NUR 160 Fundamental Concepts of Practical Nursing II
Exam 1
Question:
order for inspecting abdomen
Answer:
inspect, auscultate, palpate
Question:
when teaching diabetes what is one thing you want to teach them?
Answer:
avoid heating pads, wear shoes, heated blankets, don't cut their own nails, dry location, check feet daily
Question:
orthopenic position
Answer:
crossed arms on side table 1 / 4
Question:
if there is an abnormal finding during an assessment what do you do?
Answer:
further assessment (focused assessment)
Question:
Neurological focused assessment
Answer:
Glasgow coma scale level of consciousness(1-person,2-person and place, 3-person, place, and time, 4-person, place, time, and purpose) motor function(smile, frown, puff cheeks)ROM PERLA(pupils, equal, round, reactive, light, accommodation)
Question:
cardiac focused assessment
Answer:
60-100
caratoid pulse( never press hard or use both hands. used for unconsious pts) brachial(fore arm) radial(inner wrist. common pulse) Apical( 5th innercostal space)listen 60 sec Femoral(thigh) 2 / 4
popitiel(behind knee) posterior tibial(ankle) Dorsal pedis(top of foot)
Question:
slow
Answer:
brady cardia
Question:
fast
Answer:
tachy cardia
Question:
Respiratory Focused Assessment
Answer:
12-20 count respirations
95-100%
if patient o2 level is 89%, give them 2L of oxygen 3 / 4
have them sit at 90 degrees RL(3 lobes) LL(2 lobes+heart)
Question:
crackles
Answer:
bubble sounds rales
Question:
wheezing
Answer:
sure sounds
Question:
GI Focused Assessment
Answer:
assess for any masses, bruising, etc Inspect, Auscultate, Palpate Always listen for one minute per quad
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