Health Assessment II Flashcards

1
Q

receives venous blood from the superior and inferior vena cava and pump into the right ventricle

A

right atrium

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2
Q

serves to pump the un-oxygenated blood to the pulmonary circulation and lunges where fresh oxygen is available

A

right ventricle

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3
Q

receives oxygenated blood from the pulmonary veins and pumps this blood into the left ventricle

A

left atrium

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4
Q

pumps oxygenated blood (arterial blood) to all areas of the body to maintain tissue oxygenation

A

left ventricle

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5
Q

Heart sound locations

A
Aortic 
Pulmonic
Erbs point (where murmurs are heard)
Tricuspid 
Mitral
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6
Q

dull low pitch sound occurs when the mitral and tricupsid valve closes. (heard best at mitral area)

A

Lub (S1)

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7
Q

high pitch sound occurs when the aortic and pulmonic valve closes. (heard best at pulmonic area)

A

Dub (S2)

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8
Q

occurs because blood is not flowing correctly from the atrium into the ventricle so it’s basically impaired ventricular filling.

A

Gallop sounds

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9
Q

occurs during rapid ventricular filing ; common in children and young adults (kentuckY)

A

S3

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10
Q

heard during atrial contraction (may be heard in the elderly with hypertension) TENessee

A

S4

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11
Q

created by turbulent blood flow due to a defective valve, congenital defect, increased blood flow (heard best at Erb’s Point (third intercostal space))

A

Murmur

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12
Q

grating sound heard when pericardial layers rub against each other; percariditis

A

Percaridal Friction Rub

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13
Q

When assessing the abdmonial what order should you do it in?

A

Inspect, Auscultate, Palpate, Purcuss

look, listen, then feel

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14
Q

How do bowel sounds typically sound?

A

high pitch, gurgly type noises

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15
Q

one gurgle high pitch sound per minute; decreased mobility in the bowel

A

hypoactive , less active

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16
Q

one gurgle high pitch sound per 3 seconds ; increased mobility in the bowel

A

hyperactive ; over active

17
Q

what major organs are in the right upper quadrant

A

liver, gallbladder, duodedum

18
Q

what major organs are in the right lower quandrant

A

appendix

19
Q

what major organs are in the left upper quadrant?

A

stomach, spleen, pancreas

20
Q

what major organs are in the left lower quadrant ?

A

sigmoid colon

21
Q

one gurgle high pitch sound every 5-10 seconds

A

normal bowel sounds

22
Q

without urine output

A

anuric

23
Q

less than 30 mL of output in an hour

A

oliguric

24
Q

abnormal urine colors

A

pink-tinged, bloody (red), light brown, dark yellow, orange, blue or green

25
Q

no control over urine output

A

incontinent urine

26
Q

what is edema typically caused by?

A

cardiac problems

27
Q

information coming from the nurse only

A

primary

28
Q

information coming form anyone else

A

secondary

29
Q

larger part of the stethoscope that best hears high pitch sounds

A

diaphragm

30
Q

smaller part of the stethoscope that best hears low pith sounds

A

bell

31
Q
Newborn       80 - 180 
1 year             80 - 140    
5-8 years       75 - 120   
10 years          50 - 90  
Teen               50 - 90
Adult               60-100
Older Adult     60 - 100
A

Normal Pulse Range

32
Q
Newborn      30 - 80 
1 year            20 - 40
5-8 years      15 - 25
10 years        15 - 25 
Teen              15 - 20
Adult              12 - 20 
Older Adult    15 -20
A

Normal Respiration Range

33
Q

Newborn 50 - 80 25 -55
1 year 94 - 103 49 - 56
5-8 years 103 - 112 65 - 70
10 years 111 - 119 73 - 78
Teen 120 - 131 76 - 81
Adult <120 <80
Older Adult <120 <80

A

Normal Blood Pressure Range

34
Q

normal is 95 - 100%

A

Normal Oxygen Saturatoin Level