Nura 1110 Final Exam Questions with Correct Answers 100% Verified what is bradypnea?what is it associated with? - Correct Answer slow respirations; less that 10 bpm depression of resp. center by meds, brain damage What do you do if you discover an irregular radial pulse? - Correct Answer occurs when the beats and pauses between beats occur at unequal intervals; known as dysrhythmia take apical pulse and count 1 *FULL* min, then report
what are accessory muscles used for? - Correct Answer muscles of inspiration:
- sternocieidomastoid - elevates sternum
- rate - retractions and nasal flaring
ii. scalenes group - elevate upper ribs iii. external intercostals - elevates rib cage iv. abdominal rib cage (diaphragm) - primary muscle of resp flow generator
how to take a temp on a patient who has a gcs score of 8. - Correct Answer tympanic or rectal (most accurate & sometimes requested by Dr) *remember* score of 15 indicates AA&Ox4 (max); lowest is 3 (deep coma) what is malignant hyperthermia?what are symptoms?antidote/treatment? - Correct Answer severe reaction that occurs in response to particular meds used during general anesthesia muscle rigidity, high fever, tachycardia IV dantrolene if you use the palpated systolic method when taking a bp, how many points do you inflate it above the palpated rate? - Correct Answer 30 mmHg higher; the point in which pulsations in the artery disapper 1 / 3
what are the safety precautions that should be taken when taking a bp? - Correct Answer correct cuff size cautious inflation in pt's taking anticoagulants dont take bp over hemodialysis graft dont take bp on the same side of a previous masectomy what is normal for a core body temperature? - Correct Answer usually found rectally 98.7-100.5 degrees Fahrenheit gcs calculation (be able to calculate) - Correct Answer eye opening response spontaneous 4 verbal 3 pain 2 no response 1 verbal response oriented 5 confused 4 inappropriate words 3 incomprehensible speech 2 no response 1 motor response obeys commands 6 localizes pain 5 flexion withdraw 4 abnormal flexion 3 abnormal extension 2 no response 1 define spasticity. - Correct Answer increased muscle tone 2 / 3
what causes back injury in nurses? - Correct Answer -uncoordinated lifts -manual lifting; transferring of pt without assistive devices -lifting when fatigued or after back injury -repetitive movements such as lifting, transferring, and repositioning pts -standing for long periods of time without breaks -transferring pts -repetitive tasks -transferring/repositioning uncooperative pts What is plantar flexion?give an example - Correct Answer flexion of the foot; a person's foot is in a plantar flexion in the footdrop position pressing the gas what is internal rotation? - Correct Answer body part turning on it's axis toward the midline of the body; leg is rotated, turn inward at the hip and toes point midline what is scoliosis? - Correct Answer lateral curvature of the spine with increased convexity on the side that is curved describe toddler activity.
developmental level: by 15 months, at 18 months, at 2 years, at 3 years
assessment priorities: - Correct Answer developmental level: by 15 m - most can walk unassisted by 18 m - most can run at 2 yrs - most can jump at 3 yrs - most can stack blocks, work simple puzzles, and dress themselves
assessment priorities:
assess progress in walking, running, and jumping.assess small-muscle coordination (dressing themselves, wash hands, brush teeth).
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