General Survey

Question 1

Objectives and details tested on in module

Question 2

Initial assessment, general survey, pain assessment, and documentation

Answer 2

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

Question 3

Measurement and vital signs

Answer 3

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

Question 4

apnea

Answer 4

Absence of spontaneous respirations.

Question 5

arrhythmia

Answer 5

Abnormal heart beat rhythm that can be classified by heart rate abnormality

Question 6

bradycardia

Answer 6

Heart rate that is less than the expected reference range.

Question 7

bradypnea

Answer 7

Respiratory rate less than expected range.

Question 8

diffusion

Answer 8

The movement of gases or solutes from an area of greater pressure or concentration to an area of lower pressure or concentration

Question 9

hyperthermia

Answer 9

An uncontrolled elevation in body temperature where the body cannot lose heat as fast as it is gained

Question 10

hypoxia

Answer 10

Below expected level of oxygen in body tissue.

Question 11

obtundation

Answer 11

A reduction in awareness in which environmental stimuli fail to elicit a reaction from patient.

Question 12

orthostatic hypotension

Answer 12

Decrease in blood pressure that occurs upon standing, especially from a lying or sitting position.

Question 13

perfusion

Answer 13

Movement of blood, blood substitute or other fluid through the blood vessels or other natural channels, organs, or tissues.

Question 14

sphygmomanometer

Answer 14

Instrument used to measure arterial blood pressure.

Question 15

tachypnea

Answer 15

Respiratory rate greater than expected range.

Question 16

ventilation

Answer 16

Total volume of gas inspired or expired per unit of time, usually measured in liters per minute.

Question 17

Spasticity

Answer 17

Alteration manifested as increased muscle tone (tonicity)

Question 18

Rigidity

Answer 18

Alteration n muscle tone manifested as resistance to any manipulation of the joint

Question 19

Fasciculation

Answer 19

Alteration in muscle movement seen as a continuous, rapid twitching of a muscle at rest.

Question 20

Tic

Answer 20

Involuntary, repetitive movement of a muscle group realated to a neurologic or psychogenic cause (e.g., Grimaces, winks, or shoulder shrugs)

Question 21

Myoclonus

Answer 21

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.

Question 22

Tremors

Answer 22

Opposing muscle groups that result in a rhythmic movement of one or more joins when at rest or attempting voluntary movemnt.

Question 23

General survey

Answer 23

The initial appraisal of a clients overall presentation and behaviors

Question 24

Gait

Answer 24

The way a person walks

Question 25

Stupor

Answer 25

Unconscious but resposnts to physcial or painful stimuli

Question 26

Lethargic

Answer 26

Not fully awake but will awaken to stimulus and will quickly fall back to sleep when stimulus is removed.

Question 27

Delirium

Answer 27

Acute confusion that comes and goes

Question 28

Comatose

Answer 28

Completely unconcious

Question 29

Diaphoretic

Answer 29

Sweaty

Question 30

Affect

Answer 30

The underlying feelings, emotions or mood that is apparent to others

Question 31

Monotone

Answer 31

Speech that is flat and unchanging with no inflection

Question 32

Dysarthria

Answer 32

Unclear speech due to the inability to control the muscles used to speak

Question 33

Aphasia

Answer 33

The inability to find words to express an idea or thought

Question 34

Echolalia

Answer 34

The repetition of noises or phrases that one hears that is not typical of the conversation.

Question 35

Mood

Answer 35

A person’s state of emotion

Question 36

Halitosis

Answer 36

Bad breath