Chapter Seventeen

Question 1

T P R BP O2 Pain

Answer 1

Temp
Pulse
Respirations
Blood Pressure
Oxygen Saturation
Pain

Question 2

Core Temperature

Answer 2

Environment in which organs are being subjected to

Question 3

Normal Body Temp

Answer 3

97.6-99.6 F

Question 4

Cardiac Output

Answer 4

The volume of blood pumped from the heart in 1 minute

Question 5

Pulse

Answer 5

The fluid wave that can be palpated at various points in the body as gentle tapping

Question 6

Hypothermia

Answer 6

A core temperature below 95F slows body metabolism

Question 7

Stroke Volume

Answer 7

The amount of blood discharged from the L ventricle with each contraction

Question 8

Antipyretic

Answer 8

Fever-Reducing

Question 9

Febrile

Answer 9

Indicates the state of having a fever

Question 10

Afebrile

Answer 10

Indicates the state of being without a fever

Question 11

Phaygocytes

Answer 11

Specialized blood cells, that secretes pyrogens

Question 12

Hyperthermia

Answer 12

Serious temperature elevation about 105F

Question 13

Average Body Temperature

Answer 13

98.6F

Question 14

Pulse Rate

Answer 14

60-100 bpm

Question 15

Pulse Rythm

Answer 15

Regular or Irregular

Question 16

Pulse Volume

Answer 16

0 no pulse/absent
- thready
+1 weak
+2 normal
+3 bounding

Question 17

Pulse Deficit

Answer 17

When radial pulse is slower than the apical pulse

Question 18

Perfuse

Answer 18

The force of the heart’s contraction fails to produce a pulse wave strong enough to be felt

Question 19

Temporal

Answer 19

On side of forehead, the temple

Question 20

Carotid

Answer 20

Side of neck below jaw

Question 21

Brachial

Answer 21

Elbow where stethoscope goes for BP, pinky side

Question 22

Radial

Answer 22

Thumb side inside of wrist, used for pulse rate assesment

Question 23

Femoral

Answer 23

Used to determine circulation to leg, located in groin

Question 24

Popliteal

Answer 24

Back of knee, towards midline, determines circulation to lower leg

Question 25

Posterior Tibial

Answer 25

Used to determine circulation to foot, located interior ankle behind the bone

Question 26

Auscultate

Answer 26

To listen attentively

Question 27

Bradycardia

Answer 27

Pulse less than 60bpm

Question 28

Tachycardia

Answer 28

Pulse greater than 100bpm

Question 29

Regular

Answer 29

If all beats are evenly spaced

Question 30

Irregular

Answer 30

If the intervals between beats are uneven

Question 31

Femoral

Answer 31

Related to the femur

Question 32

Proximal

Answer 32

Nearest to + Related to

Question 33

Eupnea

Answer 33

Used to describe the respirations

Question 34

Bradypnea

Answer 34

Describes respiratory rate below 12 respirations per minute

Question 35

Tachypnea

Answer 35

Rate of respirations exceeds 20 per minute

Question 36

Apnea

Answer 36

When respirations cease or are absent

Question 37

Ventilation

Answer 37

The movement of air into and out of the lungs

Question 38

Inspiration

Answer 38

Breathing In

Question 38

Expiration

Answer 38

Breathing Out

Question 39

Hypoxemia

Answer 39

Decreases of o2 in the blood levels

Question 40

Dyspnea

Answer 40

Labored or difficult breathing

Question 41

Orthopnea

Answer 41

When a patient finds it too difficult to breathe unless positioned in an upright position

Question 42

Stertorous

Answer 42

Noisy, snoring, labored respirations that are audible without a stethoscope

Question 43

Adventitious Sounds

Answer 43

Abnormal sounds that may be heard when auscultating the lungs with a stethoscope and include wheezes, rales or crackles, rhonci, and stridor

Question 44

Wheezes

Answer 44

Musical, whistling sounds that may be audible without a stethoscope, heard only during auscultation

Question 45

Crackles or Rales

Answer 45

Adventitous sounds that may be auscultated with a stethoscope and are the re

Question 46

Oxygen Saturation

Answer 46

Should be 96-100%

Question 47

Electronic Pulse Oximeter

Answer 47

The tool used to measure the oxygen saturation

Question 48

What can effect pulseox read

Answer 48

-inadequate blood flow -fake nails -dark nail polish -moisture -movement

Question 49

When do you need to notify RN about pulseox?

Answer 49

Below 90%

Question 50

When do you need to notify Clinlead/RN during Clinical as students?

Answer 50

Below 96%

Question 51

Acute Pain

Answer 51

Pain that has sudden onset, may have severe symptoms, and run a shorter course

Question 52

Chronic Pain

Answer 52

Pain that has a longer duration (6 months or longer) or is ongoing with little change or progression

Question 53

Blood Pressure

Answer 53

The measurement of the pressure or tension of the blood pushing against the walls of the arteries in the vascular system

Question 55

Four circulatory qualities of blood Pressure

Question 56

Factors that effect BP

Answer 56

- Age -Race - Exertion Exercise -Rest - Circadian Rhythm -Anxiety -Nicotine/Caffeine -Obesity -Level of hydration -Hemorrhage -Increased intracranial pressure

Question 57

Systolic

Answer 57

Top Number - measures pressure pushing against arterial walls

Question 58

Diastolic

Answer 58

Pressure when relaxed

Question 59

Pulse Pressure

Answer 59

The difference between the two numbers (ie. 120/100 PP is 20)

Question 60

If BP is over 120/80 the PT has what?

Answer 60

Hypertension (Elevated is 120-129 over 80)

Question 61

Stage 1

Answer 61

130-139 over 80-89

Question 62

Stage 2

Answer 62

> 140 over 90

Question 63

Occlusion Test

Answer 63

Feel radial pulse Pump cuff up to 70 Check to see if feel pulse 80 Check pulse 90 Check pulse 100 When you can’t feel then add 30 Then give 30 second rest and then pump up to 130 to start measuring

Question 64

Why not brachial BP?

Answer 64

Amputee Mastectomy Shunt Cast/brace/dressing Surgery or Trauma IV use other arm

Question 65

Alternative BP spots

Answer 65

Radial Popliteal