1. Deteriorating Patient

Question 1

What is subjective data?

Answer 1

Information from clients point of view - symptoms, feelings, perceptions

Question 2

What is objective data?

Answer 2

Observable and measurable data - signs, labs, physical signs

Question 3

Adult RR?

Answer 3

12 - 20

Question 4

Adult HR?

Answer 4

60 - 100

Question 5

Adult BP?

Answer 5

120/80

Question 6

3 ways to assess airway?

Answer 6

Look, listen & test - tracheal tug, accessory muscles, wheezing

Question 7

3 ways to assess breathing?

Answer 7

Look - res rate, conscious, chest movement
Listen - bilateral air entry
Test - SpO2, ABGs

Question 8

3 ways to assess circulation?

Answer 8

Look - skin colour, jugular venous pressure
Feel - warmth of extremities, pulse rate and rhythm
Test - BP, fluid balance, UO, conscious

Question 9

Assess disability?

Answer 9

GCS

Question 10

3 areas assessed by a GCS

Answer 10

motor, eye, verbal

Question 11

Pupils are dilated and non-reactive, what could the cause be?

Answer 11

Indicative of a severe traumatic brain injury

Question 12

Lowest score of a GCS?

Answer 12

3

Question 13

What is a neurological assessment?

Answer 13

Assessment of sensory neutron and motor responses and reflexes

Question 14

What is a neuromuscular assessment?

Answer 14

Monitoring of the 5 Ps

Question 15

What are the 5 Ps of a neuromuscular assessment?

Answer 15

1. Pain
2. Pallor
3. Pulse
4. Parasthesia
5. Paralysis

Question 16

What does the PQRST acronym for a pain assessment stand for?

Answer 16

Provocation, quality, radiation/region, severity (0-10) and time