NUR 1600 Test 1 Ch.2

NUR 1600 Test 1 Ch.2

• Identify the importance of HI I CARE critical indicators to include allergies and pronoun.

Answer H

Hand hygiene I Introduce self and role

I

Identify patient (name, DOB, preferred name, & allergies) C Confidentiality/privacy upheld (curtain, visitors stepping out, etc.)

A

Assesses patient and the environment and inspects tubes, lines, and equipment R Raises the bed (ergonomics) E

Educate, evaluate, exit

• Blood pressure

Answer (mmHg)

The force of blood pushing on the vessel walls (90-119/60-79 mmHg)

• concept

perfusion 1 / 2

• Respiratory rate

Answer (breaths/minute)

The number of breaths / minute (12-20 BPM)

• concept

gas exchange

• Temperature

Answer (C or F)

The temperature of the body (98.6F or 37C)

• concept

thermoregulation

• Pulse (Beats/Minute)

Answer With every beat, the heart pumps an amount of blood; the force flares the arterial wall and generates a pressure wave, which is felt in the periphery as a pulse

• concept

perfusion

• Oxygen saturation

Answer (SpO2)

Pulse oximeter measures the arterial oxygen saturation (95%-100%)

• concept

gas exchange

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