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Flashcards in Study Guides test 1 Deck (54)
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1

This palpation to text service characteristic in a custom the person to be touched

Light palpation

2

Use relaxation techniques such as imaginary or deep breathing, altering pressure is better than one long continuous palpation avoid any situation in which the palpation could be causing internal injury or pain

Deep palpation

3

Requires the use of both of your hands to capture certain body parts such as organs kidneys uterus

Bimamual palpation

4

Part of stethoscope used for low frequency sounds

Traditional bell mode- press light on skin

5

Part of stethoscope for high frequency sounds

Traditional diaphragm mode - press firm on skin

6

Environmental conditions to consider for exam setting

Warm and comfortable, quiet, private, well lit

No distractions, noises, radio or television

Natural lighting is best

Position examination table so side of the person are easily accessible, The table should be at a height which you can stand without stooping and raise the persons head up 45°

Use a bedside stand for your equipment

7

Define the 4 physical examination skills?

inspection is concentrate and watching

Palpation confirms points that you noted during inspection Texter temperature and moisture swelling vibration pulsation rigidity lumps masses tenderness pain

Percussionist have been the person skin with short sharp stroke

Ask elation is listening to sounds produced by the body such as the heart and blood vessels in the lungs and abdomen

8

Part of hand beat for detecting vibration

ulnar surface of the hand

9

Where the stationary finger is struck when performing indirect percussion?

At the distal interphalangeal joint

10

Which assessment technique will you use first?

Inspection

11

How should the nurse assess abdomen by palpation ?

Start with light to detect surface characteristics and to accustom the client to being touched

12

When the examiner enters the room and the infant is sleeping , what to do first ?

Heart, lungs, abdomen infection

13

What’s the best description of the pitch of a sounds wave obtained by percussion

The number of vibrations per second

14

Factors that affect bp

Age
Race
Diurnal rhythm
Weight
Exercise
Emotions
Stress

15

Gait is as wide as what?

Shoulder width

16

Normal oral temp ranges from what?? but depends on?

96.4-99.1

Age

17

How to know the cuff is the right size for patient arm?

Make sure width is 40% of the arm

18

Best way to determine how far to inflate bp cuff ?

Palpate radial pulse while inflating , when non palpable add 30 above

19

Process of nociception

Transduction
Transmission
Perception
Modulation

20

The pain message is inhibited

Modulation

21

Signifies the conscious awareness of a painful sensation

Perception

22

The pain impulse moves from the level of the spinal cord to the brain

Transmission

23

Noxious stimulus In the form of Trumatic or chemical injury, burn, incision, or tumor it takes place in the periphery

Transduction

24

Pain but does not adhere to the typical and predictable phases. Often after injury heals

Neuropathic pain

25

Develops when functioning and intact nerve fibers in the periphery in CNS are stimulated which can be divided into four phases: trans duction, transmission, perception, modulation

Nociceptive pain

26

Most reliable indicator of pain ?

Subjective data- what the patient says

27

Facial pain scale for kids

Wong baker scale

28

At risk for if pain is not controlled

Atelectasis (collapses lung )

Increase heart o2 demand

Impaired wound healing

29

CRIES is an appropriate assessment tool for?

Preterm and neonates

assesses crying, oxygenation, vital signs, facial expression, and sleeplessness

Based on objective and observations

30

What are the cause with organic brain disorders?

Due to brain disease of known specific organic cause such as dementia or alcohol or drugs

31

What is the cause of mental disorders and how is it different than organic brain disorders

No organic origin has been established, anxiety disorder or Schizophrenia

32

Percent of Americans age 12 and up report being current alcohol drinkers?? And binge drinkers age 18-25 (5 drinks and up)

52% report drinking

40% are binge drinkers

33

What does AUDIT assesment do?

Helps to detect list of year and alcohol abuse such as consumption, drinking behavior, dependent, adverse consequences, and primary care setting

34

What does AUDIT c assessment do?

Heavy drinking and active alcohol abuse. Helps discriminate to be at risk from low risk and a cute critical care units

35

What does CAGE assessment do?

Test for lifetime alcohol abuse the primary care setting. Does not distinguish pass problem I’m active present problems. This is less effective with women

36

Effects of alcohol can cause what diseases or conditions?

Increases the risk of breast cancer

Liver cirrhosis

Hypertension and constricted blood vessels

Cardiomyopathy diabetes mellitus

37

What are the most common physical health problems that result from intimate partner violence

Blunt force injury or being struck by a hand

This can result in neurologic, gastrointestinal, gynecologic symptoms and chronic pain

38

What are the most common mental health problems that result from intimate partner violence

Depression, suicide, PTSD, substance abuse

39

What is the difference between abuse and neglect

Abuse can be psychological, emotional, sexual, or physical which can result in injury, pain, impairment, or Disease

Neglect is failure to provide basic needs and or services such as shoulder, healthcare, or medications

40

Which assessment shows the ability to lay down new memories?

Use of the four unrelated words test

41

A way to assess cognitive function and screen dementia ?

Mini cog

42

How to describe appearance of a client

example: Note posture, activity, dress, hygiene, cleanliness

43

Major characteristic of dementia

Impairment of short and long-term memory

44

With normal aging, it may take one longer to do something but what should not decline ?

General knowledge and abilities

45

What is a risk factor for intimate partner homicide (killing)

Abuse during pregnancy

46

What to routine give when evaluating a case of elder abuse

Baseline lab tests

47

Errors that may occur with 24 hour food recall

May not remember

Pt intake maybe abnormal from normal intake

Patient may lie for variety of reasons

Snack items and condiments maybe under reported

48

How can drugs interfere with nutrition?

Can affect digestion, Absorption, metabolism, or uptake

49

Purpose of a health hx ?

To provide a database of subjective information about the clients past and present health

50

At what age should the interviewer begin to question a child regarding presenting symptoms

7 years

51

What is personal space considered ?

11/2 to 4 feet

52

What not to use with aldolecents in interviews

Silence and reflection

53

Only use touch in interview when?

If interviewer knows the client well

54

10 traps of interviewing

Giving False assurance

Giving unwanted advice

Using authority

Avoidance language

Distancing

leading or biased questions

Professional jargon (how speak )

Talking too much

Interrupting

Asking why questions