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Nursing practice (BN500) > Week Eleven: Introduction to vital signs, documentation and handovers > Flashcards

Week Eleven: Introduction to vital signs, documentation and handovers Flashcards

1
Q

What are the vital signs?

A

Pulse, respiratory rate, blood pressure and temperature

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2
Q

What is a Tympanic thermometer?

A

A thermometer that takes temperature from the ear

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3
Q

What are the reasons that may cause tympanic thermometers to be inaccurate?

A

The results can be altered by earwax, dust, and fingerprints.

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4
Q

What is a Digital thermometer?

A

a thermometer that takes temperature from the mouth.

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5
Q

What muscle is used to help hear high frequency sounds?

A

The diaphram because it screens out low-frequency sounds

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6
Q

What is the name of the blood pressure tool

A

Sphygmomanometer

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7
Q

What does a sphygmomanometer consist of?

A

A cuff and a manometer

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8
Q

How much should the width of the cuff cover someone’s arm?

A

40%

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9
Q

What is the normal pulse range for adolescence and older adults?

A

60-100 bp

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10
Q

What is the pulse regulated by?

A

Autonomic nervous system through the sinoatrial node –the pacemaker of the heart.

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11
Q

What decreases heart rate (nervous system)

A

Parasympathetic stimulation via the vagus nerve decreasesheart rate

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12
Q

What increases heart rate (nervous system)

A

Sympathetic stimulation increases the heart rate and force of contraction

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13
Q

What is Tachycardia?

A

Rapidheart rate (above 100 beats/min in an adult).

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14
Q

Why is Tachycardia bad?

A

Tachycardia decreases cardiac filling time, which decreases stroke volume and cardiac output (the amount of blood being ejected from the heart).

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15
Q

What is Bradycardia?

A

Heart rate below 60 beats/min in an adult

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16
Q

What is Pulse amplitude?

A

Describes the ‘fullness’ of the pulse, and reflects the strength of left ventricular contraction. It is assessed by the ‘feel’ of the blood flow through the artery.

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17
Q

What is Pulse rhythm?

A

Is the pattern of pulsations and the pauses between them. For a normal human, this will be regular.

18
Q

What is a irregular pulse rhythm pattern called?

A

Arrhythmia

19
Q

What is a irregular pulse rhythm pattern called?

A

Arrhythmia

20
Q

What is it called when no pulsation felt despite extreme pressure

A

Absent pulse

21
Q

What is it called when pulsation is easily felt, takes moderate pressure for the pulse to disappear

A

Normal pulse

22
Q

What is it called when pulsation is not easily felt and slight pressure makes it disappear?

A

Thready pulse

23
Q

What is it called when light pressure makes pulse disappear but is stronger than thready pulse?

A

Weak pulse

24
Q

What is it called when light pressure makes pulse disappear but is stronger than thready pulse?

A

Weak pulse

25
Q

The pulsation is strong and does not disappear with moderate pressure.

A

Bounding pulse

26
Q

Whats External respiration

A

The exchange of oxygen (O) and carbon dioxide (CO) between the alveoli and circulating blood.

27
Q

Whats Internal respiration

A

Exchange ofO andCObetween circulating blood and tissue cells.

28
Q

What activates the Inhibition or stimulation of the respiratory muscles by respiratory centers in the medulla and pons.

A
  • Chemoreceptors located in the aortic arch and carotid arteries.
  • Stretch and irritant receptors in the lungs.
  • Receptors in muscles and joints.
29
Q

What does Apena mean

A

A period of no breathing

30
Q

What does Orthopneoa mean

A

breathing more easily in an upright position

31
Q

what does Bradypnoea mean

A

A decreased rate that occurs in some pathological condition

32
Q

What does Dyspnoea mean

A

Difficult or labours breathing

33
Q

What does Trachynoea mean

A

Increased rate in response to an increased metabolic rate.

34
Q

What does Eupnoea

A

Normal respiration- One respiration to every four heartbeats

35
Q

What are Cheyne-Stoke’s respirations?

A

Alternating periods of deep, rapid breathing, followed by, periods of apnea.

36
Q

What does ISBAR stand for?

A

Identification, Situation, Background, Assessment and Recommendation.

37
Q

What is ISBAR used for?

A

Handovers, easy concise verbal communication.

38
Q

What is SOAPIE stand for?

A

Subjective, Objective, Analysis, Plan, Implementation and Evaluation

39
Q

Documents should be… (8)

A

Accurate, Factual, Objective, Complete, Concise, Timely, Privateand Confidential.

40
Q

What does a Consultation

A

To invite another professional to evaluate and make recommendations to you about treatment.

41
Q

What does a Referral mean

A

To send or guide the person to another source for assistance.

42
Q

What is an Interdisciplinary team conference

A

When all relevant health care professionals gather together to plan and coordinate a patient’s care

Nursing practice (BN500) (6 decks)

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