General Survey Flashcards
Objectives and details tested on in module
Initial assessment, general survey, pain assessment, and documentation
Conducting a General Survey of a Client
General Survey: Classifying Involuntary Movements
General Survey: Recording Unexpected Findings
Overview: Approach to Initial Survey
Pain Assessment: Distinguishing Between Acute and Chronic Pain
Summary: Documenting Information During an Initial Assessment
Summary: Identifying Correct Documentation of Vital Signs
Measurement and vital signs
Blood Pressure: Factors Affecting Blood Pressure
Blood Pressure: Order of Steps for Obtaining Orthostatic Blood Pressure
Measurement: Determining a Client’s BMI measurement
Measurement: How to Obtain a Correct Height Measurement
Pulse Oximetry: Factors That Affect Readings
Pulse: Documenting an Unexpected Finding
Respirations: Client Findings That Can Decrease Respiratory Rate
Respirations: Documenting Unexpected Findings
Temperature: Identifying the Most Accurate Route to Obtain a Client’s Core Temperature
apnea
Absence of spontaneous respirations.
arrhythmia
Abnormal heart beat rhythm that can be classified by heart rate abnormality
bradycardia
Heart rate that is less than the expected reference range.
bradypnea
Respiratory rate less than expected range.
diffusion
The movement of gases or solutes from an area of greater pressure or concentration to an area of lower pressure or concentration
hyperthermia
An uncontrolled elevation in body temperature where the body cannot lose heat as fast as it is gained
hypoxia
Below expected level of oxygen in body tissue.
obtundation
A reduction in awareness in which environmental stimuli fail to elicit a reaction from patient.
orthostatic hypotension
Decrease in blood pressure that occurs upon standing, especially from a lying or sitting position.
perfusion
Movement of blood, blood substitute or other fluid through the blood vessels or other natural channels, organs, or tissues.
sphygmomanometer
Instrument used to measure arterial blood pressure.
tachypnea
Respiratory rate greater than expected range.
ventilation
Total volume of gas inspired or expired per unit of time, usually measured in liters per minute.
Spasticity
Alteration manifested as increased muscle tone (tonicity)
Rigidity
Alteration n muscle tone manifested as resistance to any manipulation of the joint
Fasciculation
Alteration in muscle movement seen as a continuous, rapid twitching of a muscle at rest.
Tic
Involuntary, repetitive movement of a muscle group realated to a neurologic or psychogenic cause (e.g., Grimaces, winks, or shoulder shrugs)
Myoclonus
Alteration in muscle movement that is seen as a sudden jerk of muscle, such as hiccups, seizures or a jerk of the arm or leg when falling asleep.
Tremors
Opposing muscle groups that result in a rhythmic movement of one or more joins when at rest or attempting voluntary movemnt.
General survey
The initial appraisal of a clients overall presentation and behaviors
Gait
The way a person walks
Stupor
Unconscious but resposnts to physcial or painful stimuli
Lethargic
Not fully awake but will awaken to stimulus and will quickly fall back to sleep when stimulus is removed.
Delirium
Acute confusion that comes and goes
Comatose
Completely unconcious
Diaphoretic
Sweaty
Affect
The underlying feelings, emotions or mood that is apparent to others
Monotone
Speech that is flat and unchanging with no inflection
Dysarthria
Unclear speech due to the inability to control the muscles used to speak
Aphasia
The inability to find words to express an idea or thought
Echolalia
The repetition of noises or phrases that one hears that is not typical of the conversation.
Mood
A person’s state of emotion
Halitosis
Bad breath
