NSG3001 : INTRODUCTION TO THE PROFESSION OF NURSING STUDY GUIDE NOTES : South University,Updated 2020

NSG3001 INTRODUCTION TO THE PROFESSION OF NURSING STUDY GUIDE NOTES. ASSESSING APICAL PULSE 1. The apical pulse • This is the most reliable noninvasive way to assess cardiac function. The apical pulse rate is the assessment of the number and quality of apical sounds in 1 minute 2. S1 and S2 • S1 is the sound of the tricuspid and mitral valves closing at the end of ventricular filling, just before systole begins. S2 is the sound of the pulmonic and aortic valves closing at the end of the systolic contraction. 3. The stethoscope • 4. The five major parts of the stethoscope are • 5. Binaural should be • 6. The earpieces follow • 7. longer tubing • 8. The diaphragm • 9. The bell • 10. risk factors for alterations in the apical pulse • 11. signs and symptoms of altered cardiac function • 12. factors that affect the apical pulse rate and rhythm • 13. Do not delegate this skill to nursing assistive personnel (NAP) when... • . 14. Before delegating routine performance of this skill, be sure to inform NAP of the following: • 15. When assessing the apical pulse for the first time... • 16. The PMI of an infant is usually located • 17. The PMI is often difficult to palpate in some older adults because • 18. When assessing older adult women with sagging breast tissue... • 19. Heart sounds are sometimes muffled or difficult to hear in older adults because • ASSESSING PAIN 1. Likert scale • 2. Use the PQRSTU mnemonic for pain assessment • 3. P Provocative/Palliative • 4. Q Quality • 5. R Region/Radiation • 6. S Severity • 7. T Timing. • 8. U You • 9. Use percussion and auscultation if necessary to identify abnormalities, such as • 10. When assessing the abdomen • 11. Patients currently receiving opioids for chronic pain often require... • 12. Nonpharmacologic • 13. Examples of effective Nonpharmacologic measures. • 14. Risk factors for pain • 15. Pain assessment cannot be delegated to nursing assistive personnel (NAP). NAP may report... • 16. Be sure to inform NAP of the following • 17. Physical, behavioral, and emotional signs and symptoms of pain, include • ASSESSING RADIAL PULSE 1. Factors that can affect pulse rate and rhythm • 2. The strength or amplitude of a pulse reflects • 3. If the volume decreases • 4. A full bounding pulse is • 5. You can assess what arteries for pulse rate? • 6. Risk factors for pulse alterations • 7. Signs and Symptoms of altered cardiac function • 8. Signs and Symptoms of peripheral vascular disease • 9. Factors that affect radial pulse rate and rhythm • 10. If the patient has been active, wait • 11. If the patient has been smoking or ingesting caffeine wait • 12. Do not delegate the skill of assessing radial pulse to nursing assistive personnel (NAP) when • 13. Before delegating this skill under other circumstances, be sure to inform NAP of the following • 14. When assessing the pulse for the first time, establish the radial pulse as • 15. During subsequent assessments • Compare the pulse rate and character with the patient’s baseline and with the acceptable ran 16. Radial artery is difficult to assess in an infant. .... Best site for assessing pediatric heart rate and rhythm until 2 years of age. • 17. Children often have a sinus dysrhythmia, which is an • 18. Older adults have a reduced heart rate with exercise because • 19. Peripheral vascular disease is more common among • 20. Who should assess their own pulse rates to detect side effects of medications? • ASSESSING RESPIRATION: RATE, RYTHM, AND EFFORT 1. Factors that can affect respiratory rate • 2. What position should the patient be in? • 3. Respiration • 4. Three processes of respiration are • 5. Risk factors for respiratory alteration • 6. signs and symptoms of respiratory alteration • 7. factors that can affect respiratory rate • 8. If the patient has been active • 9. Assess respiration after • 10. Inform NAP of the following • 11. Average respiratory rate (breaths per minute) for newborns is Infant (6 months to 1 year) is toddler (2 years) is and child from 3 to 12 years • 12. Children up to age 7 breathe abdominally; thus ... • 13. Aging causes ossification of costal cartilage and downward slant of ribs, resulting in •