Week 2 Health Assessment

Question 1

Inspiration
Ribcage ___ as rib muscles____

Answer 1

Ribcage expands as rib muscles contract

Question 2

Things to assess in airway and respiratory

Answer 2

Rate
Depth
Pattern
Effort

Question 3

Normal average breaths per minute for adult

Answer 3

12 - 20 per minute

Question 4

Normal average oxygen saturation

Answer 4

95 - 100%

Question 5

Process of oxygen saturation

Answer 5

Blood flows through pulmonary capillaries where O2 attaches to BRCs, after O2 diffuses from alveoli into pulmonary blood, where most O2 attaches to haemoglobin.

Question 6

Definition of < 90% SpO2

Answer 6

Hypoxemia

Question 7

Pulse Oximeter

Answer 7

Non invasive method for monitoring SpO2

Question 8

Where can a pulse oximeter be attached?

Answer 8

Finger
Toe
Nose
Earlobe
Forehead

Question 9

Things to assess in pulse

Answer 9

Rate
Rhythm
Strength (amplitude)

Question 10

Normal pulse rate

Answer 10

60 - 100bpm

Question 11

Tachycardia

Answer 11

> 100bpm

Question 12

Bradycardia

Answer 12

<60bpm

Question 13

Blood pressure

Answer 13

Measure of pressure exerted by blood as it flows through arteries

Question 14

Systolic pressure

Answer 14

Pressure as a result of constriction of ventricles

Question 15

Diastolic pressure

Answer 15

Pressure when ventricles relax

Question 16

Normal blood pressure

Answer 16

90-140 / 60-90

Question 17

Should you use a limb with an IV for assessing blood pressure?

Answer 17

No

Question 18

Hypertension

Answer 18

High blood pressure

Question 19

As a result of ___
- Thickening and loss of resistance of heart walls
- Heart pumps with greater resistance
- Decreased blood flow to brain, lungs, and kidneys

Answer 19

Hypertensions (High BP)

Question 20

Hypotension

Answer 20

Low blood pressure

Question 21

As a result of___
- Dilation of vessels
- Blood leaves central organs and moves into periphery

Answer 21

Hypotension

Question 22

Blood pressure is ____ in adolescents

Answer 22

Lower

Question 23

Normal body temperature

Answer 23

36-37.4

Question 24

Temperature <35

Answer 24

Hypothermia

Question 25

Temperature >37.9 to 40

Answer 25

febrile

Question 26

Temperature > 40.6

Answer 26

Hyperthermia

Question 27

Sudden changes in vital signs can indicate___

Answer 27

Life threatening problems

Question 28

Why do we assess vital signs?

Answer 28

- To detect abnormal body system functions - Give baseline - Assess effects of medication

Question 29

When do we assess vital signs?

Answer 29

- Start of shift - Department change - Pt deteriorations - Admission - Medication - When you are concerned

Question 30

Nurses role in vital sign assessment

Answer 30

- Systematically assesses - Understand and interpret - Appropriate early interventions - Communicate

Question 31

Hyper (Prefix)

Answer 31

Increase

Question 32

Hypo (Prefix)

Answer 32

Decrease

Question 33

A (Prefix)

Answer 33

Without

Question 34

Tachy (Prefix)

Answer 34

Fast

Question 35

Brady (Prefix)

Answer 35

Slow

Question 36

Eu (Prefix)

Answer 36

Normal

Question 37

Dys (Prefix)

Answer 37

Difficult

Question 38

Olig (Prefix)

Answer 38

Few

Question 39

Poly (Prefix)

Answer 39

Many

Question 40

Haem (Prefix)

Answer 40

Blood

Question 41

tension (Suffix)

Answer 41

Pressure

Question 42

apnoea (Suffix)

Answer 42

Breathing

Question 43

cardia (Suffix)

Answer 43

Heart

Question 44

rythmia (Suffix)

Answer 44

Heart Rhythm

Question 45

uria (Suffix)

Answer 45

Urine

Question 46

volaemia (Suffix)

Answer 46

Blood volume

Question 47

Vital signs are assessed regularly to:

Answer 47

- Determine the adequacy of oxygenation of the tissues. - Reassure the person that you are monitoring their health. - Determine the overall status of well-being for the person. - Enable escalation of care.

Question 48

When assessing a person's peripheral pulse, the nurse is also assessing which of the following?

Answer 48

Rhythm

Question 49

When assesing the temperature of older adults, the nurse needs to be aware that:

Answer 49

It is not a reliable indicator of serious infection.

Question 50

The measurement of blood that enters the aorta with each ventricular contraction is called the

Answer 50

Stroke volume

Question 51

When assessing respiratory rates, you should

Answer 51

Place you hand lightly on the chest and feel the rise and fall.

Question 52

When considering the factors that influence activities of living, stress and anxiety is likely to ___ a person's heart rate (pulse) and blood pressure.

Answer 52

Increase

Question 53

What role does hand hygiene patient care while in the emergency department?

Answer 53

Preventing nurses from contracting or infecting other patients with HCV

Question 54

Patient is seropositive status for hepatitis C, is there any special personal protective equipment the nursing staff should be using

Answer 54

Standard precautions as only blood is infectious