Quiz Chapter 1-7

Question 1

What are the components of a General Survey?

Answer 1

1)Overall appearance and age
2)LOC
3)Facial features and expressions
4)Demeanor and affect
5) Posture
6)Gait
7) Motor Activity
8)Speech
9)Skin Color and Lesions
10) Dress and personal hygiene

Question 2

What do V/S include?

Answer 2

Blood pressure, Temperature, RR, HR

Question 3

What readings will occur if the BP cuff is too small (narrow) or too large (wide)?

Answer 3

The small bp cuff will read a high (on large arm) and the large bp will read a low blood pressure (ons small arm)

Question 4

What are the steps to ensure an accurate BP? (7)

Answer 4

1) Pt avoid smoking, exercise, or caffeine for 30 minutes prior to taking the BP
2) Examination room should be comfortable and quiet
3) pt should sit quietly for at least 5 minutes with feet on the ground and uncrossed
4) Arm selected should be accessible without clothing, fistulas, scars
5) Palpate the brachial artery
6) Position arm so it is at heart level
7) Pt seated, rest arm on table or a little above pt waist

Question 5

What is considered a normal BP? What is an elevated BP?

Answer 5

Normal : Systolic- <120 and <80
Elevated: 120-129 and >80

Question 6

What is Stage 1 and stage 2 hypertension?

Answer 6

Stage 1: 130-139 mm Hg or 80-90
Stage 2: > or equal to 140 or greater or equal to 90

Question 7

How do you measure orthostatic hypotension?

Answer 7

1) Measure BP and HR in two positions: supine after the patient is resting from 3 to 10 minutes then within 3 minutes once the patient stands up.

Question 8

What are causes of orthostatic hypotension?

Answer 8

Medications
moderate or severe blood loss
prolonged bed rest
Disease of ANS

Question 9

What is a orthostatic hypotension?

Answer 9

A drop of SYSTOLIC BP of at least 20 mm HG or diastolic of at least 10 mmHG of standing

Question 10

What if there is irregularities when assessing the HR?

Answer 10

Listen to the apical pulse (apex of the heart) for a full minute

Question 11

OLD CART

Answer 11

Onset
Location:
Duration

Characteristic symptoms:
Associated manifestations:
Relieving factors:
Treatment:

Question 12

What condition is associated with prolonged expiration?

Answer 12

COPD

Question 13

When are oral temperatures contraindicated?

Answer 13

1) Pt is unconscious
2) Pt is restless
3) Pt is unable to open their mouth

Question 14

Is pain objective or subjective?

Answer 14

subjective

Question 15

What are the 4A’s to evaluate patient outcomes?

Answer 15

1)Analgesia
2)Activities of daily living
3) Adverse Effects
4) Aberrant drug related behaviors

Question 16

Cardinal Techniques of Examination

Answer 16

1) Inspection: Close observation of the details of the pt. appearance, behavior, and movement and skin conditions
2) Palpation
3)Percussion
4)Auscultation

Question 17

Cardinal Technique for abdomen

Answer 17

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