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NS1881 > Week 2 Health Assessment > Flashcards

Week 2 Health Assessment Flashcards

1
Q

Inspiration
Ribcage ___ as rib muscles____

A

Ribcage expands as rib muscles contract

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2
Q

Things to assess in airway and respiratory

A

Rate
Depth
Pattern
Effort

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3
Q

Normal average breaths per minute for adult

A

12 - 20 per minute

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4
Q

Normal average oxygen saturation

A

95 - 100%

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5
Q

Process of oxygen saturation

A

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

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6
Q

Definition of < 90% SpO2

A

Hypoxemia

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7
Q

Pulse Oximeter

A

Non invasive method for monitoring SpO2

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8
Q

Where can a pulse oximeter be attached?

A

Finger
Toe
Nose
Earlobe
Forehead

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9
Q

Things to assess in pulse

A

Rate
Rhythm
Strength (amplitude)

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10
Q

Normal pulse rate

A

60 - 100bpm

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11
Q

Tachycardia

A

> 100bpm

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12
Q

Bradycardia

A

<60bpm

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13
Q

Blood pressure

A

Measure of pressure exerted by blood as it flows through arteries

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14
Q

Systolic pressure

A

Pressure as a result of constriction of ventricles

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15
Q

Diastolic pressure

A

Pressure when ventricles relax

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16
Q

Normal blood pressure

A

90-140 / 60-90

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17
Q

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

A

No

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18
Q

Hypertension

A

High blood pressure

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19
Q

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

A

Hypertensions (High BP)

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20
Q

Hypotension

A

Low blood pressure

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21
Q

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

A

Hypotension

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22
Q

Blood pressure is ____ in adolescents

A

Lower

23
Q

Normal body temperature

A

36-37.4

24
Q

Temperature <35

A

Hypothermia

25
Q

Temperature >37.9 to 40

A

febrile

26
Q

Temperature > 40.6

A

Hyperthermia

27
Q

Sudden changes in vital signs can indicate___

A

Life threatening problems

28
Q

Why do we assess vital signs?

A
  • To detect abnormal body system functions
  • Give baseline
  • Assess effects of medication
29
Q

When do we assess vital signs?

A
  • Start of shift
  • Department change
  • Pt deteriorations
  • Admission
  • Medication
  • When you are concerned
30
Q

Nurses role in vital sign assessment

A
  • Systematically assesses
  • Understand and interpret
  • Appropriate early interventions
  • Communicate
31
Q

Hyper (Prefix)

A

Increase

32
Q

Hypo (Prefix)

A

Decrease

33
Q

A (Prefix)

A

Without

34
Q

Tachy (Prefix)

A

Fast

35
Q

Brady (Prefix)

A

Slow

36
Q

Eu (Prefix)

A

Normal

37
Q

Dys (Prefix)

A

Difficult

38
Q

Olig (Prefix)

A

Few

39
Q

Poly (Prefix)

A

Many

40
Q

Haem (Prefix)

A

Blood

41
Q

tension (Suffix)

A

Pressure

42
Q

apnoea (Suffix)

A

Breathing

43
Q

cardia (Suffix)

A

Heart

44
Q

rythmia (Suffix)

A

Heart Rhythm

45
Q

uria (Suffix)

A

Urine

46
Q

volaemia (Suffix)

A

Blood volume

47
Q

Vital signs are assessed regularly to:

A
  • 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.
48
Q

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

A

Rhythm

49
Q

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

A

It is not a reliable indicator of serious infection.

50
Q

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

A

Stroke volume

51
Q

When assessing respiratory rates, you should

A

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

52
Q

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

A

Increase

53
Q

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

A

Preventing nurses from contracting or infecting other patients with HCV

54
Q

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

A

Standard precautions as only blood is infectious

NS1881 (10 decks)

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