Unit 3-Nurses Flashcards

1
Q

pulse

A

pressure of blood pushing against wall of an artery as the heart beats and rests

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2
Q

pulse points

A

most easily felt in arteries that are close to skin and can be pressed against bone by fingers

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3
Q

antecubital space

A

bend of elbow

- where brachial pulse is found

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4
Q

palpate

A

feeling a pulse

- use first 3 fingers

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5
Q

Auscultate

A

heading a pulse

- use stethoscope

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6
Q

Rate

A

measured as number of beats per minute (BPM)

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7
Q

rhythm

A

pattern of heartbeats

- charted as “regular” or “irregular”

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8
Q

Arrhythmia

A

irregular pulse

- assess irregular pulse for 1 minute

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9
Q

volume

A

strength/intensity of pulse

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10
Q

absent

A

unable to detect (0)

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11
Q

thready/weak

A

difficult to palpate (+1)

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12
Q

strong/normal

A

easily found (+2)

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13
Q

bounding/full

A

pushed forcefully against fingertips (+3)

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14
Q

apical pulse

A

-assessed at apex of heart
-use stethoscope
used?= irregular heartbeat, before certain meds, peripheral pulse too weak, assessing infants

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15
Q

respiration

A

exchange of oxygen and carbon dioxide

- patient shouldn’t be aware of assessment

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16
Q

respiratory rate

A
  • adult= rise and fall of chest

* children= rise and fall of abdomen

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17
Q

rhythm

A

pattern should be regular

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18
Q

quantity

A

refers to depth and character of respiration

  • deep
  • shallow
  • labored
  • unlabored
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19
Q

blood pressure

A

measurement of pressure blood exerts as it pulsates throughly arteries
• mmHg
• uses sphygmomanometer

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20
Q

3 types of sphygmomanometer

A
  • mercury
  • aneriod
  • electronic
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21
Q

mercury

A

usually hung on wall

  • most accurate
  • OSHA discourages their use
22
Q

aneriod

A

calibrated dial

23
Q

electronic

A

digital display

24
Q

BP measurement

A

records as fraction

- systolic = occurs when heart is contracting (top #) 
- diastolic = present when heart is at rest (bottom #)
25
Q

causes of hypertension

A
  • stress
  • anxiety
  • obesity
  • kidney diease
26
Q

causes of hypotension

A
  • heart failure
  • dehydration
  • depression
  • severe burns
  • shock
27
Q

normal range of BP

A
systolic = <120
diastolic = <80
28
Q

hypotension

A
systolic = <90
diastolic = <60
29
Q

prehypertension

A
systolic = 120-139
diastolic = 80-89
30
Q

hypertension

A
systolic = 140+ 
diastolic= 90+
31
Q

temperature

A

measurement of heat loss and heat produced

32
Q

causes of increased temperature

A
  • infection
  • exercise
  • excitement
  • high temperature environment
33
Q

causes of decreased temperature

A
  • starvation/fasting
  • decreased muscle fine
  • mouth breathing
  • exposure to cold environment
34
Q

hypothermia

A

below 95

-death = below 93

35
Q

hyperthermia

A

above 104

- death= 106+

36
Q

febrile

A

running a fever (100+)

37
Q

afebrile

A

without a fever

38
Q

oral temperature

A

taken in mouth

39
Q

rectal (R)

A

taken in rectum

- runs 1 degree higher

40
Q

Axillary (AX)

A

taken in armpit

- runs 1 degree lower than oral

41
Q

aural (A)

A

taken in ear

42
Q

temporal (TA)

A

taken across forehead

43
Q

health history

A
  • follow check list of questions
  • active listening
  • silence
  • opened ended questions
  • protect privacy
44
Q

valuables list

A

must be documented and sent to holding
• jewelry
• watches
-clothing = kept in closet

45
Q

client comfort

A
• starts with psycho-social comfort 
    -client is nervous/scared 
• provide supplies for daily needs 
• introduce roommate
• put call-bell in reach
46
Q

instructions of polices/procedures

A
  • patient = anxiety
  • inform client of:
    • meal schedule
    • visitor policy
    • what to expect now they are here
47
Q

work environment

A
  • large area of work

- nurses can travel anywhere there’s a shortage of nurses

48
Q

how to become a nurse

A
• min = associates degree
      - 2 years 
• max = bachelors degree 
      - 4 years 
• diploma = nursing right away but not paid
49
Q

qualities

A
  • compassionate
  • empathetic
  • hardworking
  • comfortable with touch
50
Q

advancement

A
  • beginner nurse = start as staff nurse (work in hospital)

- after bachelors you can get masters

51
Q

pay

A
  • average nurse in DE = $70,000

* most money you can earn will be in the hospital setting