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Resp 110 > Patient Assessment part 1 > Flashcards

Patient Assessment part 1 Flashcards

1
Q

Where can body temperature be measured?

A

Oral, rectal, axillary, ear

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2
Q

What regulates body temperature?

A

Hypothalmus

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3
Q

What does the term febrile mean?

A

Patient has a fever

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4
Q

What does the term afebrile mean?

A

Without a fever- patient does not have a fever

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5
Q

Body temperature is an indicator of the patients what?

A

Patients metabolic rate

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6
Q

What are acceptable sites to measure a patient pulse?

A

Radial, brachial, femoral, carotid, apical

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7
Q

When evaluating a patient’s pulse what should be noted?

A

Rhythm, rate, strength, irregularities

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8
Q

What is a normal adult heart rate?

A

60- 100 beats per minute

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9
Q

What is the first sign of hypoxemia?

A

Tachycardia

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10
Q

What is hypoxemia?

A

Decreased oxygen level in the arterial blood

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11
Q

What is diaphoresis?

A

Sweating

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12
Q

What is syncope?

A

Fainting

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13
Q

What is a normal adult respiratory rate?

A

12 -20 breaths per minute

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14
Q

What are the parts of a stethoscope?

A

chest piece, diaphragm, bell, binaural or ear pieces, tubing

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15
Q

What is the term used to describe listening to breathsounds?

A

Auscultation

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16
Q

What is the term used to describe normal breathsounds?

A

Vesicular- clear- normal

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17
Q

What is the normal breath sound heard over the trachea?

A

Tracheal

18
Q

What type of breath sound will clear with a cough?

A

Rhonchi

19
Q

What breath sound will occur if there is an obstruction in the trachea & larynx?

A

Stridor

20
Q

What breath sound(s) will occur if the patient has fluid in the lungs?

A

Crackles, rales, rhonchi

21
Q

Are rhonchi a continuous or discontinuous sound?

A

Continuous

22
Q

Are rales (crackles) a continuous sound or discontinuous sound?

A

Discontinuous

23
Q

What breath sound will occur if there is a constricted bronchial wall?

A

Wheeze

24
Q

What type of sound does a pleural rub make and what causes this sound?

A

Pleural friction rub- caused from inflamed pleural surfaces rubbing together

25
Q

Posterior

A

Back

26
Q

Anterior-

A

front

27
Q

Lateral

A

side

28
Q

What is Pulsus Paradoxus or paradoxus pulsus?

A

When pulse and blood pressure vary with respiration- BP and Pulse strength decrease on inspiration

29
Q

What is the term for an increased body temperature and what can cause it to increase?

A

Hyperthermia- fever, infection/illness, hormonal imbalance, decreased heat loss, increased environmental temperature, drug interactions

30
Q

What is the term for a decreased body temperature and what can cause it to decrease?

A

Hypothermia- exposure to cold, blood loss, hypothalmus injury, diaphoresis, hormonal imbalance

31
Q

What is the term for an increased heart rate and what could cause this to increase?

A

Tachycardia – hypoxemia, fever, heart abnormalities, emotional stress, exercise, response to medications, blood loss volume

32
Q

What is term for a decreased heart rate and what could cause this to decrease?

A

Bradycardia – hypothermia, syncope, heart abnormalities, depressant drugs, infections, well-conditioned athlete

33
Q

What is the term for an increased respiratory rate and what could cause this to increase?

A

Tachypnea—hypoxemia, fever, pain, exercise, metabolic acidosis, fear, anxiety

34
Q

What is the term for a decreased respiratory rate and what could cause this to decrease?

A

Bradypnea—hypothermia, head trauma narcotic overdose, sedative overdose

35
Q

What is the term for an increased blood pressure and what could cause this to increase?

A

Hypertension—hypoxemia, increased intracranial pressure, right sided CHF- congestive heart failure, fluid overload, stimulant drugs, exercise, emotional stress

36
Q

What is the term for a decreased blood pressure and what could cause this to decrease?

A

Hypotension—shock, hormonal imbalance, depressant drugs, fluid loss, left sided CHF, Positive pressure ventilation/PEEP, positioning, peripheral vasodilation

37
Q

What does systolic pressure measure?

A

Pressure measure in the arterial system when the ventricles of the heart are contracting

38
Q

What does diastolic pressure measure?

A

Pressure measured in the arterial system when the ventricles of the heart are at rest

39
Q

Which blood pressure measurement is the most critical and why?

A

Diastolic—it’s the lowest pressure that the arterial system & heart are subjected to

40
Q

What is normal pulse pressure and how do calculate this?

A

35-40 mmHg Calculated by: Systolic pressure – Diastolic pressure

41
Q

What factors affect a patient’s blood pressure?

A

Pumping action of the heart, resistance in the cardiovascular system, elasticity of the vessels, blood volume, viscosity of the blood

42
Q
A

Resp 110 (6 decks)

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