Patient Assessment and Inpatient Care Flashcards

1
Q

What does patient privacy consist of?

A

-personal space
-personal data
-personal choices (religious/cultural)
-personal relationships

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What should you do to ensure patient comfortability?

A

-pillow or blanket
-head of bed up more
-change position
-elevate legs
-reassuring/friendly communication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are some examples of physical needs you need to respond to?

A

-drink of water
-elimination
-sanitary needs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What specific hx info do you need for an OB-GYN exam?

A

LMP, pregnancy Hx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What specific hx info do you need for an ABD exam?

A

food tolerance, pain duration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What specific hx info do you need for an echo exam?

A

exercise tolerance, chest pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What specific hx info do you need for a vascular exam?

A

location and duration of pain, coloration of extremities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What information do we need from the Pt regarding pain?

A
  1. Onset
  2. Duration
  3. Specific location
  4. Quality of pain
  5. What aggravates it
  6. What alleviates it
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the most recognizable physical change?

A

skin color

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are “cold sweats” aka

A

diaphoretic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What could hot, dry skin indicate?

A

fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What could warm, moist skin indicate?

A

response to room temp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What could cool, moist skin indicate?

A

acute anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the vital signs?

A

temperature, pulse, respirations, blood pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the normal oral body temp?

A

98.2-99.6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is normal rectal body temp?

A

.5-1 degree higher than oral temp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is normal axillary body temp?

A

.5-1 degree lower than oral temp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is normal forehead (temporal artery) body temp?

A

.5-1 degree lower than oral temp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What temp is considered a fever for adults?

A

100.4 or higher

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is pulse?

A

pressure wave in an artery with each contraction of the heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the normal range for pulse?

A

60-100 bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is considered tachycardia?

A

greater than 100 bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is considered brachycardia?

A

less than 60 bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is arrhythmia?

A

abnormal heart beats

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What are the common pulse points?

A

-temporal
-carotid
-radial
-femoral
-pedal
-apical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What is the normal range for resipiration?

A

12-20 breaths per minute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What is dyspnea?

A

shortness of breath

28
Q

What is tachypnea?

A

rapid breathing

29
Q

What is hyperventilation?

A

too much oxygen, breathing too quickly and deeply

30
Q

What is hypoventilation?

A

too much CO2, not enough oxygen
breathing too shallow and slow

31
Q

What is orthopnea?

A

difficulty breathing when recumbent (laying flat)

32
Q

What are common diseases that affect respiration?

A

emphysema
COPD

33
Q

What is the top number in BP representing?

A

systolic pressure, pumping action of heart

34
Q

What is the bottom number in BP representing?

A

diastolic pressure, ability of arterial system to accept blood

35
Q

What is the normal range for blood pressure?

A

120/80
95-140 for systolic
60-90 for diastolic

36
Q

What BP is considered HTN?

A

diastolic pressure greater than 90

37
Q

What BP is considered hypotension?

A

diastolic pressure below 50

38
Q

What is the normal range for blood oxygen levels?

A

95-100%

39
Q

What is a normally spaced rhythm called in a EKG?

A

sinus

40
Q

What are premature ventricular contractions (PVCs)

A

irregular or early ventricular contractions

41
Q

What is ventricular fibrillation (V fib)?

A

heart quivers or fibrillates and loses ability to contract
most common cause of sudden death

42
Q

What is ventricular tachycardia (V tach)?

A

heart rate increases to 150-250 bpm, beats to fast to be effective

43
Q

What is IV therapy aka?

A

drip

44
Q

What does IV therapy provide?

A

-hydration/fluids
-blood transfusions
-IV meds
-chemo
-nutrition

45
Q

Where are central IV lines placed?

A

SVC, subclavian, internal jugular, femoral, IVC, right atrium

46
Q

What is PICC?

A

peripherally inserted central catheter

47
Q

What are PICC lines used for?

A

used when IV access is required for a long period of time (long term chemo, IV antibiotics)

48
Q

What is The Seldinger Technique?

A

using a vein in the arm a catheter is advanced into the SVC/RA, x-ray or fluoroscopy is used to ensure catheter tip is in correct location

49
Q

What is a Sub-Q Port?

A

central venous line that does not have external connector but has small reservoir that is implanted under the skin

50
Q

What are infusion pumps?

A

allows precise control over the rate of flow and total amount delivered

51
Q

What are G tubes?

A

feeding tube to provide nutrition
typically long term use
aka enteral feeding

52
Q

What are NG tubes?

A

a nasogastric feeding tube, passes through nostril and down esophagus into stomach

53
Q

Why is suction used?

A

to clear the airway of blood, saliva, vomit so patient can breathe

54
Q

How much oxygen is in room air?

A

21%

55
Q

How much oxygen is provided with nasal cannulas?

A

30-35%

56
Q

What are the different ways oxygen can be delivered to a pt?

A
  • wall oxygen
  • canister oxygen
  • nasal cannulas
  • face mask
57
Q

When moving a pt on oxygen, what should you always be sure to do?

A

use the same concentration of oxygen

58
Q

What is intermittent pneumatic compression (IPC)?

A

leg massagers used to prevent blood clots in deep veins of LE after bed rest / surgery

59
Q

What are ventilators used for?

A

mechanically move air into and out of lungs
used to provide breathing for patients who cannot

60
Q

What is a tracheotomy?

A

allows a patient to breath without use of mouth or nose

incision on anterior neck to open direct airway through incision in trachea

61
Q

What are urinary catheters used for?

A

drain the bladder
needs drainage bag that is lower than the bladder

62
Q

What are the two types of catheters?

A

indwelling and condom

63
Q

What is an indwelling catheter?

A

catheter that is left in the bladder
used for extended periods of time
inserted through urethra
has small balloon so it stays in place

64
Q

How much saline if infused into the bladder when retrograde filling a catherter?

A

300ccs

65
Q

What is a colostomy?

A

surgical procedure that creates an opening between bowel and outside of body

66
Q

What are indications for a colostomy?

A
  1. section of colon/rectum has been removed due to cancer and connection to anus is disrupted
  2. section of colon/rectum has been operated on a needs to rest
67
Q
A