.png){kind=logo}
SUBSCRIBE
NUR 213 EXAM 7
- What age should blood pressure be obtained for?
Answer older than 3
- Those that are not modifiable such as ethnicity, genetic, and natural hor- monal variations
Answer intrinsic factors
- Factors a client can control to some extent. ex) weight, use of stimulants, stress, and activity
level.
Answer extrinsic factors
- What is normal blood pressure?
Answer less than 120 and less than 80
- What is elevated blood pressure?
Answer 120-129 and less than 80
- What is stage 1 hypertension?
Answer 130-139 or 80-90
- Wha is hypertension stage 2?
Answer 140 or higher OR 90 or higher
- What is a hypertensive crisis?
Answer higher than 180 and/or higher than 120
- Blood pressure is below the expected range, determined by a client's usual baseline.
Manifestations
Answer dizziness, nausea, blurred vision, increased pulse, fatigue Interventions
Answer 1 / 3
SUBSCRIBE
increase fluids, upright position, meds
Answer hypotension
- High blood pressure. Risk for stroke and heart attack. Interventions
Answer exer- cise, stress reduction, low-sodium diet, and weight loss
Answer hypertension
- What is the average pulse?
Answer 60 to 100 beats/min
- A pulse over 100
Answer tachycardia
- A pulse less than 60
Answer bradycardia
- An irregular rhythm. Causes shortness of breath or dizziness
Answer arrythmia
- What are some things to remember when taking BP?
Answer no legs crossed, support arm, inflate 30 mmHg extra, release at rate of 2 mmHg
- When are vitals re-assessed?
Answer 4-8 hours, frequently after surgery
- For a patient who had breast surgery you should never use the arm that had
Answer removal of lymph nodes
- -Drop in BP when patient sits or stands
-Nurse should take BP when patient is lying, siting, and then standings -Can be caused by dehydration, heart failure -Interventions 2 / 3
SUBSCRIBE
Answer increase fluids, compression socks, change positions slowly, elevate head while sleeping, don't sit or stand for too log
Answer Orthostatic hypoten- sion
- A difference between the apical pulse (chest) and a peripheral pulse (radi- al) in 1 minute.
-Causes
Answer aortic rupture, coronary artery disease, or atrial fibrillation.-Two nurses needed; one assesses apical while the other assesses peripher- al.
Answer pulse deficit
- Can a nurse delegate the measure of vital signs to an AP?
Answer yes as long as patient is stable, they must report the measurements to the RN
- When is body temp lowest? When is it highest?
Answer morning, afternoon
- An increase in body temperature
Answer hyperthermia
- A decrease in core body temperature
Answer hypothermia
- What are the sides where temperature can be measured?
Answer oral, tympanic membrane, temporal artery, axillary, and rectal
- Type of electronic thermometer that measures the amount of heat radiating from the tympanic
membrane. Inserted into the ear canal.
Answer tympanic thermome- ter
- Measures temperature through the temporal artery. Considered an accu- rate measurement.
- / 3
.png)