NUR 111 Exam 2 Study Guide with correct
answers 2024
What is the importance of assessing a pt's pain status? - answer-It is
a critical component to understanding the pt's clinical status and
progress.
Which cultures care for ill members by protecting them from bad
news about their health? - answer-collectivistic
-Hispanic
-African
-Aisan
Why do we analyze vital signs? - answer-To interpret their
significance and make decisions about appropriate interventions.
Which approach ensures accuracy when taking vitals? - answer-
organized & systematic
What 3 actions should be taken when an significant change in vitals is
observed? - answer-1. verify changes
2. communicate changes
3. document changes
When a pt's condition suddenly worsens, which site should be used
to find pulse quickly? - answer-carotid
,NUR 111 Exam 2 Study Guide with correct
answers 2024
What is the most reliable & noninvasive way to assess cardiac
function? - answer-apical pulse
The exchange of oxygen & carbon dioxide between cells of the body
& the atmosphere is ___________________ & the mechanical
movement of gases into & out of the lungs is ___________________.
- answer-respiration, ventilation
CBC values measure... - answer--red blood cell count
-volume of red blood cells
-concentration of hemoglobin
Clinical judgment regarding vitals includes... - answer--which vitals to
measure
-when to obtain the measurements
-frequency of assessment
, NUR 111 Exam 2 Study Guide with correct
answers 2024
Why would a critically ill child have cool skin & a high core body
temperature? - answer-poor perfusion to the skin
Why are older adults at high risk for hypothermia? - answer--
diminished sensation to cold
-abnormal vasoconstrictor responses
-impaired shivering
What is indicated by the peripheral pulse? - answer-status of blood
perfusion to that particular area
When does hypotension occur? - answer-When the systolic BP falls
below 90mmHg.
What is indicated by orthostatic changes in vital signs? - answer-
blood volume depletion
List several factors that contribute to false elevations in BP. - answer--
talking during BP assessment
-crossing of legs during assessment
-smoking
-caffeine intake
-exercise
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