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NURS 306 Exam 1 Question and answers verified to pass
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NURS 306 Exam 1 Question and answers verified to pass what are the 4 different techniques of assessment - correct answer inspection palpation percussion auscultation Stage 1 Hypertension - correct answer Systolic: 130-139 OR Diastolic: 80-89 Stage 2 Hypertension - correct answer ...

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  • November 19, 2024
  • 22
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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NURS 306 Exam 1 Question and
answers verified to pass
what are the 4 different techniques of assessment - correct answer
✔inspection
palpation
percussion
auscultation


Stage 1 Hypertension - correct answer ✔Systolic: 130-139 OR
Diastolic: 80-89


Stage 2 Hypertension - correct answer ✔Systolic: >140 OR
Diastolic: > 90


Hypertensive Crisis - correct answer ✔Systolic: > 180 AND/OR
Diastolic: >120


Hypotension & manifestations - correct answer ✔Systolic <90
Diastolic <60
Manifestations: dizziness, nausea, blurred vision, increased pulse, and fatigue


causes of hypertension - correct answer ✔genetics, poor diet, lack of
exercise, stress, alcohol, certain medications


hypotension interventions - correct answer ✔- increase fluids

,- place pt in upright position
- evaluate meds the pt is taking
- instruct pt about risk for dizziness and falling
- encourage pt to change positions slowly
- avoid extreme temperatures
- stay well hydrated


pulse pressure and MAP - correct answer ✔pulse pressure: difference
between systolic and diastolic
MAP: average BP during single cardiac cycle


How to check for orthostatic hypotension - correct answer ✔1. take bp of pt
when laying down
2. take bp of pt when sitting on edge of bed
3. take bp of pt when standing up
- if the drop in systolic pressure is > 20 when changing positions


what are we assessing when palpating for the pulse - correct answer ✔-
rhythm
- force of contraction
- rate


when is the doppler technique used - correct answer ✔to locate the
peripheral pulse sites


What is the most reliable indicator of pain? - correct answer ✔patient's self-
report

, What is sinus arrhythmia? - correct answer ✔an irregularity commonly found
in children and young adults


grading pulses - correct answer ✔0 = absent/non-palpable
+1 = weak/diminished
+2 = normal
+3 = increased/strong
+4 = bounding


tachycardia causes - correct answer ✔- exercise
- anxiety
- certain meds
- caffeine and nicotine
- abnormality in electrical system of heart


bradycardia causes - correct answer ✔- if pt is physically fit
- congenital cardiac abnormalities
- heart failure
- heart muscle damage
- hypothyroidism


body temperature ranges - correct answer ✔C: 36-38
F: 96.8-100.4 (96.4-99.1)
Avg: 37 C or 98.6 F


where do you place the oral thermometer - correct answer ✔posterior
sublingual pocket

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