Chapter 9 + 10 Flashcards
(31 cards)
What are the 4 assessment techniques?
- Inspection
- Palpitation
- Percussion
- Auscultation
Light palpatation is __-__ cm deep and deep palpatation is using small concentric circles aiming to get __-__ cm deep
1-3cm
3-7cm
What are the different ways to use your hand in palpation technique?
Fingertips- tactile discrimination
Finger and thumb- postion and shape
Dorsum (back) of hand- temperature
Base of fingertips/ulnar surface- vibration
Bimanual palpation- deep palpation
What are our 6 vital signs?
Temperature (t)
Pulse (p)
Respiratory rate (r)
Blood pressure (bp)
Oxygen saturation (Sp02)
Pain assessment
What is the average temperature range for oral
35.8- 37.3*C
What is the average temperature range for tympanic membrane thermometer?
36.5-37.5*C
Where are the 5 places to measure temperature?
Oral
Tympanic
Temporal
Axilla
Rectal
What is a peripheral pulse, why do we located it?
If there’s a pulse at the radial then their must be one at the brachial.
When the heart rate is less then 60bpm it is called ______
When the heart rate is more then 100 we refer to it as _______
Bradycardia
Tachycardia
We rate the force of a pulse on a scale of:
0-3+
When checking for the apical pulse we auscultate to the __________
5th intercostal space at midclavicular line
When someone has less then 10 respiration’s in a minute we refer to is as: ______
When someone has more then 20 respiration’s in a minute we refer to is as _______
Bradypnea
Tachypnea
What are the four things we are assessing when we look at pulse
Rate
Rhythm
Force
Equality
What are the 3 things we are looking at when assessing respiration?
Rate, rhythm, depth
Using a blood pressure cuff that is too small would give you a ______Reading
While using a blood pressure cuff that is too large will give you a ______ reading
False high
False low
Before measure blood pressure we palpate the brachial or radial nerve and estimate systolic blood pressure, we do to to insure we don’t mistake systolic pressure with the _________
Ausculatory gap
What are some considerations you should make when taking vitals from a geriatric patient?
Temperature less reliable indicator—> more likely to be afebrile or hypothermic
Irregular pulse
Radial pulse may real stiff, rigid, and tortuous
Increased respiratory rate
Increased systolic and diastolic due to hardened artery’s
When performing indirect percussion, the stationary finger is struck:
A) at the ulnar surface
B) at the middle joint
C) at the distal interphalangeal joint
D) wherever it is in contact with the skin
C) at the distal interphalangeal joint
The best description of a sound wave obtained by percussion is:
A) the intensity of the sound
B) the number of vibrations per second
C) the length of time the note lingers
D) the overtones of the note
B) the number of vibrations per second
What are the two ends of the stethoscope used for
The bell-> lower pitch noise like murmurs
The diaphragm—> best for higher pitch, heart beat, bowel movement
When inspecting the ear canal, the examiner chooses which speculum for the otoscope?
A) a short, broad one
B) the narrowest for a child
C) the longest for an adult
D) the largest that will comfortably fit
D) the largest that will comfortably fit
A nosocomial infection is one that is acquired:
A) in a hospital setting
B) in a public setting
C) by the fecal-oral route
D) through airborne contaminants
A) in a hospital setting
You enter the room and the infant patient is asleep. The practitioner would best start the examination with:
A) temperature
B) blood pressure
C) heart, lung, and abdomen
D) height and weight
C) heart, lung, and abdomen
List the parameters for prehypertension, stage 1 hypertension, and stage 2 hypertension
Pre hyper tension, diastolic- 80-99, systolic 120-139
Stage 1- 90-99 diastolic, 140-159 systolic
Stage 2- 100+, systolic 160+ systolic
