Chapter 9 Flashcards
The general survey consists of four distinct areas. These areas include:
physical appearance, body structure, mobility, and behavior.
A common error in blood pressure measurement is:
waiting less than 1 to 2 minutes before repeating the blood pressure reading on the same arm.
Data collection for the general survey begins:
at the first encounter.
The Doppler technique:
augments Korotkoff sounds during blood pressure measurement.
The tympanic membrane thermometer (TMT):
provides an accurate measurement of core body temperature.
Endogenous obesity is:
caused by excess adrenocorticotropin production by the pituitary gland.
To perform an accurate assessment of respirations, the examiner should:
count for 30 seconds after completing a pulse assessment and multiply by two.
Physical appearance includes statements that compare appearance with:
stated age
An adult patient’s pulse is 46 beats per minute. The term used to describe this rate is:
bradycardia
The nurse records that the patient’s pulse is 3+ or full and bounding. Which of the following could be the cause?
Anxiety
Types of clinical questions
Intervention:
relates to identifying or selecting treatment/s that are effective and worthwhile
Types of clinical questions
Aetiology
relates to the cause of a disease, or the relationship between a risk factor and the development of a disease/condition
Types of clinical questions
Diagnosis
seeks to find evidence that will determine the accuracy (e.g. precision, safety, etc.) of diagnostic tests or procedures in determining the presence or absence of a disease/condition
Types of clinical questions
Prognosis
relates to the likely clinical course or potential complications of a disease/condition
Types of clinical questions
Exploration
seeks to answer the question ‘why’; concerned with the issue that often impact the disease, treatment or health service, and is grounded in variations of human attitudes, opinions, feelings, thoughts or behaviours.
Auscultatory gap
a brief period when Korotkoff sounds disappear during auscultation of blood pressure; common with hypertension
Bradycardia
heart rate fewer than 50 or 60 beats per mini the adult depending on agency
Sphygmomanometer
instrument for measuring arterial blood pressure
stroke volume
amount of blood pumped out of the heart with each heartbeat
Tachycardia
heart rate greater than 95 beats per min in the adult
You are assessing a patients gait. What do you expect to find
Gait is wide as the shoulder width
An 18 month old child is brought into the clinic for a health screening visit. To assess the height of the child
use a horizontal measuring board
Which changes in head circumference measurements in relation to chest measurements will occur from infancy through early childhood
The newborns head will be 2 cm lager than the chest circumference, but between 6months to 2years they will be about the same
Which changes regarding height and weight occur during the 80s and 90s
Both increase
During the initial home visit, the patients temp is noted to be 97.4 F. How would you interpret this?
It cannot be evaluated without knowledge of the persons age
Select the best description of an accurate assessment of a patients pulse
Begin counting with zero; count for 30 seconds
After assessing the patients pulse the practitioner determines it to be normal. This would be recorded as
2+
Select the best description of an accurate assessment of a patients respirations
Count for 30 seconds after pulse assessment
Pulse pressure is described as
The difference between the systolic and diastolic pressure
The examiner suspects a patient has coarctation of the aorta. Which assessment finding supports this suspicion
the pressure is lower than in the arm
Mean arterial pressure is
Diastolic pressure plus one third of the pulse pressure
Why is it important to match the appropriate size of blood pressure cuff to the persons arm and shape and not to the persons age
Using a cuff that is too narrow will give a false reading
A patient is being seen in the clinic for complaints of fainting episodes that started last week. How should you proceed with the exam?
Record the blood pressure in the lying, sitting, and standing position
The nurse is conducting a health fair for older adults. What is true regarding vital signs
An increased respiratory rate and a shallower inspiratory phase are possible findings
