unit 2 test retake Flashcards
trendelenburg position
feet above head on back
lateral position
on the stomach, legs crossed
child heart rate and respirations
70-100, 18-30
child 3-5 heart rate and respirations
80-120, 22-34
toddler heart rate and respirations
80-130, 24-40
infant heart rate and respirations
80-140, 30-50
newborn heart rate and respirations
120-160, 30-50
what is considered an elevated bp
120 AND greater than 80
what is considered hypertensive
130 OR 80
what is considered a hypertensive crisis
over 180 OR over 120
what is considered hypotensive
less than 90 OR less than 60
when assessing pain you need to know
where, when it started/cause, what makes better/worse, description, rating, spread
what do you need to add to the medical record with pulse oximetry
O2 amount if the patient is on a cannula or nonrebreather
what is the rule for pulse oximetry and automatic bp cuffs
use different arms when assessing
what might make it difficult to get an accurate o2 sat
nail polish, poor circulation, cold
where can you place a pulse oximetry sensor
toe, ear, finger
what happens to pulse rate as children age
decreases
what happens to bp as children age
increases
what happens to resp rate as children age
decreases
what can cause hypertension
stress, pain, smoking, kidney disease
when is it important to notify someone of hypotension in a patient
bleeding, weakness, dizziness, tachycardia, n/v
what can cause hypotension
normal finding, dehydration, excessive bleeding or shock
when should you avoid taking bp on an extremity
mastectomy, stroke, dialysis shunt, iv
how must a patient be positioned to take bp
seated or lying down with arm supported at the heart level
what can make bp readings higher than normal
crossed legs, talking, stress, full bladder, cuff too small or over clothing, back/feet unsupported, smoking
what will happen if you use a cuff that is too big
bp reading will be lower than it actually is
uncontrolled hypertension can lead to
strokes, kidney disease, heart attacks
symptoms of hypertension, if they occur at all, include
headache, bloody nose, dizziness, blurred vision, fatigue, nausea
how do people usually breathe if they know you’re watching
faster
what are cheyne stokes respirations
rapid dyspnea, followed by seconds of no breathing, followed by dyspnea again
what indicates labored breathing
muscle pulling, sounds/noisy breathing
what is the most common point to check pulse? what is the most common point to check pulse in an adult emergency and in an infant emergency
radial, carotid, brachial
where should you place a stethoscope to hear the apical pulse
left 5th intercostal space
the palpated and apical pulse should be
the same
when wouldnt you take temperature in the ear
younger than 6 months, excessive wax, ear infection
which method of temperature is least accurate versus most accurate
axillary, rectal
which patients should you avoid taking temporal temp on
those younger than 3 months
what is the normal temp reading for temporal
97.2-100.1/36.2-37.8
what would hot and dry skin be significant for
if not hot and dry patient could be having a heart attack or in shock
what is diaphoresis significant for
cyanosis, pallor, flushing
what is pallor significant for and what is cyanosis significant for
decreased circulation, decreased oxygen
what is fever significant for
fever, pain, hot environment
what might cause temperature to vary
environment, age, sleeping, exercise, infection
what are the most common sites for temperature
oral, temporal
when would you not take temperature orally
uncooperative or unconscious, under 5 years old, recent eating/drinking/smoking, mouth pain, cough
what is the normal temperature range for oral temps
97.6-99.6/36.5-37.5
