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Nsg 101 > Test 1 > Flashcards

Test 1 Flashcards

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0
Q

Rectal temp 1-3 y.o.

A

99 degrees

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1
Q

Axillary temp for newborn

A

97 degrees

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2
Q

Oral temp 6-adult

A

98 degrees

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3
Q

Oral temp >70 y.o.

A

97 degrees

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4
Q 
Normal adult temps:
Rectal
Axillary
Tympanic
Forehead
A

R-99
A-97
T-99
F-94

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5
Q

Pulse newborn

A

80-180 bpm

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6
Q

Pulse 1-3 y.o

A

80-140 bpm

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7
Q

6-8 y.o pulse

A

75-120 bpm

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8
Q

10 y.o pulse

A

75-110 bpm

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9
Q

Teen/adults/> 70 y.o pulse

A

60-100 bpm

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10
Q

Tachycardia

A

Heart rate >100bpm adults

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11
Q

Bradycardia

A

Heart rate <60 bpm adults

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12
Q

SV

A

How much blood is pumped with each contraction

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13
Q

CO

A

How much blood is pumped per minute

SV x HR

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14
Q

Respiration newborn

A

30-80 breaths/min

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15
Q

1-3 y.o respiration

A

20-40 breaths/min

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16
Q

6-10 y.o respiration

A

15-25 breaths/min

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17
Q

Teens respiration

A

15-20 breaths/min

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18
Q

Adults respiration

A

12-20 breaths/min

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19
Q

> 70 y.o respiration

A

15-20 breaths/min

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20
Q

Definition of blood pressure

A

Force of blood moving through arterial walls

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21
Q

Blood pressure newborn

A

73/55 mmHg

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22
Q

1-3 y.o BP

A

90/55 mmHg

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23
Q

6-8 y.o BP

A

95/75 mmHg

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24
Q

10 y.o BP

A

102/62 mmHg

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25
Q

Teen BP

A

102/80 mmHg

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26
Q

Adult BP

A

120/80 mmHg

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27
Q

> 70 y.o BP

A

120/80 mmHg

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28
Q

Short term BP regulators

A

Occurs quickly, such as standing.

Targets Resistance by vasodilation/contraction

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29
Q

Long term regulators of BP

A

Kidneys regulate blood volume.

The more blood volume, the higher the BP

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30
Q

Thermoregulation

A

The ability to keep temperature within certain boundaries.

Regulate by hypothalamus.

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31
Q

How the body conserves temperature

A

Vasoconstriction, shunt blood to deep vital organs.

Less radiating of heat by putting on layers.

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32
Q

Production of heat

A

Metabolism is primary source of heat.
Epinephrine/norepinephrine release=increase heat.
Shivering=reduces surface size.

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33
Q

Reduction of temperature

A

Skin is primary site of heat loss.

-evaporation of sweat.

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34
Q

Heat transfer:

Radiation

A

The body gives off heat from exposed areas of skin.

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35
Q

Heat transfer:

Convection

A

Such as when a fan blows on you.

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36
Q

Heat transfer:

Conduction

A

Transfer of heat with direct contact, such as sitting on metal chair

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37
Q

Intermittent fever

A

Fever, then back to normal

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38
Q

Remittent fever

A

Fluctuates but never goes back down to normal

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39
Q

Constant fever

A

Remains elevated

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40
Q

Relapsing fever

A

Normal temp for over a day, but comes back

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41
Q

Crisis fever

A

Returns to normal suddenly

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42
Q

Lysis fever

A

Returns to normal gradually

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43
Q

Hyperthermia range

A

> 105.8 Degrees F

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44
Q

Pyrexia def

A

Fever

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45
Q

Methods to reduce fever

A

Antipyretic (Tylenol/ibuprofen)
Cool sponge bath
Cool packs
Hypothermia blanket

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46
Q

Pulse amplitude:

0

A

Absent pulse, no pulse felt despite deep pressure

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47
Q

Pulse amplitude

+1

A

Thready: not easily felt, slight pressure make it disappear

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48
Q

Pulse amplitude:

2+

A

Weak pulse, light pressure cause it to disappear, but stronger than threads pulse

49
Q

Pulse amplitude

3+

A

Normal pulse, palpating easily felt, moderate pressure for it to disappear

50
Q

Pulse amplitude

4+

A

Bounding pulse, strong and doesn’t disappear with moderate pressure

51
Q

Pulse amplitude def

A

He full pulse is, shows strength of left ventricular contraction

52
Q

Pulse rhythm def

A

The pattern of the pulses and the pauses between them

53
Q

Dysthymia def

A

Irregular heart beat

54
Q

Pulse deficit def

A

Difference between apical and radial pulses, indicate a blockage.

55
Q

What’s the most powerful respiratory stimulant

A

CO2

56
Q

Nsg diagnosis of decreased CO (altered pulse)

A

Hx CHF, dysrhythmia

57
Q

Nsg diagnosis of ineffective peripheral tissue perfusion (altered pulse)

A

Hx peripheral vascular disease with decreased popliteal pulses

58
Q

Nsg diagnosis deficient fluid volume (altered pulse)

A

Exposure to high environmental temperature, increased age, tachycardia

59
Q

Nsg diagnosis acute pain (altered pulse)

A

Day after postoperative sx, crying, tachycardia

60
Q

Assess respiration’s:
Depth
Rhythm

A

Depth: deep or shallow
Rhythm: regular or irregular

61
Q

Nsg diagnosis:

Ineffective breathing pattern

A

Anxiety, increased intracranial pressure after head injury, premature infant via c-section

62
Q

Nsg diagnosis ineffective health maintenance (BP)

A

Lack of finances to seek care for HTN

63
Q

Subjective data

A

From the subject, symptoms, feelings

64
Q

Objective data

A

Observable data. Can be seen, smelled…

65
Q

5 c’s of an interview

A 
What do u call up problem 
What caused your problem 
How do u cope 
Who cares for you
What concerns do u have
66
Q

Turgor

A

Elasticity of skin, when pt is dehydrated skins elasticity is decreased

67
Q

Difficulty in lifting a skin fold may indicate what?

A

Edema

68
Q

Amplitude of pulses

0

A

Absent

69
Q

Amplitude of pulses

1+

A

Weak

70
Q

Amplitude of pulses

2+

A

Normal

71
Q

Amplitude of pulses

3+

A

Increased

72
Q

Amplitude of pulses

4+

A

Bounding

73
Q

Abnormal pulse such as absent, weak,thready may indicate

A

Decreased CO

74
Q

Bounding pulse may indicate

A

HTN

75
Q

RBC aka

A

Erythrocyte

76
Q

CBC
RBC
M:
F:

A

M: 4.7-6.1
F: 4.2-5.4

77
Q

CBC

WBC

A

5-10,000

78
Q

CBC
Hg
M:
F:

A

M: 14-18 g/dl
F: 12-16 g/dl

79
Q

CBC
Ht
M:
F:

A

M: 42-62
F: 37-47

80
Q

Electrolytes
Def
Usage

A

Def: inorganic substances that conduct electrical current
Usage: asses fluid balance, kidney function, endocrine function…

81
Q

Electrolyte

Na+

A

Sodium

135-145 mEq/L

82
Q

Electrolyte

K+

A

Potassium

3.5-5.0 mEq/L

83
Q

Electrolyte

Cl

A

Chloride 95-105 mEq/L

84
Q

Electrolyte

Ca

A

Calcium

4.5-5.5 mEq/L

85
Q

Electrolyte

P

A

Phosphate

1.8-2.6

86
Q

Electrolyte

Mg

A

Magnesium

1.5-2.5 mEq/L

87
Q 
UA 
pH
Protein 
Spec gravity
Glucose 
Keytones
Blood
A 
pH: 4.6-8.0
Protein: up to 10 mg/100ml
Spec grav: 1.003-1.030
Glucose: neg
Keytones: neg
Blood: up to 2 RBC's
88
Q 
Arterial blood gases 
pH
PaCO2
PaO2
HCO3
SaO2
A 
pH: 7.35-7.45
PaCO2: 35-45 mm HG
PaO2: 80-100 mm HG
HCO3: 22-26 mEq/L
SaO2: 95-98%
89
Q

Sputum specimen usage

A

Determine infection, abnormal cell (cytology) acid fast bacillus

90
Q

Arterial blood gases
Def
Usage

A

Def: assess adequacy of ventilation and oxygenation via arterial blood
Usage: measures respiratory and metabolic disturbances

91
Q

Metabolic

A

Renal

92
Q

PQRST

A 
P: provoke, what causes pain/makes worse/better 
Q: quality, sharp/dull/burning..
R: radiate, does pan travel 
S: severity, 1-10 rate pain
T: timing, constant/intermittent
93
Q

Assessment

A

Systematic, continuous collection, organization, validation, analysis and documentation of data

94
Q

4 types of assessments:

A

Comprehensive
Ongoing partial
Focused
Emergency

95
Q

Stages of an interview

A

Opening
Body
Closing

96
Q

The opening stage of an interview

A

Sets tone for interview

Establish rapport, orient client to the procedure

97
Q

Body of the interview

A

Question/answer

98
Q

Closing of the interview

A

Maintain rapport, finished

99
Q

Generalization

A

Starting point for data

100
Q

Stereotype

A

Ending point cuts off curiosity/knowledge

101
Q

Africa American health problems

A

HTN, stroke, sickle cell, lactose intolerant, keloids

102
Q

Asian/pacific islanders health problem

A

HTN, CA, lactose intolerance, thalassemia

103
Q

Hispanic American health problems

A

Diabetes, lactose intolerant

104
Q

3 ways to improve communication

A
  • self awareness
  • increased knowledge about communication process
  • being more sensitive
105
Q

Active listening

A 
S: sit facing client 
O: observe with open posture
L: lean forward 
E: eye contact 
R: relax, don't fidget
106
Q

Active listening

A

Pay attention verbal/nonverbal cues.

Eye contact, verbal remarks helping communication

107
Q

Seeking clarification

A

Asking to elaborate, give example

108
Q

Restating

A

Say in different words to make sure u understand/heard

109
Q

Broad opening examples

A

Is there something u would like to talk about today?

110
Q

Reflecting

A

Respond to a statement with a question to help identify their feelings

111
Q

Summarizing

A

Review main points, make conclusions.

112
Q

Offering self

A

Make yourself available, show interest/concern

113
Q

Accepting

A

Nurse can follow and hears u

114
Q

Giving recognition

A

Greet patient by name, note efforts/change the clients made

115
Q

Focusing

A

Focus on one thing until its clear

116
Q

Exploring

A

Further investigating into idea/subject

117
Q

Presenting reality

A

State what’s real/not without arguing

118
Q

Suggest collaboration

A

Figure out things with the patient

119
Q

Three phases of nurse /client relationship

A
  • orientation
  • working phase
  • termination phase
120
Q

S2 split

A

Normal for some, occurs at end of inspiration.

Heard only in pulmonic valve

Nsg 101 (4 decks)

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