EXAM 2 NSG 3100: Outline
Vitals signs half the exam are vital signs!! 25 questions Ch 19
Normal vital sign ranges (per galen)
Know abnormal vital signs
EX:
Look at these vitals which of these vital signs should the nurse intervene
Orthostatic hypertension
How it is, know how to take it, (laying sitting standing)
Change positions slowly
PRIORITIZING ABC’S!!
Resp rate 20
Spo2 88 see this one first
Hr 107
Temp 100.5
Know how to accurately measure vital signs
Sitting down both feet on the ground know activity strenuous left arm bp
No eating smoking and drinking before
Know how to take an initial pulse
Adult radial Child brachial
Know how to take a certain pulse depending on the Pt pg 288
, Don't use both fingers sides to take carotid pulse
Delegate the skills to UAP.
can't delegate assessing, monitoring, discharging, transferring and after surgery
What you can and can't delegate
Documentation of vital signs proper
Site of Blood pressure RUPE LUPE EX. Right upper extremity
What factors influence each vital signs
Know the physiological changes of aging to vital signs couple questions
Other 25 asepsis and skin and wounds Ch 26
Transmission precautions and ppe
What disease pertains to each precaution
What ppe is required for each precaution
Need to know how to apply and remove ppe (donning and doffing)
-Similar to race question
Pt scenario your a nurse on the floor your uap should intervene wrong ppe for that disease
what ppe?
Infection control who's at risk cather, et tube, iv, aging, ect.
How to educate Pt and new nurse how to prevent these infections
Hand hygiene: when do you wash hands and when to use hand sanitizer?
Need to know signs and symptoms of infections localized vs systemic.
Localized redness, drains
Vitals signs half the exam are vital signs!! 25 questions Ch 19
Normal vital sign ranges (per galen)
Know abnormal vital signs
EX:
Look at these vitals which of these vital signs should the nurse intervene
Orthostatic hypertension
How it is, know how to take it, (laying sitting standing)
Change positions slowly
PRIORITIZING ABC’S!!
Resp rate 20
Spo2 88 see this one first
Hr 107
Temp 100.5
Know how to accurately measure vital signs
Sitting down both feet on the ground know activity strenuous left arm bp
No eating smoking and drinking before
Know how to take an initial pulse
Adult radial Child brachial
Know how to take a certain pulse depending on the Pt pg 288
, Don't use both fingers sides to take carotid pulse
Delegate the skills to UAP.
can't delegate assessing, monitoring, discharging, transferring and after surgery
What you can and can't delegate
Documentation of vital signs proper
Site of Blood pressure RUPE LUPE EX. Right upper extremity
What factors influence each vital signs
Know the physiological changes of aging to vital signs couple questions
Other 25 asepsis and skin and wounds Ch 26
Transmission precautions and ppe
What disease pertains to each precaution
What ppe is required for each precaution
Need to know how to apply and remove ppe (donning and doffing)
-Similar to race question
Pt scenario your a nurse on the floor your uap should intervene wrong ppe for that disease
what ppe?
Infection control who's at risk cather, et tube, iv, aging, ect.
How to educate Pt and new nurse how to prevent these infections
Hand hygiene: when do you wash hands and when to use hand sanitizer?
Need to know signs and symptoms of infections localized vs systemic.
Localized redness, drains
