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Nursing Foundations 102 > Module 2 Dr. Hill > Flashcards

Module 2 Dr. Hill Flashcards

(85 cards)

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1
Q

If a patient is drinking something prior to taking temperature, what temperature should you take and how long should you wait?

A

Axillary (arm pit) and 30 mins

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2
Q

This is an ABNORMAL finding when assessing the heart and it narrows the blood vessel, creates turbulence, and causes blowing/swishing sound!

A

Carotid bruit

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3
Q

Should you report a Carotid Bruit to the HCP?

A

Yes because it is an abnormal finding

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4
Q

When should you use the rectal temperature?

A

ONLY when other options are not acceptable for the condition of the patient.

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5
Q

Should patients know when you are assessing respirations?

A

NO

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6
Q

If a patient doesn’t speak your native language (English) what should you do?

A

Have an interpreter

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7
Q

What should you do if a patient’s radial pulse is abnormal?

A

Check the apical pulse for one full minute

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8
Q

______ and ______ can cause blood pressure to increase temporarily.

A

Smoking and cafffeine

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9
Q

What should you give a patient who has fever and is restless?

A

Oxygen

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10
Q

What should you never assess at the same time?

A

The carotid arteries

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11
Q

Where do you assess the dorsal pedal pulse?

A

the top of the foot

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12
Q

Where do you assess the popliteal pulse?

A

The bend of the knee (back part)

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13
Q

If you are assessing a 2 year old’s tympanic membrane, how do you position the ear?

A

down and back

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14
Q

What is the normal assessment of pupils when performing an exam?

A

Pupils clear, equal, round, and reactive to light

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15
Q

What are signs and symptoms of diabetic patients?

A

Fruity breath

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16
Q

What is the acceptable range for an adult when assessing PULSE RATE?

A

60-100

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17
Q

What is the normal range for temperature when assessing an adult?

A

96.8 to 100.4 average 98.6

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18
Q

If a patient is experiencing blood loss, what happens to their heart rate and blood pressure?

A

Heart rate increases and blood pressure decreases

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19
Q

Does fever increase heart rate?

A

yes

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20
Q

A _______ heart will have a lower heart rate at rest. And it is NORMAL for them. (football player, people who are active)

A

Conditioned

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21
Q

What is hypoxemia?

A

low blood level of oxygen

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22
Q

What is the normal range for an O2 saturation in an adult?

A

95 to 100 but low is considered less than 90

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23
Q

shallow breathing can cause what?

A

pneumonia

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24
Q

Pulse pressure needs to be between ___ to ___

A

40 to 60

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25
How do you calculate pulse pressure?
By subtracting the systolic and diastolic pressure
26
this is less than 12 breaths/min
bradypnea
27
this is less than 60 beats/min
bradycardia
28
this is more than 22 breaths/min, theyre breathing fast
tachypnea
29
hypoventilation is when respiratory rate is abnormally ___ and depth is depressed
low
30
hyperventilation is when the rate and depth of respirations _____
increase
31
This is when respirations stop for several seconds
apnea
32
A normal blood pressure for an adult is ....
less than 120/80
33
atherosclerosis is when fatty deposit is built up in artery and what can it do to pulse pressure?
increase
34
An O2 saturation of less than 86 should be assessed when?
first
35
what do opiod analgesics cause peoples respirations to do after they have taken them?
Decrease in respiration
36
What is a reading for a patient who is PRE HYPERtensive?
systolic 120 to 139 and diastolic 80 to 89
37
What is a reading for a patient who is Stage 1 HYPERtensive?
systolic 140 to 159 and diastolic 90 to 99
38
What is a reading for a patient who is Stage 2 HYPERtensive?
systolic greater than or equal to 160 and diastolic greater than or equal to 100
39
Can UAP's ambulate patients if they are being discharged home?
Yes
40
If a patient was having respirations of 8 breaths/minute what would be needed?
Immediate follow-up
41
Can a UAP perform vital signs on a stable patient?
Yes
42
What are some UAP duties?
Raise head of bed, empty urinal, place patient on a bed pan, feed patients, report any unusual observations, assist the RN or LPN, ambulate patients being discharged
43
If a patient is experiencing dyspnea, what position do you place them in?
Semi-Fowlers
44
What should the nurse do if the UAP gets abnormal blood pressure reading?
Follow up and do their own assessment
45
What is the position you should place your patient in for a vaginal exam?
Lithotomy
46
pyrexia means...
fever
47
afebrile means...
they do NOT have fever
48
Hypertension is more or less common than hypotension?
more common
49
_____ elevate body temperature
pyrogens
50
Pain increases/decreases blood pressure, heart rate, and respiratory rate
INCREASES
51
If a patient does not have insurance, how much oxygen can you give them for free?
2 liters
52
Tachypenic means they are breathing too slow/fast?
fast
53
What does an antipyretic do? Like acetaminophen
Temperature reducer
54
Does body weight have an effect on temperature? If so, how or why?
Yes because as people get older, they lose sub-q tissue.
55
How long should you wait to retake blood pressure?
2 to 3 minutes
56
The best site to obtain a body core temperature is...
rectal
57
This process occurs when heat loss mechanisms are unable to keep up with EXCESS HEAT production...
fever
58
An abnormally elevated body temperature greater than 101.5
Hyperthermia
59
You cannot give ____ to children because it causes a condition called ryes syndrome
aspirin
60
This is when your body temperature is less than 95
Hypothermia
61
For the elderly population this range of temperature is normal....
95-97
62
Capillary refill needs to be
less than 3 seconds
63
Why do we use a lateral downward position when assessing the thorax?
It provides a full expansion of the lungs
64
What are lung sounds called that are high pitched and musical? This is an ABNORMAL lung sound
Wheezing
65
this lung sound is NORMAL soft, breezy, and low pitched (created by air moving through small airways)
vesicular
66
This is a NORMAL lung sound that is blowing sounds that are medium pitched (air moving through large airways)
bronchovesicular
67
This is a NORMAL lung sound that is high-pitched w/ hollow quality (air moving through trachea, close to chest wall)
Bronchial
68
This is an ABNORMAL lung sound that is lung bases and does not clear with cough.
Crackles or rales
69
This is an ABNORMAL lung sound that is cleared by cough and is a sonorous wheeze
Rhonchi
70
This is an ABNORMAL lung sound that is a dry or grating and rubbing sound
Pleural friction rub
71
This is when fluid gets outside the vessel
peripheral edema
72
Vital signs are before or after the general survey?
after
73
what is bleeding under the skin called?
petechiae
74
Bleb or Wheal is ______ under the skin to see if you have a reaction to it. (TB test)
medicine
75
Skin that is indented 6 mm / +3 is what type of edema?
Moderate pitting edema
76
This is when Blood Pressure DROPS because a client changes positions from lying to sitting, or standing or from peripheral vasodilation, medication adverse effect, fluid depletion, or anemia.
orthostatic hypotension
77
Dizziness, weakness, and fainting are signs and symptoms of what?
orthostatic hypotension
78
If a patient is clubbing that indicates
respiratory problems
79
An orthostatic hypotension patient should or should not be delegated?
SHOULD NOT
80
How do you perform an assessment on a patient with orthostatic hypotension?
place patient in sitting position if dizzy, obtain in supine, sitting, and standing, check 1 to 3 minutes apart
81
Use oxygen cautiously in COPD patients because they can develop oxygen toxicity and high carbon dioxide levels called
hypercapnia
82
What are some indications of an increased heart rate?
PAIN LEVEL OF 10!!! , running, fever, climbing up stairs
83
What is done to assess the postoperative circulation of the lower extremities
dorsal pedal pulse
84
what are the signs and symptoms of fever?
oxygen consumption rises, heart and respiratory rates increase, sweating, chills and shivering, headaches, muscle aches.
85
what are some signs and symptoms of poor skin turgor?
skins stays pinched or indented or moves back slowly

Nursing Foundations 102 (4 decks)

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