Lecture #3 Patient Assessment

Question 1

It aid in clearing the airway of secretions

Answer 1

Cough

Question 2

What are the 2 types of cough?

Answer 2

Productive and Non-productive

Question 3

What sputum color indicates Pseudomonas Infection?

Answer 3

Green and foul smelling

Question 4

The patient’s complaint of difficult or labored
breathing?

Answer 4

Dyspnea

Question 5

SOB in lying down?

Answer 5

Orthopnea

Question 6

SOB in sitting up?

Answer 6

Platypnea

Question 7

SOB in right or left lateral position?

Answer 7

Trepopnea

Question 8

Is sudden onset of shortness of breath
after being in bed for several hours?

Answer 8

Paroxysmal Nocturnal Dyspnea

Question 9

Its severity is determined by the amount of exertion. It is often seen in patients with cardiopulmonary
disease.

Answer 9

Exertional dyspnea

Question 10

Coughing up blood from the respiratory tract.

Answer 10

Hemoptysis

Question 11

Types of hemoptysis

Answer 11

Frank
Massive
Non-massive

Question 12

Types of Chest Pain

Answer 12

Pleuritic
Non-pleuritic

Question 13

Most common source of chest pain?

Answer 13

Thoracic wall

Question 14

A form of obtaining objective data that involves the use of one’s sense to obtain information about the
structure and function of an area being observed or manipulated.

Answer 14

Assessment

Question 15

4 basic techniques of assessment

Answer 15

Inspection
Palpation
Percussion
Auscultation

Question 16

2 Considerations of Assessment

Answer 16

Positioning
Draping

Question 17

Under Initial Impression

Answer 17

General appearance
Mental status

Question 18

Under assessment of mental status

Answer 18

Level of consciousness
Glasgow Coma Scale

Question 19

Measures of various
physiologicalstatistics, often taken by health professionals, in order to asses the most basic body function.

Answer 19

Vital Signs

Question 20

Vital Signs is also called?

Answer 20

Cardinal Signs

Question 21

•It is the balance between the heat
produced by the body and the heat lost from the body.

Answer 21

Temperature

Question 22

Types of temperature?

Answer 22

Core temperature
Surface temperature

Question 23

Normal range of body temperature

Answer 23

36 - 37 degree celsius or
96.8 - 98.6 fahrenheit

Question 24

3 to 5 minutes in place
This site is inconvenient for
1. unconscious patients,
2. infants and children, and
3. patients with ulcer or sore of the
mouth,
4. pts with persistent cough.

Answer 24

Oral route

Question 25

Insert in rotating motion in Rectal route

Answer 25

Adult - 1 & 1/2 inches Child - 1 inch Infant - 1/2 inch

Question 26

Is considered the least accurate & least reliable of all the sites because the temp obtained using this route can be influenced by a number of factors e.g. bathing & friction during cleaning

Answer 26

Axillary

Question 27

Axillary route time?

Answer 27

5-10 min.

Question 28

Tympanic time?

Answer 28

1-2 seconds

Question 29

•It is a wave of blood created by contraction of the left ventricle of the heart.

Answer 29

Pulse

Question 30

Pulse rate is expressed in?

Answer 30

Breaths per minute (bpm)

Question 31

It is the act of breathing; it includes the intake of oxygen and output of carbon dioxide.

Answer 31

Respiration

Question 32

This is the measure* of the force blood exerts against the blood vessel walls.

Answer 32

Blood pressure

Question 33

Maximum venticular contraction

Answer 33

Systolic

Question 34

Minimum ventricular relaxation

Answer 34

Diastolic

Question 35

Stages of hypertension

Answer 35

(Prehypertension) Systolic Bp 120-139 mmHg (Stage 1) Systolic Bp 140-159 mmHg or Diastolic Bp 90-99 mmHg (Stage 2) Systolic Bp 160 mmHg or Diastolic Bp 100 mmHg

Question 36

The percent of all hemoglobin binding sites that are occupied by oxygen.

Answer 36

Osygen saturation

Question 37

Normal O2 saturation

Answer 37

93-100%

Question 38

Normal Vital signs for adults

Answer 38

HEART RATE/PULSE RATE (60-100 beats/min) RESPIRATORY RATE (12-20 breaths/min) BLOOD PRESSURE (120/80 mmHg) TEMPERATURE (98.6 fahrenheit or 37 degree celsius) OXYGEN SATURATION ( >93 %)

Question 39

The normal rate and depth of respirations

Answer 39

Eupnea

Question 40

Normal Respiratory rates

Answer 40

Adult (12-20 breaths/min) Children (15-25 breaths/min) Infant (35-45 breaths/min) can go up to 70 with excitement

Question 41

Less than the normal respiratory rate. May be seen with respiratory center depression caused by head trauma or drug overdose.

Answer 41

Bradypnea

Question 42

Absence of breathing for a specific period of time (usually at least 10 seconds).

Answer 42

Apnea

Question 43

Faster than the normal respiratory rate but with the normal depth of breathing.

Answer 43

Tachypnea

Question 44

Shallow respirations (about half of normal depth) with slower than normal respiratory rate.

Answer 44

Hypopnea

Question 45

A deep, rapid, and labored breathing. Associated with conditions in which there is an inadequate O2 supply, such as cardiac and respiratory diseases.

Answer 45

Hyperpnea

Question 46

Hyperpnea is usually refers to ?

Answer 46

Hyperventilation

Question 47

increased rate and depth of breathing. Usually seen in patients with severe metabolic acidosis (diabetic ketoacidosis).

Answer 47

Kussmaul respiration

Question 48

An irregular breathing pattern characterized by short periods of deep, consistent volumes with periods of apnea. The apneic period may last 10 to 30 seconds.

Answer 48

Biot respiration

Question 49

A deep, rapid breathing followed by apnea. The breaths begin slowly and shallowly and gradually increase to above normal volume and rate, then gradually diminish in volume and rate, followed by apnea. Apnea may last 10 to 20 seconds before the cycle is repeated.

Answer 49

Cheyne-Strokes respiration

Question 50

Concave curvature of the spine, resulting in a “hunchback” appearance. It is best assessed from an anterior view.

Answer 50

Kyphosis

Question 51

Backward curvature of the lumbar spine, resulting in a “swayback” appearance.

Answer 51

Lordosis

Question 52

Lateral curvature of the thoracic spine, resulting in chest protrusion posteriorly and the anterior ribs flattening out. Chest protrudes on right or left side.

Answer 52

Scoliosis

Question 53

Combination of kyphosis and scoliosis. May be most adequately observed by noticing different heights of the shoulders.

Answer 53

Kyphoscoliosis

Question 54

Funnel Chest and Pigeon breast

Answer 54

Pectus Carinatum Pectus Excavatum