Assessment Flashcards
1
Q
What is the normal range of respiratory rate for an adult?
A
12- 20 breaths per minute
2
Q
Differentiate between Subjective and Objective data
A
Subjective - Patient experiences (symptoms)
Objective - Assessment against a standard (signs)
3
Q
What “risk: does the Waterlow assessment measure?
A
Pressure injury risk
4
Q
What measuring pulse, what characteristics are assessed? State 3
A
- Rate
- Rhythm
- Strength
- Equality
5
Q
How many mL has the patient taken, 1/2 cup tea (1 cup is 150 mL); juice 100mL; water 150mL
A
325 mL
6
Q
is the patient in a positive or negative fluid balance and by how much?
Input : 1275 mL
Output : 1550 mL
A
Negative; -275mL
7
Q
State 5 pulse sites
A
- Radial
- Brachial
- Femoral
- Carotid
- Dorsalis pedis
- Posterior tibia
- Popliteal
- Temporal
8
Q
How would you instruct a patient to collect a MSU?
A
- Clean area
- Maintain sterility of jar
- Collect sample of urine in jar after the initial flow
9
Q
State 5 factors that contribute to a high rate of falls in the elderly
A
- Poor Eyesight
- Loss of muscle strength and balance
- Environmental Hazard
- Poor Choice of Footwear
- Lowering of BP (medications/dehydration)
