ANSWERS GUARANTEED SUCCESS LATEST FINAL
REVIEW
Rasmussen,.College,.associate,.degree,.Nursing,.Program
Exam,.1,.Study,.Guide--Fundamentals,.of,.Professional,.Nursing—NU2115—
,. Summer,.2015,.Content,.Areas:
o Vital,.Signs
o Ranges,.of,.normal,.for,.blood,.pressure,,.pulse,,.respirations,
,. temperature,,.and,.O2,.saturation
▪ Bp:,.100/60-119/80 P:,.60-100, . R:,.12-
20,.T:,.96.?,.-99.?, . O2:,.95-100%
o How,.each,.vital,.sign,.is,.measured,.and,.which,.equipment/site,.is,.mos
t,.appropriate,.for,.the,.client?
▪ BP,.on,.upper,.arm,.or,.thigh.,.Pulse,.at,.the,.radial,.site,.normally.,.T
emp,.tympanic,.or,.rectal,.preferably;,.oral,,.axillary,,.or,.temporal,.i
s,.accepted.,.O2,.on,.unpolished,.finger.
▪ 80/40,.rule,.for,.bp,.cuff,.bladder,.length,.80%,.of,.arm,,.bladder,.widt
h,.40%
o Interventions,.for,.hyper/hypothermia
,▪ Hyperthermia:,.circulating,.fan,,.ice,.packs,.wrapped,,.cooling
,. blankets,,.tepid,.or,.alcohol,.baths.,.More,.than,.99F
▪ Hypothermia:,.warm,.fluids,,.warm,.baths,,.warm,.blankets.,.Less
,. than,.95F
▪ Convert,.F,.to,.C:,.(T-32),.*5/9=C
, o Pulse,.rate,,.rhythm,,.and,.quality
▪ Regular,,.Regularly,.Irregular,,.Irregularly,.Irregular;,.None,
,. light,,.regular,,.bounding,,.full,.and,.bounding
o Factors,.affecting,.VS
▪ Pain,,.Stress,,.Hunger,,.Dehydration,,.Smoking,,.Medications,
,. Developmental,.Level,,.Exercise,,.Hemoglobin,,.Disease,,.an
d,.Position
o When,.to,.take,.an,.apical,.pulse
▪ When,.the,.radial,.pulse,.is,.irregular,,.less,.than,.60,.or,.more,.tha
n,.100,.beats,,.cardiac,.meds,,.up,.to,.3,.yr
1. Pulse,.for,.infant,.is,.80-180
2. Newborn,.respirations,.are,.18-30
Medulla,.Oblongata,.is,.contro
l,.center
3. Cheyne-
Stokes:,.due,.to,.head,.injury,,.gradual,.increase,.in,.depth,.of,.respirat
ions,.followed,.by,.decrease,.and,.then,.a,.period,.of,.apnea.
4. Kussmaul’s:,.DKA:,.Deep,,.rapid;,.like,.hyperventilation
5. Hypoventilation:,.below,.12
6. Agonal:,.couple,.breaths,.per,.minute
7. Signs,.of,.Hypoxia:,.pallor,,.tachycardia,,.nasal,.flaring,,.adventitious,.lung,.sounds
,,.elevated,.bp
, 8. Primary,.hypertension,.is,.genetic,.whereas,.secondary,.is,.from,.things,.such,.a
s,.obesity
9. Causes,.of,.hypotension:,.loss,.of,.blood,,.dehydration
10. 20/10/20,.rule,.orthos.,.20,.lower,.sys,,.10,.lower,.dia,,.2
0,.higher,.p,.Types,.of,.Fevers:
o Intermittent
o Temp,.alternates,.regularly,.between,.fever,.and,.no,.fever,.w/o
,. meds,.or,.fever,.returns,.to,.normal,.at,.least,.once,.every,.24hr
s
o Remittent
o Fluctuations,.by,.3.6F,.or,.2C,.above,.normal,.within,.24hr
o Constant,.(sustained)
o Temp,.may,.flux,.less,.than,.1F,.or,..55C,.but,.always,.above,.norm
o Relapsing,.(or,.recurrent),.Fever
o Short,.periods,.of,.fever,.alternating,.with,.norm,.temp,.and,.lasting,.1-
2,.days
o Communication
o Verbal,.vs.,.non-verbal