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Nursing Foundations 102 > Module 2 Dr. Hill > Flashcards

Module 2 Dr. Hill Flashcards

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1
Q

If a patient is drinking something prior to taking temperature, what temperature should you take and how long should you wait?

A

Axillary (arm pit) and 30 mins

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2
Q

This is an ABNORMAL finding when assessing the heart and it narrows the blood vessel, creates turbulence, and causes blowing/swishing sound!

A

Carotid bruit

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3
Q

Should you report a Carotid Bruit to the HCP?

A

Yes because it is an abnormal finding

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4
Q

When should you use the rectal temperature?

A

ONLY when other options are not acceptable for the condition of the patient.

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5
Q

Should patients know when you are assessing respirations?

A

NO

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6
Q

If a patient doesn’t speak your native language (English) what should you do?

A

Have an interpreter

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7
Q

What should you do if a patient’s radial pulse is abnormal?

A

Check the apical pulse for one full minute

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8
Q

______ and ______ can cause blood pressure to increase temporarily.

A

Smoking and cafffeine

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9
Q

What should you give a patient who has fever and is restless?

A

Oxygen

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10
Q

What should you never assess at the same time?

A

The carotid arteries

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11
Q

Where do you assess the dorsal pedal pulse?

A

the top of the foot

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12
Q

Where do you assess the popliteal pulse?

A

The bend of the knee (back part)

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13
Q

If you are assessing a 2 year old’s tympanic membrane, how do you position the ear?

A

down and back

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14
Q

What is the normal assessment of pupils when performing an exam?

A

Pupils clear, equal, round, and reactive to light

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15
Q

What are signs and symptoms of diabetic patients?

A

Fruity breath

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16
Q

What is the acceptable range for an adult when assessing PULSE RATE?

A

60-100

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17
Q

What is the normal range for temperature when assessing an adult?

A

96.8 to 100.4 average 98.6

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18
Q

If a patient is experiencing blood loss, what happens to their heart rate and blood pressure?

A

Heart rate increases and blood pressure decreases

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19
Q

Does fever increase heart rate?

A

yes

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20
Q

A _______ heart will have a lower heart rate at rest. And it is NORMAL for them. (football player, people who are active)

A

Conditioned

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21
Q

What is hypoxemia?

A

low blood level of oxygen

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22
Q

What is the normal range for an O2 saturation in an adult?

A

95 to 100 but low is considered less than 90

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23
Q

shallow breathing can cause what?

A

pneumonia

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24
Q

Pulse pressure needs to be between ___ to ___

A

40 to 60

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25
Q

How do you calculate pulse pressure?

A

By subtracting the systolic and diastolic pressure

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26
Q

this is less than 12 breaths/min

A

bradypnea

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27
Q

this is less than 60 beats/min

A

bradycardia

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28
Q

this is more than 22 breaths/min, theyre breathing fast

A

tachypnea

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29
Q

hypoventilation is when respiratory rate is abnormally ___ and depth is depressed

A

low

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30
Q

hyperventilation is when the rate and depth of respirations _____

A

increase

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31
Q

This is when respirations stop for several seconds

A

apnea

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32
Q

A normal blood pressure for an adult is ….

A

less than 120/80

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33
Q

atherosclerosis is when fatty deposit is built up in artery and what can it do to pulse pressure?

A

increase

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34
Q

An O2 saturation of less than 86 should be assessed when?

A

first

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35
Q

what do opiod analgesics cause peoples respirations to do after they have taken them?

A

Decrease in respiration

36
Q

What is a reading for a patient who is PRE HYPERtensive?

A

systolic 120 to 139 and diastolic 80 to 89

37
Q

What is a reading for a patient who is Stage 1 HYPERtensive?

A

systolic 140 to 159 and diastolic 90 to 99

38
Q

What is a reading for a patient who is Stage 2 HYPERtensive?

A

systolic greater than or equal to 160 and diastolic greater than or equal to 100

39
Q

Can UAP’s ambulate patients if they are being discharged home?

A

Yes

40
Q

If a patient was having respirations of 8 breaths/minute what would be needed?

A

Immediate follow-up

41
Q

Can a UAP perform vital signs on a stable patient?

A

Yes

42
Q

What are some UAP duties?

A

Raise head of bed, empty urinal, place patient on a bed pan, feed patients, report any unusual observations, assist the RN or LPN, ambulate patients being discharged

43
Q

If a patient is experiencing dyspnea, what position do you place them in?

A

Semi-Fowlers

44
Q

What should the nurse do if the UAP gets abnormal blood pressure reading?

A

Follow up and do their own assessment

45
Q

What is the position you should place your patient in for a vaginal exam?

A

Lithotomy

46
Q

pyrexia means…

A

fever

47
Q

afebrile means…

A

they do NOT have fever

48
Q

Hypertension is more or less common than hypotension?

A

more common

49
Q

_____ elevate body temperature

A

pyrogens

50
Q

Pain increases/decreases blood pressure, heart rate, and respiratory rate

A

INCREASES

51
Q

If a patient does not have insurance, how much oxygen can you give them for free?

A

2 liters

52
Q

Tachypenic means they are breathing too slow/fast?

A

fast

53
Q

What does an antipyretic do? Like acetaminophen

A

Temperature reducer

54
Q

Does body weight have an effect on temperature? If so, how or why?

A

Yes because as people get older, they lose sub-q tissue.

55
Q

How long should you wait to retake blood pressure?

A

2 to 3 minutes

56
Q

The best site to obtain a body core temperature is…

A

rectal

57
Q

This process occurs when heat loss mechanisms are unable to keep up with EXCESS HEAT production…

A

fever

58
Q

An abnormally elevated body temperature greater than 101.5

A

Hyperthermia

59
Q

You cannot give ____ to children because it causes a condition called ryes syndrome

A

aspirin

60
Q

This is when your body temperature is less than 95

A

Hypothermia

61
Q

For the elderly population this range of temperature is normal….

A

95-97

62
Q

Capillary refill needs to be

A

less than 3 seconds

63
Q

Why do we use a lateral downward position when assessing the thorax?

A

It provides a full expansion of the lungs

64
Q

What are lung sounds called that are high pitched and musical? This is an ABNORMAL lung sound

A

Wheezing

65
Q

this lung sound is NORMAL soft, breezy, and low pitched (created by air moving through small airways)

A

vesicular

66
Q

This is a NORMAL lung sound that is blowing sounds that are medium pitched (air moving through large airways)

A

bronchovesicular

67
Q

This is a NORMAL lung sound that is high-pitched w/ hollow quality (air moving through trachea, close to chest wall)

A

Bronchial

68
Q

This is an ABNORMAL lung sound that is lung bases and does not clear with cough.

A

Crackles or rales

69
Q

This is an ABNORMAL lung sound that is cleared by cough and is a sonorous wheeze

A

Rhonchi

70
Q

This is an ABNORMAL lung sound that is a dry or grating and rubbing sound

A

Pleural friction rub

71
Q

This is when fluid gets outside the vessel

A

peripheral edema

72
Q

Vital signs are before or after the general survey?

A

after

73
Q

what is bleeding under the skin called?

A

petechiae

74
Q

Bleb or Wheal is ______ under the skin to see if you have a reaction to it. (TB test)

A

medicine

75
Q

Skin that is indented 6 mm / +3 is what type of edema?

A

Moderate pitting edema

76
Q

This is when Blood Pressure DROPS because a client changes positions from lying to sitting, or standing or from peripheral vasodilation, medication adverse effect, fluid depletion, or anemia.

A

orthostatic hypotension

77
Q

Dizziness, weakness, and fainting are signs and symptoms of what?

A

orthostatic hypotension

78
Q

If a patient is clubbing that indicates

A

respiratory problems

79
Q

An orthostatic hypotension patient should or should not be delegated?

A

SHOULD NOT

80
Q

How do you perform an assessment on a patient with orthostatic hypotension?

A

place patient in sitting position if dizzy, obtain in supine, sitting, and standing, check 1 to 3 minutes apart

81
Q

Use oxygen cautiously in COPD patients because they can develop oxygen toxicity and high carbon dioxide levels called

A

hypercapnia

82
Q

What are some indications of an increased heart rate?

A

PAIN LEVEL OF 10!!! , running, fever, climbing up stairs

83
Q

What is done to assess the postoperative circulation of the lower extremities

A

dorsal pedal pulse

84
Q

what are the signs and symptoms of fever?

A

oxygen consumption rises, heart and respiratory rates increase, sweating, chills and shivering, headaches, muscle aches.

85
Q

what are some signs and symptoms of poor skin turgor?

A

skins stays pinched or indented or moves back slowly

Nursing Foundations 102 (4 decks)

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