NUR 1104 Final Exam, Questions & Answers

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NUR 1104 Final Exam, Questions & Answers-A temperature below normal is labelled... a. fever b. hypothermia c. afebrile - b. hypothermia For which of the following patients would you use an oral thermometer? a. 6 month old infant b. patient receiving oxygen via a face mask c. 42 year old healthy woman d. unconscious patient - c. 42 year old healthy woman Your patient has a temperature of 102.4°F. What term would be used to describe this? a. afebrile b. hypothermia c. diaphoresis d. pyrexia - d. pyrexia What is the normal range of temperature in an adult? - 96.4-99.5°F What is the most common site to count pulse in adults? a. apical b. radial c. brachial d. carotid - b. radial The nurse giving you report tells you that Mr. Jones's radial pulse is "weak". You know to label the strength of the pulse as... a. 0 b. +1 c. +2 d. +3 - b. +1 The nursing assistant notifies you that your patient's heart rate is 52 beats/min. You know this patient...b. Place the patient on a face mask delivering 100% oxygen. a. is tachycardic b. is bradycardic c. has a weak pulse d. has a dysrhythmia - b. is bradycardic After assessing a patient's heart rate, you need to document which of the following? Select all that apply. a. site b. heart rate c. pulse strength d. patient position e. date and time f. regularity - a. site, b. heart rate, c. pulse strength, e. date and time, f. regularity Mrs. Smith just gave birth to a baby girl 15 hours ago. When doing your routine rounds at the start of the shift, you assess Mrs. Smith's heart rate to be 90 beats/minute and her baby's to be 145 beats/minute. Based on these findings you need to: a. do nothing - these are normal findings b. monitor both mom and baby closely due to elevated heart rates c. call the physician to inform her of your findings d. begin CPR immediately - a. do nothing - these are normal findings What is the normal range of heart rate in adults? - 60-100 beats/minute Your patient's respiratory rate is 24 breaths/minute. What term would you use to describe this? a. tachypnea b. bradypnea c. apnea d. dyspnea e. orthopnea b. Place the patient- a. tachypnea on a face mask delivering 100% oxygen. When distributing your morning medications, you find your patient apneic. What should you do? a. nothing - this is a normal finding b. check on the patient again in 5 minutes c. begin mouth-to-mouth ventilation d. call the physician after your coffee break - c. begin mouth-to-mouth ventilation Your patient is dyspneic. Which nursing intervention would be most appropriate? a. raise the foot of the bed b. remove all pillows from under the patient's head c. lower the head of the bed d. raise the head of the bed - d. raise the head of the bed What is the normal respiratory rate in adults? - 12-20 breaths/minute In recording a blood pressure of 120/80, the 120 represents the... a. pulse pressure b. force exerted against the arterial wall when the heart is at rest c. force exerted against the arterial wall when the heart is contracting d. use of a correctly-sized blood pressure cuff - c. force exerted against the arterial wall when the heart is contracting

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