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aa Orgo > 301 Test 1 power points Part 3 > Flashcards

301 Test 1 power points Part 3 Flashcards

1
Q

assessment type that Gathers system-related data all at once

A

Systems approach

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2
Q

3 Types of health assessment

A

Systems approach
Head to toe
Functional pattern approach

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3
Q

Ndx will only include s/s if it’s an ___ problem

A

actual problem

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4
Q

If you do not know the etiology indicate r/t

A

”?” Or “unknown”

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5
Q

assessment that focuses on strengths and weaknesses

A

Functional health pattern

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6
Q

Correct sequence of the 4 techniques used in assessment

A

Inspection
Palpation
Percussion
Auscultation (except for abdominal assessment: second after inspection)

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7
Q

> 35 inches in women and __ inches in men increases the risk for type 2 diabetes, dyslipidemia, hypertension, and CVD

A

40

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8
Q

“5th vs”

A

pain

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9
Q

Thigh BP is ___er than in the arm

A

higher

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10
Q

coarctation of aorta

A

narrowing

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11
Q

main relay station for incoming stimuli

A

Thalamus

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12
Q

part of brain: temperature, sleep, emotions, autonomic activity, pituitary gland

A

hypothalamus

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13
Q

muscle coordination, equilibrium

A

Cerebellum

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14
Q

motor neurons, motor and sensory tract

A

Midbrain and pons

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15
Q

respiration, heart, GI function

A

Medulla

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16
Q

Any change in mental status requires

A

escalation of care to the physician

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17
Q

Tactile discrimination

A 
Stereognosis
Graphesthesia
Two-point discrimination
Extinction
Point location
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18
Q

brief involuntary twitching of muscle group

A

Myoclonus

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19
Q

muscle twitch (small area)

A

Fasciculations

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20
Q

an abnormal involuntary movement disorder

A

Chorea or Athetosis

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21
Q

Declines associated with normal aging:
Diminished ability to learn ___ information
Delayed __ time
Minor loss of recent __

A

complex
response
memory

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22
Q

Pathological conditions of impaired cognitive function

3 Ds

A

Depression
Delirium
Dementia

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23
Q

clinical syndrome characterized by lower mood tone, difficulty thinking, and somatic changes precipitated by feelings of loss and/or guilt. These symptoms represent a change from usual functioning for the individual that have been present for at least 2 weeks.

A

Depression

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24
Q

disturbance of consciousness with impaired attention and disorganized thinking that develops rapidly. Evidence of an underlying physiologic or medical condition is generally present.

A

Delirium

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25
Q

a syndrome of cognitive deterioration that involves memory impairment and disturbance in at least one other cognitive area that results in changes in function (e.g. aphasia, apraxia, or agnosia) and behavior.

A

Dementias (e.g. Alzheimer’s or vascular)

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26
Q

The most common risk factors associated with delirium are:

A

Dementia
Male gender
Advanced age
Medical illness

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27
Q

Predisposing factors associated with delirium are:

A 
Poor functional status
  Alcohol abuse
  Depression
  Dehydration
  Sensory impairment
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28
Q

delirium vs dementia, Short, rapid, hours/days

A

delirium

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29
Q

delirium vs dementia, Vague symptoms, loss of intellect, agitated, aggressive

A

dementia

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30
Q

delirium vs dementia, Easily distracted, inappropriate anxiety, labile to apathy

A

dementia

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31
Q

delirium vs dementia, Labile variable fear/panic, euphoria, disturbed

A

delirium

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32
Q

easiest colors for old ppl to see are

A

yellow red orange

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33
Q

Older adults have a decreased ___ of taste buds

A

number

34
Q

Put on PPE beginning with

A

cap

35
Q

Next put on gown with opening in

A

back

36
Q

Gloves go on __ with cuffs of gown tucked into gloves

A

last

37
Q

Bathing- wash from fingers to

A

Axilla

38
Q

Moving pt: Use __ ppl if pt is more than 200 lbs

A

3

39
Q

Risk for injury:

___ conditions interacting with client’s adaptive and defensive resources

A

Environmental

40
Q

Risk for thermal injury:

___ impairment, inadequate supervision, developmental level

A

Cognitive

41
Q

A client with the Dx Risk for Injury is diagnosed with Ineffective Protection if they are at risk for

A

bleeding

42
Q

When it comes to reducing injury, be extra careful with patients on what kind of medication

A

Blood thinner

43
Q

you can disconnect IV if it has a

A

2 way connector

44
Q

Wash arm with long strokes from __ to __

A

distal to prox

45
Q

Dont massages ___ because that cold dislodge a clot causing an embolis

A

calves

46
Q

Dont apply lotion between the

A

toes

47
Q

A back rub may be contraindicated for pts with

A

CV disease

48
Q

Cannot delegate foot care to NAP if pt has foot ulcers or impaired peripheral

A

circulation

49
Q

Pts who have DM or impaired circulation require Rx for trimming

A

nails

50
Q

During foot care, if pt can’t sit up put in __ __ position

A

semi fowler position

51
Q

Soaking feet is contraindicated for pts with __ or __ __ disease

A

DM or peripheral vascular disease

52
Q

For oral care, pt should be in chair or in __ __ position

A

high fowler

53
Q

Move floss __ and __ instead of back and forth

A

up and down

54
Q

oral thermometer tip is what color

A

blue

55
Q

immediately report temp if greater than

A

100

56
Q

oral temp can be affected by eating, smoking, drinking, and

A

chewing gum

57
Q

If pt was lying on her side, do not take __ __ temp on the side that was on the pillow

A

temporal artery

58
Q

For ear temp for an adult, pull pinna __ and back

A

up

59
Q

If you have trouble getting the brachial pulse you can ask pt to

A

turn palm downward

60
Q

pulse site used for CPR for an infant

A

brachial

61
Q

Which pulse may be difficult in old ppl

A

foot

62
Q

Where do you palpate posterior tibial pulse

A

ankle

63
Q

apical HR must be counted for

A

1 min

64
Q

digitalis therapy, blood loss, cardiac or resp disease, and other thing that affect oxygenation status may warrant taking a __ __ __ __

A

apical-radial pulse deficit

65
Q

The presence of any apical-radial pulse is

A

abnormal

66
Q

when taking BP, palm faces

A

upward

67
Q

A difference of 10 is normal when comparing BP in

A

left and right arms

68
Q

Tuning fork is used to assess

A

deep sensation

69
Q

kinesthetic sense is

A

position

70
Q

ability to recognize an object by touch

A

stereognosis

71
Q

Able to recognize something written on the skin

A

graphesthesia

72
Q

Normal deep tendon reflex rating

A

+2

73
Q

The MMSE focuses only on ___, not mood or thought process

A

cognitive

74
Q

transitioning btwn state of lethargy and stupor

A

obtunded

75
Q

normal temp range for adult

A

96 to 99

76
Q

oral temp is 1 degree lower than

A

rectal

77
Q

HR in older adults is ___er

A

slower

78
Q

The romberg assessment tests

A

balance

79
Q

most important factor in neuro check

A

level of consciousness

80
Q

abnormally low systolic

A
81
Q

abnormally low diastolic

A

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