Exam 2 Full Overview Flashcards

1
Q

The lowest superficial part of the heart, usually located at the fifth intercostal space

A

Apex

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2
Q

Absence of breathing

A

Apnea

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3
Q

Any variation from the normal rhythm of a heartbeat

A

Arrhythmia or dysrhythmia

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4
Q

Listening for sounds produced with the body, usually with a stethoscope

A

Auscultation

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5
Q

Period where no sound is heard

A

Auscultatory gap

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6
Q

Pertaining the the armpit

A

Axillary

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7
Q

The rate at which heat is produced when the body is at rest

A

Basal metabolic rate (BMR)

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8
Q

Respirations that are shallow for two or three breaths with a period of variable apnea

A

Biot respirations

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9
Q

Pulse that is less than 60 beats per minute

A

Bradycardia

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10
Q

Slow and shallow breathing

A

Bradypnea

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11
Q

The pulse rate multiplied by the stroke volume

A

Cardiac output

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12
Q

Respirations that gradually become more shallow and are followed by periods of apnea, with repetition of the pattern

A

Cheyne-Stokes respirations

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13
Q

Sensations of cold and shaking of the body

A

Chills

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14
Q

Temperature deep with the body

A

Core temperature

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15
Q

Abnormal, nonmusical sound heard on auscultation of the lungs during inspiration

A

Crackles or rales

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16
Q

Abrupt decline in fever

A

Crisis

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17
Q

Bluish discoloration or skin color changes, particularly around the mouth and in the nail beds, due to lack of oxygen

A

Cyanosis

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18
Q

Abatement of fever

A

Defervescence

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19
Q

The lower pressure exerted on the artery when the heart is at rest between contractions

A

Diastolic pressure

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20
Q

Difficult and labored breathing

A

Dyspnea

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21
Q

Normal, relaxed breathing pattern

A

Eupnea

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22
Q

Stage of fever in which the body temperature rises to the new set point established by the hypothalamus and remains there until there is a resolution of the cause of the fever

A

Febrile

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23
Q

Elevated temperature

A

Fever

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24
Q

Wet sounds heard when auscultating the lungs; formerly called rhonchi

A

Gurgle

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25
Q

Blood pressure elevated above the normal range

A

Hypertension

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26
Q

Above-normal body temperature

A

Hyperthermia

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27
Q

Pattern of breathing in which there is an increase in the rate and depth of breaths and carbon dioxide is “blown off”, causing the blood level of carbon dioxide to fall

A

Hyperventilation

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28
Q

Abnormally low blood pressure

A

Hypotension

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29
Q

Subnormal body temperature

A

Hypothermia

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30
Q

Decreased amount of oxygen in the bloodstream

A

Hypoxemia

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31
Q

State of insufficient oxygen in the blood

A

Hypoxia

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32
Q

Sounds that relate to the effect of arterial wall vibrations during auscultation of blood pressure

A

Korotkoff sounds

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33
Q

Respirations having an increased rate and depth with panting and long, grunting exhalations

A

Kussmaul respirations

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34
Q

Breakdown, disintegration; also reduction or abatement

A

Lysis

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35
Q

Cellular chemical reactions in the body

A

Metabolism

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36
Q

Fall in blood pressure associated with dizziness, syncope (fainting), and blurred vision, which occurs upon standing

A

Orthostatic hypotension or postural hypotension

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37
Q

Excess fluid volume

A

Overhydration

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38
Q

Device that measures oxygen in the blood

A

Oximeter

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39
Q

Measurement of oxygen

A

Oximetry

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40
Q

Feel

A

Palpate

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41
Q

Deficit between the apical and radial pulse when measured simultaneously

A

Pulse deficit

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42
Q

The difference between the systolic pressure and the diastolic pressure

A

Pulse pressure

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43
Q

Fever; when a body temperature rises above 100.2°F (38.0°C)

A

Pyrexia

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44
Q

Agents that cause fever

A

Pyrogens

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45
Q

The exchange of oxygen and carbon dioxide in the lungs and tissues, which is initiated by the act of breathing

A

Respiration

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46
Q

Condition of circulatory failure

A

Shock

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47
Q

Device used to indirectly measure blood pressure

A

Sphygmomanometer

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48
Q

Snoring sound produced when patients are unable to cough up secretions from the trachea or bronchi

A

Stertor

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49
Q

Device that augments sound

A

Stethoscope

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50
Q

Shrill, harsh sound on inspiration; caused by obstruction of the upper air passages, as occurs in croup or laryngitis

A

Stridor

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51
Q

The volume of blood pushed into the aorta per heartbeat

A

Stroke volume

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52
Q

The maximum pressure exerted on the artery during left ventricular contraction

A

Systolic pressure

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53
Q

Heart rate greater than 100 beats per minute

A

Tachycardia

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54
Q

Increased or rapid breathing

A

Tachypnea

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55
Q

Eardrum

A

Tympanic membrane

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56
Q

The signs of life, namely pulse, respiration, temperature, and blood pressure

A

Vital signs

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57
Q

High-pitched whistling sound of air forced past a partial obstruction, as found in asthma and emphysema

A

Wheeze

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58
Q

What are the five vital signs

A

Temperature, pulse, respirations, blood pressure, and pain level. Also oxygen saturation level

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59
Q

What causes fever

A

Increase in metabolism

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60
Q

What acts as a thermostat and controls body temperature by a feedback mechanism

A

Hypothalamus

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61
Q

Where is the hypothalamus located

A

Between the cerebral hemispheres

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62
Q

What are the organs of respiration

A

Nose, pharynx, larynx, trachea, bronchi, and lungs

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63
Q

The pressure exerted on the arterial wall

A

Blood pressure

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64
Q

What is the normal temperature range

A

97.5 - 99.5
Average- 98.6

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65
Q

What are the sites used for temperature

A

Oral, rectal, axilla, tympanic, temporal

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66
Q

What are factors that affect body temperature

A

Drugs, age, exercise, time of day, disease conditions, emotional stress, environmental temperature, menstrual cycle and pregnancy

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67
Q

What are the fever patterns

A

Constant, intermittent, remittent, and relapsing

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68
Q

Temperature is continuously elevated, less than 1 degree variation within 24hrs

A

Constant

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69
Q

Temperature alternates rising and falling

A

Intermittent

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70
Q

High temperature falls, but never to normal, and rises again later in the day

A

Remittent

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71
Q

Temperature falls to normal and rises again in a repeating pattern

A

Relasping

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72
Q

Where is the oral thermometer placed

A

Posterior sublingual pocket on either side of the frenulum

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73
Q

Where are the pulse points

A

Radial, temporal, carotid, femoral, apical, popliteal, posterior tibial, dorsalis pedis

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74
Q

What is the normal pulse rate

A

60 - 100 bpm

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75
Q

Even beats with poor force, 1+

A

Weak and regular

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76
Q

Even beats with moderate force, 2+

A

Strong and regular

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77
Q

Even beats with strong force, 3+

A

Full and bounding

78
Q

Barely palpable

A

Feeble

79
Q

nonregular strong and weak beats occurring within 1 minute

A

Irregular

80
Q

Weak and irregular

A

Thready

81
Q

Absent

A

No pulse

82
Q

What is the normal blood oxygen range

A

92 - 100%

83
Q

What is the average blood pressure

A

120/80 mmHg

84
Q

Systolic pressure indicated by faint, clear tapping sounds that gradually grow louder

A

Phase I Tapping

85
Q

Silence as the cuff deflates for 30 to 40 mmHg

A

Auscultatory Gap- No Sound

86
Q

Murmur that increases as the cuff is deflated

A

Phase II Swishing

87
Q

Louder knocking sound that occurs with each heartbeat

A

Phase III Knocking

88
Q

A sudden change or muffling of the sound

A

Phase IV Muffling

89
Q

Disappearance of sound

A

Phase V Silence

90
Q

Abnormal lung sounds elicited upon auscultation of the lungs during assessment

A

Adventitious sounds

91
Q

Listening for sounds produced within the body, usually with a stethoscope

A

Auscultation

92
Q

Lung sounds heard over the central chest or back

A

Bronchiovesicular sounds

93
Q

Imaging technique used to quantify density

A

Dual-energy x-ray absorptiometry (DXA)

94
Q

Fluid in interstitial spaces; swelling

A

Edema

95
Q

Increased curve in the thoracic spine

A

Kyphosis

96
Q

Damaged tissue

A

Lession

97
Q

Exaggerated lumbar curve

A

Lordosis

98
Q

Involuntary, rapid, rhythmic movement of the eyeball

A

Nystagmus

99
Q

Smelling

A

Olfaction

100
Q

Touching with the hands and fingers

A

Palpation

101
Q

Light, quick tapping on the body surface to produce sounds

A

Percussion

102
Q

Pronounced lateral curvature of the spine

A

Scoliosis

103
Q

Involuntary fine movement of the body or limbs

A

Tremors

104
Q

Elastic condition of skin

A

Turgor

105
Q

Soft, rustling sounds heard in the periphery of the lung fields

A

Vesicular sounds

106
Q

Condition of being without oxygen

A

Anoxia

107
Q

Absence of breathing

A

Apnea

108
Q

Collapsed or airless part of the lung; collapse of alveoli

A

Atelectasis

109
Q

Tube for insertion into a duct or cavity

A

Cannula

110
Q

Bluish discoloration or skin color changes, particularly around the mouth and in the nail beds, due to lack of oxygen

A

Cyanosis

111
Q

Difficult and labored breathing

A

Dyspnea

112
Q

Within the trachea

A

Endotracheal

113
Q

Cough up or spit out

A

Expectorate

114
Q

Movement of air out of the lungs

A

Expiration

115
Q

Device that supplies moisture to a gas

A

Humidifier

116
Q

Excess carbondioxide in the blood

A

Hypercapnia

117
Q

Decreased amount of oxygen in the bloodstream

A

Hypoxemia

118
Q

State of insufficient oxygen in the blood

A

Hypoxia

119
Q

Movement of air into the lungs

A

Inspiration

120
Q

Device that dispenses liquid in a fine spray, used in inhalation therapy

A

Nebulizer

121
Q

Curved guide that is inserted into the trachea to facilitate placement of a tube

A

Obturator

122
Q

Inward movement of respiratory muscles upon inspiration

A

Retraction

123
Q

Increased or rapid breathing

A

Tachypnea

124
Q

Adhesive, sticky

A

Tenacious

125
Q

Opening into the trachea

A

Tracheostomy

126
Q

Illness that results when most or all of the body is exposed to a high dose of radiation, usually over a short period of time

A

Acute radiation sickness (ARS)

127
Q

The phenomenon of nurses becoming desensitized to patient care alarms and missing or delaying their response to the alarm

A

Alarm fatigue

128
Q

Biologic agent or condition that can be harmful to a persons health

A

Biohazard

129
Q

The release of pathogenic microorganisms into a community to achieve political and/or military goals

A

Bioterrorism

130
Q

The total of all elements and conditions that surround us and influence our development

A

Environment

131
Q

The amount of moisture in the air

A

Humidity

132
Q

Substance that, when ingested, inhaled, absorbed, applied, injected, or developed withing the body, may cause functional or structural disturbances

A

Poison

133
Q

Any objective evidence of disease or dysfunction; perceived by doctor

A

Sign

134
Q

Any indication of disease perceived by the patient; subjective

A

Symptom

135
Q

Part of the stethoscope that detects high pitched sounds

A

Diaphragm

136
Q

Part of the stethoscope that detects low pitched sounds

A

Bell

137
Q

Where is the apical pulse found

A

Left midclavicular between the 3rd and 5th intercostal space

138
Q

Grating or scratchy sound heard in the lungs

A

Pleural friction rub

139
Q

Air sacs

A

Alveoli

140
Q

What are the structures of respiration

A

Nose, mouth, pharynx, larynx, trachea

141
Q

What is the most common cause of respiratory insufficiency

A

Airway obstruction

142
Q

How is hypoxia treated

A

Administering oxygen and correcting the cause

143
Q

What is the simplest method of clearing air passages

A

An effective cough

144
Q

What technique is used for nasopharyngeal suctioning

A

Aseptic

145
Q

What technique is used for tracheobronchial suctioning

A

Sterile

146
Q

Circumscribed, flat area with a change in skin color

A

Macule

147
Q

Elevated, solid lesion

A

Papule

148
Q

Circumscribed, superficial collection of serous fluid

A

Vesicle

149
Q

Circumscribed, elevated, superficial, solid lesion

A

Plaque

150
Q

Firm, edematous, irregularly shaped area

A

Wheal

151
Q

Elevates, superficial lesion filled with purulent fluid

A

Pustule

152
Q

How is the pulse rate measured

A

Placing two or three fingers over a superficial artery that has a bone behind it

153
Q

How is an infants temperature taken

A

Rectally

154
Q

Tachycardia refers to a pulse that is

A

Greater than 100 beats per minute

155
Q

What type of respiration describes fast, deep breathing

A

Kussmauls

156
Q

What do cardiac contractions produce

A

Pulse

157
Q

What is the first step in physical assessment (data collection)

A

Observing the patients behavior and appearance

158
Q

When should blood pressure be measured

A

After the patient has been sitting or lying down for 5 minutes

159
Q

Softs, rustling sounds normally heard in the periphery of the lung fields that are longer during inspiration that expiration

A

Vesicular sounds

160
Q

The patients abdomen is assessed when the patient is in what position

A

Supine

161
Q

What assessment is performed at regular intervals on patients who have experienced head trauma or who have had brain surgery

A

Neurologic check

162
Q

What tool can be used to examine canals, including the nasal and vaginal canals

A

Speculum

163
Q

What technique is performed with the hands and uses touch to feel various body parts during physical examination

A

Palpation

164
Q

The pronounced lateral curvature of the spine

A

Scoliosis

165
Q

A croaking sound heard where there is a partial obstruction of the upper air passages in the lungs

A

Stridor

166
Q

What are the primary organs of the respiratory system

A

Lungs, bronchus, trachea

167
Q

The decreased amount of oxygen in the bloodstream resulting from respiratory insufficiency

A

Hypoxemia

168
Q

What process are inspiration and expiration phases of

A

Respiration

169
Q

What are patients who have undergone abdominal or chest surgery are at risk for

A

Pneumonitis

170
Q

Nasopharyngeal suctioning is designed to remove what from the upper respiratory tract

A

Accumulated secretions

171
Q

What is a surgical incision into the trachea to aerate the lungs

A

Tracheostomy

172
Q

What is the most common cause of respiratory insufficiency

A

Obstruction

173
Q

The function of the respiratory system is to supply what to the bloodstream

A

Oxygen

174
Q

The purpose of a tracheostomy is to remove obstruction and ease what

A

Breathing

175
Q

Average room temperature for an adult patients would ideally be between

A

68 and 74 degrees F

176
Q

If no laundry hamper is available, the next best place for soiled linens is where

A

A pillowcase

177
Q

The release of pathogenic or hazardous substances with the aim to harm humans is known as

A

Bioterrorism

178
Q

What is the acronym for a fire emergency

A

RACE

179
Q

How often must the nurse remove a patients protective device and change the patients position

A

Every 2 hours

180
Q

What are patients entering the emergency room triaged based on

A

Type of care required

181
Q

What are common factors of falls

A

Impaired physical mobility, altered mental status, sensory and/or motor deficits

182
Q

What put a patient at high risk for burns

A

Diabetes, impaired circulation, paralysis, decreased mental awareness

183
Q

What some preventions for burns

A

Barrier between patients skin and thermal application, check temperature of oral liquids, warn patient if a drink or food is hot, caution patient to not lay or sleep with heating pads or ice packs, inspect electrical cords for frayed or broken areas that may cause fire

184
Q

What is the acronym PASS

A

Pull, Aim, Squeeze, Sweep

185
Q

What is the acronym RACE

A

Rescue, Activate Alarm, Contain, Extinguish or Evacuate

186
Q

What is OSHA

A

Occupational Safety and Hazard Association

187
Q

What is SDS and why is it used

A

Safety Data Sheet; consulted for recommended methods of storage, labeling, handling spills, and disposal of biohazards

188
Q

What do you report to the poison control center

A

Name of the products, patients age, weight, pertinent medical history, amount and timing of products involved, exposure route of product, any symptom and /or complaints

189
Q

What can restricting movement on a long-term basis lead to

A

muscle weakness, atrophy, loss of bone mass, joint contractures, constipation, incontinence, pressure injuries, depression, cognitive impairment

190
Q

Behavioral indications

A

Psychiatric setting

191
Q

Non-behavioral indications

A

Medical setting