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1030 Fundamental > Baseline assessment > Flashcards

Baseline assessment Flashcards

(59 cards)

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1
Q

What does Comprehensive assessment include?

A
  • Physical assessment (more objective)
  • Health History Assessment (more subjective)
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2
Q

What part of the assessment can a UAP (unlicensed assistive personnel) do?

A
  • vital signs
  • pain report
  • blood glucose
  • HT and WT
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3
Q

What are the types of assessments?

A
  • Comprehensive physical assessment
  • Focused physical assessment
  • System-specific assessment
  • Ongoing assessment
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4
Q

Who does the comprehensive physical assessment?

A

Usually the RN

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5
Q

Who is resposible for doing the Ongoing assessment?

A

LPN and RN

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6
Q

How do you prepare for a physical examination?

A

1) prepare yourself (knowledge)
2) Prepare the environment
3) Prepare the pt.

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7
Q

What things do you need to do to prepare the environment?

A

1) Privacy
2) Sound and lighting
3) Supplies

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8
Q
A
  • TIming
  • Rapport
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9
Q

What kind of modifications do you need to do for an infant?

A

Have the parent hold the baby

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10
Q

What modifications do you need for Toddlers

A
  • Give choices
  • Praise
  • Include parents
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11
Q

What modifications do you need for school age?

A
  • Develop rapport
  • Demonstrate equipment
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12
Q

What modifications do you need for Adolescents?

A
  • Privacy
  • Behavior influenced by peers
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13
Q

Define Standing.

A

Upright posture w/ both feet flat on the floor

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14
Q

Define sitting

A

Upright at side of be or exam table

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15
Q

What position would you have someone in if you are wanting to examin their stomach?

A

Supine

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16
Q

What position do you have the pt in to exam the pt’s head and neck, chest cardiovascular system, breasts and assess vital signs.

A

Sitting

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17
Q

Define Auscultation.

A

Listening

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18
Q

Define percussion

A

touch

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19
Q

What does I.P.P.A.Q. mean

A

Inspect
Palpate
Percuss
Auscultate
Question

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20
Q

What is a normal pulse range

A

60-100 beats/min

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21
Q

What is the normal range for Respirations?

A

12-20 breahs/min

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22
Q

What is the normal range for BP Systolic

A

100-119

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23
Q

What is the normal range for Diastolic BP

A

60-80

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24
Q

Define papation.

Study These Flashcards
A
  • Use of touch
  • Used to evaluate
  • Examine areas of discomfort last
25
How do you assess skin temp during palation?
Use the dorsal part of hand
26
What are you evaluating for during palpation?
- Temp - Skin texture - Moisture - Anatomical landmarks - Abnormalities
27
What do you exam last during palpation
The area of pain
28
Who does the percussion exam?
Usually done by advanced practice health care providers.
29
Define Auscultation
- Use of hearing to collect data
30
Define direct auscultation.
Listening without a tool
31
Define Indirect auscultation
Listening w/ a stethoscope
32
What do you listen to on the Diaphragm on the stethoscope?
- High pitched sounds - Heart, lungs, bowel
33
What do you listen to on the Bell of a stethoscope.
- Low pitched sounds - Murmurs and bruits
34
When do you use olfaction to gather data.
- Alcohol - Urine - Fruity breath - Clostridium difficile - Infection
35
Describe a Comprehensive Physical assessment.
- Head to toe - Body systems approach - Includes the physical assessment and health hx.
36
Describe a Focused physical assessment.
-Focus on the problem - Narrow approach
37
Define a system-specific assessment.
- Focused - Specific body system
38
Define an ongoing assessment.
- As needed - Mini assessments every time you encounter the pt.
39
What is the purpose of the Initial assessment?
- Are related to the pt's reason for seeking nursing or medical assistance - Provides guidance for care - Help determine need for further assessment
40
When does a nurse perform an initial assessment
Completed when the pt first comes to healthcare agency.
41
When is an Ongoing assessment performed?
-Performed as needed, at any time after the initial database is completed.
42
What are the data points on an Ongoing assessment?
- Help identify new problems - Follow up on previously identified problems.
43
What do data points reflect w/ examples.
The ever-changing state of the client - Vital signs may change rapidly, which is an important indicator of developing or resolving health problems.
44
What modifications does a nurse make for a preschooler?
- Allow child to help - Reassure - Compliment
45
What modifications does a nurse make for Elderly people?
- Limit position changes - Assess pt. support systems
46
Define the supine position
- It includes Fowler's and semi-Fowler's - Lying flat on the back w/ arms and legs fully extended.
47
Define the Dorsal Recumbent position
Supine with knees flexed
48
Define the Sim's position.
Flexion of the hip and knees in a side-lying position
49
Define the Prone positiion
Lying on stomach.
50
When can a Prone position be used?
Can be used to examine the musculoskeletal system and the back and buttocks.
51
When would you use the Dorsal recumbent position.
- Used to assess the abdomen if the pt is experiencing abdominal or pelvic pain. - Position for Foley insertion.
52
When would you use the Sim's postion?
Used to examine the rectal area and for insertion of an enema -Do not use if the pt has a total hip replacement.
53
When would you use the Supine position?
Used to assess the abdomen, breasts, extremities, and pulses. - If pt experiences SOB, raise the HOB
54
What happens during the physical assessment?
Using our senses/techniques to gather objective data about the body
55
When does the inspection general survey start/ what do you use?
- Use of sight - Observation and visual examination - Starts as soon as you encounter the pt. - Equipment: Otoscope, penlight, ophthalmoscope.
56
What are the general characteristics you would observe during an inspection?
- Vital signs - Age, gender, race - Body type and posture - Gait - Speech patterns - Mental state and affect - Grooming/hygiene
57
What is the normal rage for Oral/tympanic temp?
98-98.6 36.7 - 37
58
What is the normal range for Rectal/temporal temp?
99-99.6 37.2 - 37.6
59

1030 Fundamental (4 decks)

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