Exam Questions Flashcards
Adult temperature
36-38 C
Adult oral/tympanic/temporal temp
37 C
Adult rectal temp
37.5 C
Adult axillary temp
36.5 C
Adult pulse
60-100 bpm
Adult respirations
10-20 breaths per min
Adult systolic blood pressure
120-139 mm Hg
Adult diastolic blood pressure
80-89 mm Hg
Adult pulse pressure
30-50 mm Hg
Adult oxygen saturation
95-100%
refers to moving a limb away from the midline of your body
Abduction
refers to moving a limb toward the midline of your body
Adduction
How often do you need to move someone who has mobility issues
Every 2 hours (at least)
upright in bed
Fowlers
face down in bed
Supine
Face-up in bed
Prone
What is the client at risk of when they are immobile
Pressure injuries, muscle atrophy, pneumonia, thrombosis, anything that comes out of you (UTI), bowel problems
Does normal flora cause disease
No - they protect
When do you wear gloves
When coming into contact with bodily fluids
Why wash arms from wrist up in long strokes?
Improves circulation
When do you do vital signs?
Admission and whenever there has been a change (patient falls, change in meds, etc)
When a patient is in pain, changes in environmental temp, physical state, diff activities, illness can cause __________ to change
Vital signs
referred to as the 5th vital sign
Pain
We have heat loss through _____________
- Transferring your heat from what is touching the skin
Radiation
This type of heat related illness causes neurological damage
Heat stroke
Advantage of rectal temp
More reliable
If someone has a mastectomy - use the __________ for BLOOD PRESSURE, because they have taken out your lymph nodes, drainage system and causes swelling in arms and stuff
Thigh
People might not be able to get ________________ due to transportation, obesity, etc
Nutritious food
Condition:
- Won’t have proper nutrients
- Behaviour mod programs
Anorexia
Assisting a client with feeding - before feeding, check risk of aspiration, risk of choking
- Make sure patient is in _________________________ position to eat
Upright, tilted forward
