NUR 1201 Final Questions With Complete Solutions
What is pulse pressure?
The difference between systolic and diastolic pressure
S-D=Pulse Pressure
What is adequate circulation?
oxygenated blood reaches tissues and organs and that venous
blood returns to the heart.
What are factors the influence blood pressure?
Age
Exercise
Stress
Race
Sex
Medications
Obesity
Medical conditions
Temperature
What labs and values could indicate blood loss?
Drop in blood pressure
Feeling faint
Dyspnea
Cyanosis
,Pallor
Complete blood count with decreased RBC and H&H
What is the Braden Scale?
assesses the risk in numerical scoring based on sensory
perception, moisture, activity, mobility, nutrition, and friction or
shearing.
-used for skin
-total score less than 18 = risk
What is the Norton scale?
scale to assess risk of developing a pressure ulcer
accounts for:
- physical condition
- mental condition
- Activity
- Mobility
- incontinent
• Must identify who is at risk
What is included in a wound assessment?
Location, size, undermining, appearance, drainage, redness,
swelling, pain, and nutritional status
What nursing and client actions are included in skin care?
Hydration- Fluids, no hot showers
Moisturizers - creams and lotions
,Keep skin clean and dry
Cover/protect/support bony prominences
Sunscreen for exposed skin, no tanning beds, loose clothing to
cover arms and legs
What is psoriasis?
Thick, raised, red scaling erythematous plaques with silver
flaking scales
What are triggers of psoriasis?
Infections, medications, stress, trauma, hormonal changes
What is Tinea?
fungal infection
tinea corporis
On body, patches/plaques with raised border
tinea capitis
On scalp, scaling alopecia with raised border
tinea pedis
On feet, scaling vesicles or pustules
tinea cruris
On groin, symmetrical red-brown plaques
What is health history?
Subjective health information collected prior to completing
objective physical assessment
, When should health history be collected?
comprehensive client assessment
Admission to hospital
Medical office visit
Part of focused exam
What should be gathered as part of health history?
Client identifiers, history of present illness, past medical history,
family history, social history, and review of systems
What is the nurse responsibility during collecting health history?
To correctly assess, interpret, report, and document
What is assessed during a skin assessment?
Color, temperature, moisture, texture, turgor, lesions, hair, and
nails
Why is a head-to-toe assessment performed?
Establish baseline data, identify nursing diagnosis, collaborative
problems, or wellness diagnoses, monitor the status of an
identified problem, and screen for health problems
What is normal blood pressure?
120/80 mmHg
What is a nasal cannula?
A device that uses two prongs to deliver O2 throught the
patients nostrils. W/ a flow rate of 1 - 6 L/min
What is a simple face mask?
What is pulse pressure?
The difference between systolic and diastolic pressure
S-D=Pulse Pressure
What is adequate circulation?
oxygenated blood reaches tissues and organs and that venous
blood returns to the heart.
What are factors the influence blood pressure?
Age
Exercise
Stress
Race
Sex
Medications
Obesity
Medical conditions
Temperature
What labs and values could indicate blood loss?
Drop in blood pressure
Feeling faint
Dyspnea
Cyanosis
,Pallor
Complete blood count with decreased RBC and H&H
What is the Braden Scale?
assesses the risk in numerical scoring based on sensory
perception, moisture, activity, mobility, nutrition, and friction or
shearing.
-used for skin
-total score less than 18 = risk
What is the Norton scale?
scale to assess risk of developing a pressure ulcer
accounts for:
- physical condition
- mental condition
- Activity
- Mobility
- incontinent
• Must identify who is at risk
What is included in a wound assessment?
Location, size, undermining, appearance, drainage, redness,
swelling, pain, and nutritional status
What nursing and client actions are included in skin care?
Hydration- Fluids, no hot showers
Moisturizers - creams and lotions
,Keep skin clean and dry
Cover/protect/support bony prominences
Sunscreen for exposed skin, no tanning beds, loose clothing to
cover arms and legs
What is psoriasis?
Thick, raised, red scaling erythematous plaques with silver
flaking scales
What are triggers of psoriasis?
Infections, medications, stress, trauma, hormonal changes
What is Tinea?
fungal infection
tinea corporis
On body, patches/plaques with raised border
tinea capitis
On scalp, scaling alopecia with raised border
tinea pedis
On feet, scaling vesicles or pustules
tinea cruris
On groin, symmetrical red-brown plaques
What is health history?
Subjective health information collected prior to completing
objective physical assessment
, When should health history be collected?
comprehensive client assessment
Admission to hospital
Medical office visit
Part of focused exam
What should be gathered as part of health history?
Client identifiers, history of present illness, past medical history,
family history, social history, and review of systems
What is the nurse responsibility during collecting health history?
To correctly assess, interpret, report, and document
What is assessed during a skin assessment?
Color, temperature, moisture, texture, turgor, lesions, hair, and
nails
Why is a head-to-toe assessment performed?
Establish baseline data, identify nursing diagnosis, collaborative
problems, or wellness diagnoses, monitor the status of an
identified problem, and screen for health problems
What is normal blood pressure?
120/80 mmHg
What is a nasal cannula?
A device that uses two prongs to deliver O2 throught the
patients nostrils. W/ a flow rate of 1 - 6 L/min
What is a simple face mask?
