Virginia Western Community College
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NSG 230 Concept: Leadership and Management | Complete Study Guide | Update (Yr. 2025/26 Review
- Examen
- • 44 páginas's •
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Virginia Western Community College•NSG 230
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NSG 230 Concept: Leadership and Management | Complete Study Guide | Update (Yr. 2025/26 Review
NSG 252 Concept Intracranial Objectives 2, 3, 5, 6, & 8 | 2025 Actual study | Questions and Answers
- Examen
- • 11 páginas's •
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Virginia Western Community College•NSG 252
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NSG 252 Concept Intracranial Objectives 2, 3, 5, 6, & 8 | 2025 Actual study | Questions and Answers
NSG 230 Concept 1 Leadership | 2025 Actual study | Questions and Answers
- Examen
- • 45 páginas's •
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Virginia Western Community College•NSG 252
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NSG 230 Concept 1 Leadership | 2025 Actual study | Questions and Answers
What are the signs and symptoms of acute respiratory failure? 
-confusion 
-lethargy 
-inability to waken 
-tachycardia 
-tachypnea 
-restlessness 
-low O2 stats 
-use of accessory muscles 
 
 
Normal ABG values 
Ph = 7.35-7.45 
PaCO2 = 35-45 
HCO3 = 22-26 
O2 = 70-100 
 
 
What should be included in pre-op education for an x-ray? (7) 
-reason for the test 
-smoking status 
-any breathing issues (problems with deep breaths and holding them) 
-verify pregnancy status 
-remove all jewelry 
-ensure...
- Examen
- • 16 páginas's •
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Virginia Western Community College•NUR 245
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What are the signs and symptoms of acute respiratory failure? 
-confusion 
-lethargy 
-inability to waken 
-tachycardia 
-tachypnea 
-restlessness 
-low O2 stats 
-use of accessory muscles 
 
 
Normal ABG values 
Ph = 7.35-7.45 
PaCO2 = 35-45 
HCO3 = 22-26 
O2 = 70-100 
 
 
What should be included in pre-op education for an x-ray? (7) 
-reason for the test 
-smoking status 
-any breathing issues (problems with deep breaths and holding them) 
-verify pregnancy status 
-remove all jewelry 
-ensure...
Conduction and blood flow through the heart 
IVC/SVC --> Rt atria --> Tricuspid --> Rt ventricle --> Pulmonic valve --> Lungs --> Lt atria --> Mitral valve --> Lt ventricle --> aortic valve --> aorta --> Body 
 
 
 
Locations of heart valves (in terms of ICS and clavicular line and auscultation points) 
aortic valve- 2nd ICS RSB 
pulmonic valve- 2nd ICS LSB 
Erb's point- 3rd ICS LSB 
tricuspid valve- lower LSB (5ICS) 
mitral valve- 5th ICS midclavicular line 
...
- Examen
- • 23 páginas's •
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Virginia Western Community College•NUR 245
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Conduction and blood flow through the heart 
IVC/SVC --> Rt atria --> Tricuspid --> Rt ventricle --> Pulmonic valve --> Lungs --> Lt atria --> Mitral valve --> Lt ventricle --> aortic valve --> aorta --> Body 
 
 
 
Locations of heart valves (in terms of ICS and clavicular line and auscultation points) 
aortic valve- 2nd ICS RSB 
pulmonic valve- 2nd ICS LSB 
Erb's point- 3rd ICS LSB 
tricuspid valve- lower LSB (5ICS) 
mitral valve- 5th ICS midclavicular line 
...
What is chronic debilitative pain and what therapies are suggested? 
Pain that has not responded to previously prescribed medication or surgical measures for more than three months; 
surgery, physical therapy, psychological therapy and radiotherapy. However, one of the most common treatment forms is the use of medication. 
 
 
What are the payers? 
the organization that negotiates or sets rates for provider services, collects revenue through premium payments or tax dollars, processes provider cl...
- Examen
- • 15 páginas's •
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Virginia Western Community College•NUR 245
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What is chronic debilitative pain and what therapies are suggested? 
Pain that has not responded to previously prescribed medication or surgical measures for more than three months; 
surgery, physical therapy, psychological therapy and radiotherapy. However, one of the most common treatment forms is the use of medication. 
 
 
What are the payers? 
the organization that negotiates or sets rates for provider services, collects revenue through premium payments or tax dollars, processes provider cl...
what happens to pulse pressure with age? 
increases 
 
 
 
order of assessment for regional cardiovascular assessment 
1. pulse/BP 
2. extremities 
3. neck vessels 
4. precordium 
*begin peripherally and move in towards the heart 
 
 
 
why do you only palpate one carotid artery at a time? 
to avoid compromising arterial blood flow to the brain 
 
 
 
three areas to auscultate the carotid artery 
angle of jaw, mid cervical area, base of the neck 
 
 
 
five points to auscultate the heart 
aortic...
- Examen
- • 23 páginas's •
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Virginia Western Community College•NUR 245
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what happens to pulse pressure with age? 
increases 
 
 
 
order of assessment for regional cardiovascular assessment 
1. pulse/BP 
2. extremities 
3. neck vessels 
4. precordium 
*begin peripherally and move in towards the heart 
 
 
 
why do you only palpate one carotid artery at a time? 
to avoid compromising arterial blood flow to the brain 
 
 
 
three areas to auscultate the carotid artery 
angle of jaw, mid cervical area, base of the neck 
 
 
 
five points to auscultate the heart 
aortic...
Stages of shock 
- Initial 
- Compensatory 
- Progressive 
- Refractory 
 
 
Initial stage of shock 
- At cellular lvl 
- No outward S/S 
- Hypoperfusion to tissues 
- Lactic acid released (elevated) 
- Not in ER or hospital yet 
 
 
Compensatory stage of shock 
- S/S but body is compensating to maintain homeostasis 
- No organ failure 
- Hypotension 
- VQ mismatch 
- Impaired GI motility 
- Tachycardia w/ ↓ CO 
- ↑ rate/depth RR 
- ↓ urine output but BUN/Cr normal 
- Confusion 
- Hypoacti...
- Examen
- • 38 páginas's •
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Virginia Western Community College•NUR 245
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Stages of shock 
- Initial 
- Compensatory 
- Progressive 
- Refractory 
 
 
Initial stage of shock 
- At cellular lvl 
- No outward S/S 
- Hypoperfusion to tissues 
- Lactic acid released (elevated) 
- Not in ER or hospital yet 
 
 
Compensatory stage of shock 
- S/S but body is compensating to maintain homeostasis 
- No organ failure 
- Hypotension 
- VQ mismatch 
- Impaired GI motility 
- Tachycardia w/ ↓ CO 
- ↑ rate/depth RR 
- ↓ urine output but BUN/Cr normal 
- Confusion 
- Hypoacti...
Which clinical finding would the nurse expect when assessing an infant with pyloric stenosis? 
-visible peristaltic waves (stomach is attempting to propel its contents through the stenotic pyloric sphincter) 
-olive-shaped mass in the right upper quadrant 
 
 
Pyloric stenosis 
narrowing of the opening of the stomach to the duodenum 
 
 
Which pathophysiological rationale explains why a client who is 4 days post abdominal surgery has not passed flatus and has hypoactive bowel sounds and why a pa...
- Examen
- • 10 páginas's •
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Virginia Western Community College•NUR 245
Vista previa 2 fuera de 10 páginas
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Which clinical finding would the nurse expect when assessing an infant with pyloric stenosis? 
-visible peristaltic waves (stomach is attempting to propel its contents through the stenotic pyloric sphincter) 
-olive-shaped mass in the right upper quadrant 
 
 
Pyloric stenosis 
narrowing of the opening of the stomach to the duodenum 
 
 
Which pathophysiological rationale explains why a client who is 4 days post abdominal surgery has not passed flatus and has hypoactive bowel sounds and why a pa...
What type of breathing should the nurse encourage in a patient with COPD 
pursed lip breathing 
-lengthens the expiratory phase of respiration and increases the pressure in the airway during exhalation. pursed lip breathing reduces airway resistance and decreases trapped air 
 
 
What is the nurses priority action with a patient in status asthmaticus 
administer a nebulized high dose short acting B2 agonist (SABA) to relieve bronchoconstriction to improve ventilation 
 
 
What are the steps for ...
- Examen
- • 13 páginas's •
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Virginia Western Community College•NUR 245
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What type of breathing should the nurse encourage in a patient with COPD 
pursed lip breathing 
-lengthens the expiratory phase of respiration and increases the pressure in the airway during exhalation. pursed lip breathing reduces airway resistance and decreases trapped air 
 
 
What is the nurses priority action with a patient in status asthmaticus 
administer a nebulized high dose short acting B2 agonist (SABA) to relieve bronchoconstriction to improve ventilation 
 
 
What are the steps for ...