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Complete FinalReview FUNDAMENTALS

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FINAL EXAM REVIEW!!!! Rasmussen College Associate Degree Nursing Program Exam 1 Study Guide--Fundamentals of Professional Nursing—NU2115—Summer 2015 Content Areas: o Vital Signs (Chapter 19) ... 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 most appropriate for the client  BP on upper arm or thigh. Pulse at the radial site normally. Temp tympanic or rectal preferably; oral, axillary, or temporal is accepted. O2 on unpolished finger.  80/40 rule for bp cuff bladder length 80% of arm, bladder width 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, and Position o When to take an apical pulse  When the radial pulse is irregular, less than 60 or more than 100 beats, cardiac meds, up to 3 yr 1. Pulse for infant is 80-180 2. Newborn respirations is 18-30 3. Medulla Oblongata is control center 4. Cheyne-Stokes: due to head injury, gradual increase in depth of respirations followed by decrease and then a period of apnea. 5. Kussmaul’s: DKA: Deep, rapid; like hyperventilation 6. Hypoventalation: below 12 7. Agonal: couple breaths per minute 8. Signs of Hypoxia: pallor, tachycardia, nasal flaring, adventitious lung sounds, elevated bp 9. Primary hypertension is genetic where as secondary is from things such as obesity 10. Causes of hypotension: loss of blood, dehydration 11. 20/10/20 rule orthos. 20 lower sys, 10 lower dia, 20 higher p [Show More]

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