NU 129 Funds Exam 2 questions with answers.

NU 129: Funds Exam 2 questions
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with answers |\




If a patient has a mastectomy on the right arm and dialysis
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fistula on the other where would you take the BP?
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Thigh
Patients with findings below, which one will you see first?
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HR: 80 bmp |\ |\


BP: 80/50 mmHg
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Temp: 98.9 |\


Respirations: 18 RR T |\ |\ |\




Patient with BP of 80/50 mmHG |\ |\ |\ |\ |\




What are Vital Signs?|\ |\ |\




Temperature
Pulse
Respirations
Blood Pressure |\


O2
Saturation
Pain
Two Step BP measuring
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1. Palpate the *BRACHIAL* or Radial artery, inflate the blood
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pressure cuff until the pulse is no longer felt, and then continue
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to inflate 20-30 mm Hg more: this is the maximum pressure
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inflation.
2. Deflate the cuff quickly.
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3. Now, you can start blood pressure so place the bell of the
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cleansed stethoscope over the brachial artery using a light touch
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, and complete seal.
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4. Inflate the cuff to the maximum pressure inflation number.
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5. Open the valve slightly.
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6. Deflate the cuff slowly and evenly at about 2 mm Hg per
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second.
7. Note the points at which you hear the first appearance of
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Korotkoff sound (systolic blood pressure), and the last Korotkoff
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sound before it goes silent (diastolic blood pressure).
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Blood Pressure (BP)
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Normal : 120/80 BP |\ |\ |\


Hypertension: 140/90mmHg |\


Hypotension: 90/60 mmHg |\ |\




Temperature
Normal: 97.5 - 99.5 F |\ |\ |\ |\


Hyperthermia: above 100.2F (significant is 101.3F) |\ |\ |\ |\ |\


Hypothermia: below 95F |\ |\




Where do you check Temperature?
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-*Tympanic (eardrum) temp approximate core body temp*
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-Rectal temp about 1 degree higher than oral
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-Axillary temp about 1 degree lower than oral
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-Temporal Artery over skin of forehead |\ |\ |\ |\ |\




Apical Pulse |\




5th intercostal space, mid-clavicular line for 1 min
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*checked before given any medication especially BP *
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Pulse Rate (bmp)
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Normal: 60-100bmp |\


Bradycardia: <60bmp |\


Tachycardia: >100bmp |\