60-100 - ✔✔Normal HR per minute.
96.8-99.5 - ✔✔Normal temperature in Fahrenheit.
12-20 - ✔✔Normal respirations per minute.
120/80 - ✔✔Normal BP .
Pain - ✔✔5th vital sign.
Apical pulse - ✔✔Vital si gns that should be checked prior to giving digoxin.
Sacrament of the Sick - ✔✔For Roman Catholic's, what is important during severe illness or possible
pending death?
NREM - ✔✔Type of sleep accounting for 75 -80% of sleep during the night.
Grieving - ✔✔Normal emotional reaction to a loss.
Same as RN - ✔✔Standard of care a nursing student is held to.
Baptism - ✔✔Catholic's take part in this, and an infant born with a life threatening condition gets this as
soon as possible.
Vesicular - ✔✔Type of breath sounds heard in the periphery of the lungs.
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Clubbing of nails, barrel chest - ✔✔Two long term oxyge nation issues that can be observed on inspection
of the client.
Orthopneic - ✔✔Position in which a client experiencing respiratory distress should be placed.
Handwashing - ✔✔Most important infection control measure.
Ineffective Breathing Pattern - ✔✔NAN DA diagnosis in which inspiration and/or expiration does not
provide adequate ventilation.
Ineffective Airway Clearance - ✔✔NANDA diagnosis with the inability to clear secretions or obstructions
from the respiratory tract to maintain a clear airway.
Ineffective Gas Exchange - ✔✔NANDA diagnosis with an excess or deficit in oxygenation and/or CO2
elimination at the alveolar -capillary membrane.
FVD - ✔✔Decreased intravascular, interstitial, and/or intracellular fluid. This refers to dehydration, water
loss alone w/o change in Na level.
FVE - ✔✔increased isotonic fluid retention.
Physiological, Safety/Security, Love/Belonging, Self -esteem needs, Self actualization - ✔✔Maslow's
Hierarchy of Needs.
Stage 1 - ✔✔Which stage of pressure ulcer has non -blanchable redness?
Stage 2 - ✔✔Which stage of pressure ulcer is a broken blister?
Stage 3 - ✔✔Which stage of pressure ulcer is a small crater and has no tunneling? Down to subQ fat.
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