CP: POD #1 Flashcards

1
Q

Blood Pressure

A

The force exerted on the walls of the arteries by the pulsing blood under pressure from the heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

factors that can affect temperature

A

-age
-environment
-exercise
-stress
-circadian rhythm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

factors that can affect heart rate

A

-exercise
-temperature
-meds
-pain
-hemorrhage
-postural changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

quality/strength (pulse)

A

volume of blood ejected against the arterial wall with each heart contraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

depth (respiratory)

A

amount of movement in the chest wall during breathing
-deep, normal, shallow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

factors that affect respiratory rate

A

-smoking
-exercise
-anxiety
-acute pain
-meds
-body position
-neurological injury
-hemoglobin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

rhythm (respiratory)

A

-regular or irregular breathing problems
-observe the chest or abdomen (contraction and relaxation of the diaphragm)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

systolic BP

A

-peak of max pressure when ejection occurs
-100-139 mmHG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

pulse oximetry (oxygen saturation)

A

detects amount of hemoglobin in arterial blood that is saturated with O2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are the sites you can measure termperature

A

-oral (mouth-under tongue)
-tympanic (ear)
-rectal (anus)
-axillary (armpit)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are the 5 principles of body mechanics?

A

-use of correct muscles to complete
-prevents unnecessary strain on muscle and joints
-to maintain body alignment, balance, posture assessment?
-reduce risk of injury to nurse and client during assessment
-reduce muscle fatgue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

hypotension

A

-low blood pressure
-less than SBP100/DBP60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

pulse pressure

A

-difference between systolic and diastolic pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are the benefits of oral care?

A

-maintains healthy stage of mouth
-decrease gum inflammation
-decrease risk of aspiration pneumonia
-removes food, plaque, and bacteria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are some factors that affect oxygen saturation readings?

A

-black nail polish/fake nails
-poor/impaired blood circulation
-juandice
-dark pigmentation
-carbon monoxide poisoning
-anemia
-activity
-moisture
-light transmission interference

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the hospital standard for SpO2 (oxygen saturation) reading?

A

-adult with co-morbidities/acute health challenge > 92%
-healthy adults 95-100%
-COPD: 88-92%
-life threatening: < 70%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Hypertension

A

-high blood pressure
-higher than SBP139/DBP90

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what safety check need to be done for patients and their environment?

A

-check pts ABCCs
-look for cognitive risk factors (behaviours)
-environmental risk factors (clutter,sharps)
-patient position bed
-bed rails (min 1,max 3)
-bed brakes on
-bed in lowest position
-bed/chair alarm on
-safety belt on in chair

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what are gloves used for?

A

-contact with mucous membrane
-blood/bodily fluids
-environmental surfaces that may be contaminated with blood or body fluids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

when should hand hygiene be performed (5 cases)

A

-after body fluid exposure risk
-before touching patient
-after touching patient
-after touching patient surroundings
-before clean/aseptic procedure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what are the benefits to hand sanitizers/alcohol-based antiseptics?

A
  • improves hand hygiene practices
  • protects health care workers hands
  • reduces transmission of pathogens to patients and personnel
  • quicker than hand washing with soap and water
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

how long should you wash with soap and water?

A
  • minimum 15 s
  • total 40-60 s
  • more if hands visibility soiled
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what are the 6 bed positions used for performing activities of daily living?

A
  • fowlers: 45-60 degrees
  • high fowlers: 60-90 degrees, prevents aspiration and feeding and oral care
  • semi-fowlers: 30-45 degrees, easy for breathing or just comfort
  • trendelenburg: help move patient up in bed (head down and feet up)
  • reverse trendelenburg
  • flat: usually for sleeping
24
Q

what do you need to clean dentures?

A
  • lukewarm water
  • enclosed container with tepid water: prevents breakage and warping (drying)
  • assess oral mucosa for lesions, pain, and bleeding
  • remove at night
  • moisten to put back in to help with suction
25
Q

what is optimum temperature for a healthy adult?

A

36-38 degrees

26
Q

what is the normal range for respiratory rate for a person?

A
  • 12-20 breaths per minute
  • measured by listening for 30 s or 1 than x2
27
Q

bradypnea

A

slow breathing rate, less than 12 breaths per minute

28
Q

apnea

A
  • periodically stop breathing then start up again
29
Q

orthopnea

A
  • shortness of breath when lying down
30
Q

dyspnea

A
  • shortness of breath
31
Q

how do you count respiratory rate?

A
  • place arm on client’s abdomen and count for 30 s or 1 min for irregular rhythm
32
Q

febrile vs afebrile

A

febrile: with fever
afebrile: no fever

33
Q

what does the bell of the stethoscope listen to?

A

listens to more specific areas and picks up lower frequency sounds

34
Q

what is normal oxygen saturation for a healthy adult?

A

95-100%

35
Q

what is oxygen saturation for someone with COPD?

A

88-92%

36
Q

what are 4 places for pulse oximetry?

A
  • finger
  • toes
  • nose
  • earlobe
37
Q

core temperature

A

temp of structures deep within the body

38
Q

heart rate

A

number of pulsing sensations counted in a minute

39
Q

rhythm (pulse)

A

interval that occurs between each heart beat

40
Q

rate (respiratory)

A

both inspiration and exhalation counted as 1 breath

41
Q

orthostatic hypotension

A
  • BP drops after standing or
  • sit to stand, wait 1-3 mins
  • drops more than SBP 20/DBP10 mmHG
  • heart rate more than 30 bpm
42
Q

what is oxygen saturation for someone with co morbidities/acute health challenge?

A

> 92%

43
Q

Diastolic BP

A

60-89 mmHg
- min pressure exerted against the arterial walls when the ventricles relax
-5th kortokoff sound

44
Q

what safety checks need to be down for bedside equipment?

A
  • suction meter density (suction water, liner, plastic
  • oxygen meter testing (O2 meter, white nipple)
  • nasal prongs, simple O2 mask, suction catheter
45
Q

what is the normal diastolic BP for a healthy person?

A

60-89 mmHg

46
Q

what is a normal systolic BP for a healthy person?

A

100-139 mmHg

47
Q

complete bed bath vs partial bed bath

A

Complete:
- for totally dependent patients
- cleaning all areas including perineal area

Partial:
- for mere independent patients
- only body parts that cause discomfort or odour or not easily reached

48
Q

tachypnea

A
  • fast breathing rate
  • greater than 20 breathe per minute
49
Q

tachycardia

A
  • fast heart rate
  • greater than 100 bpm
50
Q

what does the diaphragm of the stethoscope listen to?

A

wider area of the body and picks up higher frequency sounds

51
Q

what are 3 reasons for bathing?

A
  • increase blood circulation
  • decrease risk of infection
  • decrease skin breakdown
  • removes bacteria
  • promotes hygiene
52
Q

bradycardia

A
  • slow heart rate
  • slower than 60 bpm
53
Q

pyrexia

A

high body temperature

54
Q

2 common sites (heart rate)

A

radial and apical

55
Q

when to assess respiratory rate

A

after measuring pulse while hand remains on patient’s wrist