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NR 302 final review

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erythema white skin is redness of the skin produced by capillary congestion objective data measurable data, for example vital signs after completing an initial assessment on a pt, the ... nurse charts, vital signs as temp of 100.1 oral, apical HR 98 irregular, RR 24 shallow, B/P 128/90, pulse ox of 90% on RA, what are you worried about oxygenation, infection, activity intolerance, capillary refill greater than 3 seconds during assessment of the lower extremities of a male patient the nurse is unable to palpate the dorsalis pedis pulse, what action should the nurse take first reposition the fingers and assess again what is a Doppler? is a test that uses high frequency sound waves (ultrasound) to measure the amount of blood flow through your arteries and veins, usually those that supply blood to your arms and legs an example of objective data obtained during the physical assessment includes audible and auscultated inspiratory wheeze, 2x2 cm stage 1 pressure ulcer on right ankle, crackles that clear with cough audible vs. ausculated auscultated is hearing through stethoscope while audible is heard within the room what does clears with cough mean hear normal sounds after patient coughs level of consciousness objective data, alert, lethargic, stuporons, and comatose orientation x 4 person, place, time, situation a mother is at the clinic with her 2 year old son, "he wont go to sleep at night and during the day he has several fits" I get so upset when this happens, the nurses best verbal response would be to clarify and get more information, fits?, tell me [Show More]

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