NR 304 Final Worksheet Answers, NR 340 Critical Care Nursing
17 views 0 purchase
Course
NR 304 Chamberlain college of Nursing
Institution
NR 304 Chamberlain College Of Nursing
NR 304 Final Worksheet Answers
NR 304 Final Worksheet
Purpose:
This activity provides each student with the opportunity to review some of the main concepts that have been covered in Health Assessment I and II. This worksheet can help students better understand the concepts, learn strategies ...
This activity provides each student with the opportunity to review some of the main concepts
that have been covered in Health Assessment I and II. This worksheet can help students better
understand the concepts, learn strategies for mastering this content from other students, and more
accurately apply the concepts to future patient care situations.
Points Possible: 50 points
Requirements:
1. You may work alone or with a partner for this assignment.
2. Please answer these questions. If working on a computer, please use a color font other
than black.
3. You may use any notes that you have taken in this class session.
4. You may use the textbook, any other book or other resource to answer the questions.
Questions:
1. Define subjective and objective data. Give three examples of each and state if the
findings are documented in the history or physical examination findings.
a. Subjective data: information given to you by the pt.
i. pain, cramping, decreased sensation
b. Objective: information that is gathered by examination and assessment
i. Pallor, skin texture, capillary refill
2. List five actions a nurse should take when assessing a patient with a potentially
critical hemodynamic state. Put your actions in priority order of 1-5.
- Unstable
- (1) Oxygen, (2) Circulatory,(3) Vitals, (4)
, 3. What does the priority setting ABC mean? How does the nurse use this mnemonic
in patient assessment? If a patient has a slow or rapid respiratory rate, is airway the
primary concern?
a. Airway, breathing, circulation
b. the nurse will assess by priority if the patient has any obstruction or abnormality
with their airway, they will then assess if they can breathe or not, lastly assess if
anything is wrong with their cardiovascular circulation.
c. If the patient is having trouble breathing but is still breathing that may show
something lodged in the airway. If nothing is seen then circulation could be the
underlying problem.
4. What is HIPAA? Describe one situation when the nurse must adhere to HIPAA.
a. Health Insurance Portability & Accountability Act
i. Helps protect client’s medical records
b. When over hearing a coworker talk about their pt. to another coworker
5. Describe the process of taking a pulse. What is a normal pulse? What are qualities
of a normal pulse? What is the first action a nurse should take when the pulse is not
as expected?
a. Assess by palpating the surface using gentle pressure over the artery location
chosen
i. Normal qualities: 2+, equal in rhythm, rate, and strength, no signs of bruit
or thrill
b. The nurse should normally take a pulse for 30sec. and x2, if irregular or
abnormal, retake the pulse for a full 1min/60sec., if irregular still take apical pulse
for 1min/60sec. If pulse cannot be felt at first, Doppler may need to be used
6. What is dehydration? List three subjective and three objective findings of
dehydration. List the expected vital signs of a patient who is dehydrated.
a. Lack of fluid volume in your blood
b. Sub: drowsiness, lightheadedness, increase thirst
c. Obj: dry tongue/mucosa, sunken eyes, decreased skin turgor
d. Decreased BP, increased RR/temp/HR (will be weak and thread)
7. How is fluid volume deficit related to dehydration? How would concentrations of
some solutes (solids) change with dehydration? Why?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller HIGHSCORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
