NR 304 Final Worksheet Answers, NR 340 Critical Care 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 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. 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. 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? 4. What is HIPAA? Describe one situation when the nurse must adhere to HIPAA. 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? 6. What is dehydration? List three subjective and three objective findings of dehydration. List the expected vital signs of a patient who is dehydrated. 7. How is fluid volume deficit related to dehydration? How would concentrations of some solutes (solids) change with dehydration? Why? 8. What is an undesirable response of the body to a fever? Why is this undesirable? What effect does it have? 9. What is the most serious skin cancer? What is one risk factor for this cancer and one teaching item to address with your patient? Describe this most serious skin cancer below. 10. In dark skinned client, where is the best area to assess for jaundice (not skin or sclera)? Best place to assess for pallor? Best place to assess for cyanosis? 11. To document pitting edema, the nurse measures the following depths of pitting. 12. What is a body system complication for the client who is a chronic heavy drinker? Name 3 possible associated findings associated with this complication. 13. It is important to encourage the elderly client to continue to be as active as possible. List five complications associated with the inability to move independently. 14. Describe fluid volume overload. List a possible cause of FVO. List three signs/symptoms of FVO. 15. Describe fluid volume deficit. List a possible cause of FVD. List three signs/symptoms of FVD. 16. Differentiate between oral candidiasis and leukoplakia. List one possible cause of each. 17. What is a common manifestation that an elderly client has an acute problem such as infection or stroke 18. What are crackles? How would you describe the sound crackles? Describe two pathological conditions when the nurse would expect crackles on auscultation. 19. What are wheezes? How would you describe the sound of wheezes? Describe two pathological conditions when the nurse would expect wheezes on auscultation. 20. What is the significance of a syncopal episode in the elderly client? 21. Describe the subjective and objective findings of a client with a pneumothorax. - 22. Describe the subjective and objective findings of a client with a pulmonary embolus. 23. Describe the subjective and objective findings of a client with pneumonia. - 24. Describe the subjective and objective findings of a client with emphysema. - 25. Describe the subjective and objective findings of a client with a myocardial infarction. 26. Describe the subjective and objective findings of a client with congestive heart failure HEART FAILURE 27. Describe the subjective and objective findings of a client with a suspected stroke or TIA. List at least three assessments a nurse will perform for a suspected stroke or TIA. 28. the nurse describe the sound of a murmur? What are the subjective findings of a patient with a murmur? How does the nurse assess for a murmur? (I don’t know how in depth she wanted)