severe pain How do you assess pain? - COLDSPA, PQRST How do you assess respirations? - Assess rate, rhythm, effort and depth. If rhythm is regular you can assess for 30 sec and multiply by 2. If irregular count for 1 full minute. How do you choose a blood pressure cuff size? - The width of the bladder covers 2/3 the length of the upper arm. The cuff is 40% of the arm circumference The length of the bladder encircles about 80% of the arm. How does blood volume affect blood pressure? - Low blood volume decreases blood pressure. High blood volume increases blood pressure. How does peripheral vascular resistance affect blood pressure? - It can increase/decrease blood pressure depending of the size of the arterial, viscosity of the blood, and arterial compliance (elasticity). How does the ANA want you t