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CCMA revisions > Mod 3: Pt Intake & Vitals (56%) > Flashcards

Mod 3: Pt Intake & Vitals (56%) Flashcards

1
Q

the PHQ-2 and PHQ-9 both screen for

A

depression

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2
Q

the GAD-7 screens for

A

anxiety

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3
Q

the mini-mental exam assess for

A

dementia/degenerative mental conditions

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4
Q

in phase II of Korotkoff sounds, it sounds like

A

swishing

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5
Q

phase III of Korotkoff sounds sounds like

A

sharp tapping

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6
Q

phase IV of Korotkoff’s sounds sounds like

A

soft/muffled tapping

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7
Q

wrong BP cuff sizes can raise the _____ up to ____

A

systolic and diastolic pressure up to 6.9 mmHg

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8
Q

crossing the legs while taking blood pressure can increase the ____ by _____

A

systolic pressure by 2-8 mmHg

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9
Q

if the arm is above the heart, the BP reading is

A

lowered

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10
Q

if the arm is dangling, the BP reading will

A

be elevated

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11
Q

if the arm is help upright, the BP pressure will

A

increase

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12
Q

t/f: blood volume directly affects BP

A

true

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13
Q

t/f: peripheral resistance can increase BP

A

true

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14
Q

t/f: drinking coffee or smoking within 30 min of a BP measurement can affect the reading

A

true

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15
Q

to do BP on a pt with a one-sided mastectomy, the ma should

A

use the arm not impacted

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16
Q

to do BP on a pt w/a bilateral mastectomy, the MA should

A

use leg

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17
Q

to do BP on a pt w/lymphedema, the MA should

A

use leg

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18
Q

to do BP on a pt with dialysis fistula, the MA should

A

use the arm not affected

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19
Q

what is the normal BP range for 1-3 yr olds

A

90-105/55-70

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20
Q

what is the normal BP range for 3-6 yr olds

A

95-110/60-75

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21
Q

what is the normal BP range for 6-12 yr olds

A

100-120/60-75

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22
Q

what is the normal BP range for kids older than 12 years

A

110-120/60-80

23
Q

what is the range for elevated BP

A

systolic 120-139 OR diastolic < 80

24
Q

what is the range for hypertension stage 1

A

systolic 130-139 OR diastolic 80-89

25
Q

what is the range for hypertension stage 2

A

systolic of at least 140 OR diastolic of at least 90

26
Q

what is the range for hypertensive crisis

A

systolic higher than 180 OR diastolic greater than 120

27
Q

what are some causes of orthostatic hypotension

A

dehydration, heart disease, diabetes, some medications, nervous system disorders

28
Q

with orthostatic hypotension, the pulse often

A

increases

29
Q

how does CDC recommend measuring BP for a pt w/orthostatic hypotension

A
  • lie down 5 min, measure BP and pulse
  • stand and wait 1 min before measuring BP & pulse
  • keep pt standing & repeat measurements after 3 min
30
Q

what are other locations to measure the pulse beside the radial, brachial, and carotid sites

A

temporal, femoral, popliteal, posterior tibial, and dorsalis pedis

31
Q

apical pulse is typically measured in pts who are

A

children, infants, or adults w/irregular beats

32
Q

what is the normal pulse range for 1-12 month olds

A

100-180

33
Q

what is the normal pulse range for 1-2 yrs

A

98-140

34
Q

what is the normal pulse range for 3-5 yrs

A

80-120

35
Q

what is the normal pulse range for 6-15 yr olds

A

75-118

36
Q

what is the normal pulse range for pts older than 15 years

A

60-100

37
Q

what is the difference between hyperventilation and hyperpnea

A

hyperventilation = fast/rapid breathing
hyperpnea = excessively deep breathing

38
Q

define RALES

A

small clicking, bubbling, or rattling sounds

39
Q

rales can be caused by

A

fluid in air sacs or pneumonia

40
Q

rhonchi can be caused by

A

COPD, chronic bronchitis, and pneumonia

41
Q

define rhonchi

A

large airway sounds

42
Q

what is the normal respiratory range for 1-12 month olds

A

30-53

43
Q

what is the normal respiratory range for 1-2 yr olds

A

22-37

44
Q

what is the normal respiratory range for 6-15 yr olds

A

18-25

45
Q

what is the normal respiratory range for adults

A

12-20

46
Q

axillary temperatures are typically ____ than oral temp

A

1 degree F (0.6 C) lower

47
Q

tympanic, rectal, and temporal artery temperatures are typically ___ than oral readings

A

1 degree F (0.6 C) higher

48
Q

growth charts (with head circumference) are used until

A

3 years

49
Q

a normal or healthy weight on the growth chart is generally

A

between 5th & 85th percentile

50
Q

BMI between 18.5 and 24.9 is considered

A

normal

51
Q

BMI greater than 24.9 and less than 30 is

A

overweight

52
Q

BMI greater than 30 is

A

obese

53
Q

what are factors that affect vitals

A

drinking hot or cold drink, anxiety, smoking, exertion, age, pain, illness, beta-blocker medication

54
Q
A

CCMA revisions (9 decks)

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