General Survey, Measurement, Vital Signs (Chapter 9 and 10)

Question 1

what is a general survey

Answer 1

looking/inspecting at the general state of health and obvious physical characteristics of a person

Question 2

dysarthria

Answer 2

difficulty speaking caused by brain damage, which results in an inability to control the muscles used in speech

Question 3

dysphonia

Answer 3

difficulty in speaking due to a physical disorder of the mouth, tongue, throat, or vocal cords

Question 4

aphasia

Answer 4

loss of ability to understand or express speech, caused by brain damage.

Question 5

global aphasia

Answer 5

most severe form of aphasia
all languages modulates are affected
brain damage to multiple language centers

Question 6

expressive aphasia

Answer 6

broca
may eliminate ‘and’ & ‘but’ & speak in short meaningful sentences

Question 7

receptive aphasia

Answer 7

wernickes
able to speak well and use long sentences but what they say do not make sense

Question 8

what are general survey 4 components

Answer 8

physical appearance
body structure
mobility
behavior

Question 9

what make up physical apperence

Answer 9

age
sex
level of consciousness
skin color
facial features

Question 10

what makes up body structure

Answer 10

stature
nutrition
symmetry
posture
position
body build, contour

Question 11

what make up mobility

Answer 11

gait
range of motion

Question 12

what make up behavior

Answer 12

facial expression
mood and affect
speech
dress
personal hygiene

Question 13

what category does posture belong to

physical appearance
body structure
mobility
behavior

Answer 13

body structure

Question 14

what category does level of consciousness belong to

physical appearance
body structure
mobility
behavior

Answer 14

physical appearance

Question 15

what category does speech belong to

physical appearance
body structure
mobility
behavior

Answer 15

behavior

Question 16

what category does personal hygiene belong to

physical appearance
body structure
mobility
behavior

Answer 16

behavior

Question 17

what category does gait belong to

physical appearance
body structure
mobility
behavior

Answer 17

mobility

Question 18

what category does nutrition belong to

physical appearance
body structure
mobility
behavior

Answer 18

body structure

Question 19

what category does facial expression belong to

physical appearance
body structure
mobility
behavior

Answer 19

behavior

Question 20

what is the normal temp range for adults

Answer 20

35.8-37.3 (96.4-99.1)

Question 21

what routes are appropriate for assessing temp

Answer 21

oral, rectal, tympanic, axillary, temporal

Question 22

is axillary one temp below or above oral

Answer 22

below

Question 23

is rectal one temp higher or lower than oral

Answer 23

higher

Question 24

what is normal stroke volume

Answer 24

70 ml

Question 25

how long should apical pulse be taken

Answer 25

1 min

Question 26

peripheral pulses should be taken for how long if normal

Answer 26

30 sec

Question 27

peripheral pulses should be taken for how long if abnormal

Answer 27

1 min

Question 28

when would you listen to apical pulse

Answer 28

when peripheral pulses are irregular or abnormal

Question 29

if the site of pulse is not documented it is assumed it is taken where

Answer 29

radial artery

Question 30

if the site of temp is not documented it is assumed it is taken where

Answer 30

oral

Question 31

the force of pulse is graded on scale from _ to _

Answer 31

0-3

Question 32

what number is considered normal for a pulse

Answer 32

+2

Question 33

a pulse is weak and thready what number is it

Answer 33

+1

Question 34

a pulse is absent what number is it

Answer 34

0

Question 35

a pulse is bounding what number is it

Answer 35

+3

Question 36

what is contained when reporting a pulse

Answer 36

BMP, scale, regular/irregular

Question 37

normal adult pulse rate

Answer 37

60-100 bmp

Question 38

what is considered bradycardia

Answer 38

<50 bmp

Question 39

what is considered tachycardia

Answer 39

>95-100 bmp

Question 40

would a long distance runner have a high or low heart rate

Answer 40

low

Question 41

1 breath consists of - 1 insipiration - 1 exhalation - 1 inspiration and 1 exhalation

Answer 41

1 inspiration and 1 exhalation

Question 42

how long do you count respiratory rate if normal

Answer 42

30 seconds

Question 43

how long do you count respiratory rate if abnormal

Answer 43

1 min

Question 44

do you or do you not let the patient know you are counting respirations

Answer 44

do not

Question 45

what is the normal adult respiratory rate

Answer 45

10-20/min

Question 46

pulse ox is used to measure what

Answer 46

saturation of oxygen

Question 47

what is the normal range for pulse ox

Answer 47

97-99%

Question 48

what situations could be affecting oxygen saturation

Answer 48

anemia, lung disease, heart disease

Question 49

systolic

Answer 49

blood pushing against the vessel wall maximum pressure felt on artery during left ventricular contraction

Question 50

diastolic

Answer 50

resting blood pressure is pressure against the vessel wall between contractions when heart is resting

Question 51

what phase lasts longer diastolic or systolic

Answer 51

diastole

Question 52

how do you find pulse pressure

Answer 52

difference between systolic and diastolic blood pressure

Question 53

adult normal BP

Answer 53

<120/80

Question 54

hypertension BP

Answer 54

120-129/<80

Question 55

what is orthostatic hypotension

Answer 55

drop in blood pressure when standing up

Question 56

what numbers classify orthostatic hypotension

Answer 56

systolic drop in >20 diastolic drop in >10

Question 57

if the blood pressure drops in orthostatic pressure what will happen to the pulse/heart rate

Answer 57

increase in pulse >20bmp when changing to standing position

Question 58

what is the correct order to take blood pressure with a patient you suspect has orthostatic hypotension

Answer 58

lying sitting standing

Question 59

what are common causes of orthostatic changes BP

Answer 59

fluid loss aging and related vascular changes bedrest changes blood pressure medication

Question 60

is orthostatic hypotension temporary or permanent

Answer 60

can be either

Question 61

why would we take blood pressure in leg

Answer 61

bilateral mastectomy lymphdema fistula blood clot amputation

Question 62

what is considered an abnormal difference in limbs for blood pressure

Answer 62

30-40

Question 63

what are common errors with blood pressure assessment

Answer 63

arm placement patient holds arm up legs are crossed examiner eyes not level with manometer or meniscus incorrect cuff size failure to palpate for level of inflation deflate too fast or too slow stopping during descent and then reinflating failure to wait 1-2 mins between reading

Question 64

what is the first korotkoff sound

Answer 64

systolic number first clear audible tapping sound

Question 65

korotkoff V sound

Answer 65

diastolic number silence last audible is heard before silence