NURS301 Day 2

Question 0

Apnea

Answer 0

Absence of breathing

Question 1

Afebrile

Answer 1

Normal body temp

Question 2

Bell of stethoscope

Answer 2

Low pitch such as murmurs or abdominal sounds

Question 3

Blood pressure

Answer 3

Force of blood against arterial walls

Question 5

Bradycardia

Answer 5

Slow heart rate (less than 60 bpm)

Question 5

Diaphragm of stethoscope

Answer 5

Ausculates high pitched sounds such as apical pulse and respiration

Question 6

Bradypnea

Answer 6

Slow rr (less than 12 bpm)

Question 7

Diastolic pressure

Answer 7

Least amount Of pressure exerted on arterial walls occurring when heart is at rest between ventricular contractions

Question 8

Dyspnea

Answer 8

Difficult or labored breathing

Question 9

Dysrhythmia

Answer 9

Abnormal cardiac rhythm

Synonym is arrhythmia

Question 10

Eupnea

Answer 10

Normal rr

Question 11

Febrile

Answer 11

Fever

Question 13

Hypertension

Answer 13

High bp greater than 140/90

Question 13

Hypothermia

Answer 13

Body temp below normal

Core temp below 95f is an emergency

Question 14

Hypotension

Answer 14

Low bp lower than 110/60

Question 15

Inspiration

Answer 15

Inhale

Question 16

Korotkoff sounds

Answer 16

Lub dub

Question 17

Orthostatic hypotension

Answer 17

Temp fall in bp associated with standing
Synonym is postural hypotension
An increase of 40bpm in pulse or decrease of 30mm Hg is abnormal

Question 18

Orthopnea

Answer 18

Difficult or labored breathing when lying flat

where breathing is easier when pt sits or stands

Question 19

Pulse deficit

Answer 19

Diff between apical and radial pulse rates

Question 20

Pulse pressure

Answer 20

Diff between systolic and diastolic pressures

Question 21

Tachycardia

Answer 21

Rapid hr (greater than 100 bpm)

Question 22

Tachypnea

Answer 22

Abnormally rapid rr (greater than 24 bpm)

Question 23

Systolic pressure

Answer 23

Highest point of pressure on arterial walls when ventricle contracts

Question 24

Adult normal vital signs

Answer 24

P 60-100 bpm R 12-20 bpm Bp 120/80 T 96.2-100.9F

Question 25

Questions to ask before po temp is taken

Answer 25

Have you smoked, chewed gum, eaten or drank recently? If yes, wait 15-30 mins

Question 26

Rr assessments

Answer 26

Rate BPM Depth 0absent, 1+weak, 2+normal, 3+full, 4+bounding Rhythm regular or irregular

Question 27

Cautions for rectal temp

Answer 27

No low platelet count Diarrhea Certain heart disease bc insertion of thermometer may slow hr by stimulating vagus nerve

Question 28

Tympanic temp cautions

Answer 28

Ear ache, drainage. Scarred tympanic membrane | Take temp from ear they've not been lying on

Question 29

Factors affecting rr

Answer 29

``` Exercise Medications Smoking Illness Neurological injury Pain Anxiety ```

Question 30

Signs of rr distress

Answer 30

``` Retractions Nasal flaring Grunting Orthopnea Tachypnea (rapid rr) ```

Question 31

Hyperventilation

Answer 31

Increased rate and depth of rr | Extreme exercise, fear, diabetic ketoacidosis, overdose of aspirin

Question 32

Hypoventilation

Answer 32

Decreased rate and depth of rr, irregular Od of narcotics or anesthetics

Question 33

Cheyne-strokes respirations

Answer 33

Varying depth and rate of breathing followed by periods of apnea. Meningitis, severe brain damage

Question 34

Initial bp reading considerations

Answer 34

Take bp on both arms | Use arm with higher bp for subsequent pressures

Question 35

Are Bp in lower extremities generally higher or lower than upper extremities?

Answer 35

Bp in lower extremities is generally higher than if taken in upper extremities

Question 36

Pulse oximetry

Answer 36

Noninvasive technique measuring arterial hemoglobin saturation of arterial blood 95-100% is normal Less than 85% is worrisome-oxygenation of tissues is inadequate

Question 37

Abnormal pulse ox readings may indicate

Answer 37

``` Ineffective tissue perfusion Impaired gas exchange Ineffective airway clearance Activity intolerance Decreased cardiac output Excess fluid volume Anxiety Risk for aspiration ```

Question 38

Document pulse oximetry readings

Answer 38

Included type of sensor and location Assessment of proximal pulse and capillary refill Pulse oximetry reading Amount of o2 and delivery method if applicable and then a lung assessment

Question 39

Pulse Points

Answer 39

``` Carotid Brachial Radial Femoral Popliteal Dorsalis Pedis Posterior Tibial Apical ```

Question 40

Factors that affect a patients Blood Pressure

Answer 40

age, stress, gender, race, sleep cycles, medications, overall health, quick position changes, blood loss

Question 41

too small of a bp cuff on a patient could give you what kind of reading?

Answer 41

false hypertension

Question 42

too big of a bp cuff on a patient could give you what kind of readying?

Answer 42

false hypotension

Question 43

having the bp cuff too loose could give you what kind of a reading?

Answer 43

false hypertenstion