Mod 3: Pt Intake & Vitals (56%) Flashcards

(54 cards)

1
Q

the PHQ-2 and PHQ-9 both screen for

A

depression

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2
Q

the GAD-7 screens for

A

anxiety

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3
Q

the mini-mental exam assess for

A

dementia/degenerative mental conditions

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4
Q

in phase II of Korotkoff sounds, it sounds like

A

swishing

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5
Q

phase III of Korotkoff sounds sounds like

A

sharp tapping

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6
Q

phase IV of Korotkoff’s sounds sounds like

A

soft/muffled tapping

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7
Q

wrong BP cuff sizes can raise the _____ up to ____

A

systolic and diastolic pressure up to 6.9 mmHg

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8
Q

crossing the legs while taking blood pressure can increase the ____ by _____

A

systolic pressure by 2-8 mmHg

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9
Q

if the arm is above the heart, the BP reading is

A

lowered

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10
Q

if the arm is dangling, the BP reading will

A

be elevated

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11
Q

if the arm is help upright, the BP pressure will

A

increase

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12
Q

t/f: blood volume directly affects BP

A

true

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13
Q

t/f: peripheral resistance can increase BP

A

true

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14
Q

t/f: drinking coffee or smoking within 30 min of a BP measurement can affect the reading

A

true

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15
Q

to do BP on a pt with a one-sided mastectomy, the ma should

A

use the arm not impacted

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16
Q

to do BP on a pt w/a bilateral mastectomy, the MA should

A

use leg

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17
Q

to do BP on a pt w/lymphedema, the MA should

A

use leg

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18
Q

to do BP on a pt with dialysis fistula, the MA should

A

use the arm not affected

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19
Q

what is the normal BP range for 1-3 yr olds

A

90-105/55-70

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20
Q

what is the normal BP range for 3-6 yr olds

A

95-110/60-75

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21
Q

what is the normal BP range for 6-12 yr olds

A

100-120/60-75

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22
Q

what is the normal BP range for kids older than 12 years

A

110-120/60-80

23
Q

what is the range for elevated BP

A

systolic 120-139 OR diastolic < 80

24
Q

what is the range for hypertension stage 1

A

systolic 130-139 OR diastolic 80-89

25
what is the range for hypertension stage 2
systolic of at least 140 OR diastolic of at least 90
26
what is the range for hypertensive crisis
systolic higher than 180 OR diastolic greater than 120
27
what are some causes of orthostatic hypotension
dehydration, heart disease, diabetes, some medications, nervous system disorders
28
with orthostatic hypotension, the pulse often
increases
29
how does CDC recommend measuring BP for a pt w/orthostatic hypotension
- lie down 5 min, measure BP and pulse - stand and wait 1 min before measuring BP & pulse - keep pt standing & repeat measurements after 3 min
30
what are other locations to measure the pulse beside the radial, brachial, and carotid sites
temporal, femoral, popliteal, posterior tibial, and dorsalis pedis
31
apical pulse is typically measured in pts who are
children, infants, or adults w/irregular beats
32
what is the normal pulse range for 1-12 month olds
100-180
33
what is the normal pulse range for 1-2 yrs
98-140
34
what is the normal pulse range for 3-5 yrs
80-120
35
what is the normal pulse range for 6-15 yr olds
75-118
36
what is the normal pulse range for pts older than 15 years
60-100
37
what is the difference between hyperventilation and hyperpnea
hyperventilation = fast/rapid breathing hyperpnea = excessively deep breathing
38
define RALES
small clicking, bubbling, or rattling sounds
39
rales can be caused by
fluid in air sacs or pneumonia
40
rhonchi can be caused by
COPD, chronic bronchitis, and pneumonia
41
define rhonchi
large airway sounds
42
what is the normal respiratory range for 1-12 month olds
30-53
43
what is the normal respiratory range for 1-2 yr olds
22-37
44
what is the normal respiratory range for 6-15 yr olds
18-25
45
what is the normal respiratory range for adults
12-20
46
axillary temperatures are typically ____ than oral temp
1 degree F (0.6 C) lower
47
tympanic, rectal, and temporal artery temperatures are typically ___ than oral readings
1 degree F (0.6 C) higher
48
growth charts (with head circumference) are used until
3 years
49
a normal or healthy weight on the growth chart is generally
between 5th & 85th percentile
50
BMI between 18.5 and 24.9 is considered
normal
51
BMI greater than 24.9 and less than 30 is
overweight
52
BMI greater than 30 is
obese
53
what are factors that affect vitals
drinking hot or cold drink, anxiety, smoking, exertion, age, pain, illness, beta-blocker medication
54