HWA PPx 2 Techniques, General Survey, Vital Signs, Pain, Nutrition

Question 1

What are the 4 examination techniques?

Answer 1

1. Inspection
2. Auscultation
3. Palpation
4. Percussion

Question 2

What are the components of general survey? (6 Items)

Answer 2

1. Age
2. Sex
3. LOC
4. Skin Color, Skin Moisture (Dry vs Diaphoretic).
5. Facial Features (Symmetry)
6. Overall Appearance (Acute Distress vs No Acute Distress/NAD)

Question 3

What should you eval for body structure? (6 Items)

Answer 3

1. Stature (Height)
2. Nutrition (Weight)
3. Symmetry
4. Posture
5. Position
6. Body Build

Question 4

What do you eval for mobility? (2 Items)

Answer 4

1. Gait
2. ROM

Question 5

What do you eval for behavior? (5 Items)

Answer 5

1. Facial Expression
2. Mood and Affect
3. Speech
4. Speech Pattern
5. Dress/Appearance

Question 6

What are normal vital signs for:
1. Temp
2. Pulse
3. Pulse Rhythm
4. Pulse Force
5. Respirations
6. SPO2

Answer 6

1. 96.4-99.1F
2. 60-100bpm
3. Regular, even tempo.
4. 2+
5. 10-20 breath/min
6. > 95% on room air

Question 7

What is systolic BP?

Answer 7

Maximum pressure during left ventricular contraction (systole).

Top reading of BP

Question 8

What is Diastolic BP?

Answer 8

Recoil/resting pressure between each contraction

BOTTOM READING

Question 9

What is pulse pressure? How is it calculated?

Answer 9

Difference between systolic and diastolic pressures and reflects stroke volume

Question 10

What are the BP Categories from AHA?

Answer 10

1. Normal SYS < 120 DIA <80
2. Elevated SYS 120-129 DIA <80
3. HTN Stage 1 SYS 130-139 DIA 80-90
4. HTN Stage 2 SYS >140 DIA >90
5. HTN Crisis SYS >180 DIA >120

Question 11

What is visceral pain?

Answer 11

Pain from internal organs.

Question 12

What is somatic pain?

Answer 12

From musculoskeletal tissues.

Question 13

What is deep somatic pain?

Answer 13

Blood vessels, joints, tendons, muscles, and bone.

Question 14

What is cutaneous pain?

Answer 14

From skin surface and subcutaneous tissues.

Question 15

What is referred pain?

Answer 15

Pain originating at one location that moves/refers elsewhere.

Question 16

What is Acute pain?

Answer 16

Short term, dissipates after healing.

Question 17

What is Chronic pain?

Answer 17

Pain continues for 6+ months.

Question 18

What is breakthrough pain?

Answer 18

Transient pain that occurs in between times of no pain.

Question 19

What is OLDCARTS?

Answer 19

O: Onset
L: Location
D: Duration
C: Character
A: Aggravating factors
R: Relieving factors
T: Treatment
S: Severity

Question 20

What is optimal nutrition status?

Answer 20

Receiving sufficient nutrients to support daily needs

Question 21

What is undernutrion status?

Answer 21

Reserves are depleted and/or intake is inadequate

Question 22

What is overnutrition nutritional status?

Answer 22

Excessive consumption over daily needs