Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Nursing 202 Post Midterm > Unit 6 - General Survey, V/S, Pain Assessments > Flashcards

Unit 6 - General Survey, V/S, Pain Assessments Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Pharmacology flashcards NCLEX-RN® flashcards Nursing Mental Health flashcards Nursing Fundamentals flashcards Nursing Safety & Infection flashcards Nursing Adult Health flashcards NCLEX-PN® flashcards Nursing Management of Care flashcards Nursing Pediatrics flashcards Nursing Maternity flashcards
1
Q

During appraisal of the whole person, what are the four areas that you should consider?

A

Physical appearance
Body structure
Mobility
Behaviour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are you assessing for in Physical appearance?

A

Age, Sex, Level of Consciousness

Skin Colour, Facial features

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are you assess for in Body Structure ?

A

Statues, Nutrition, Symmetry

Posture, Position, Body Build

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are you assessing for Mobility?

A

Gait, Range of Motion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are you assessing for Behaviour?

A

Facial expression, Mood and Affect

Speech, dress, personal hygiene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Normal limits for Vital Signs

A 
T - 36 to 38 Degrees
P - 60 to 100 bpm
R - 12 to 20 breaths/min
BP - <120-130 / <80-85
130-139 /85-89 = high normal 
SPO2 - 92 to 100%
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What may affect temperature?

A

Diurnal/circadian cycle,menstruation/menopause
exercise, age, environment and stress

Note: Newborns CANNOT regulate their body temp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the considerations for taking temp?

A

Assess 2 mins if pt smoked
5 mins after chewing gum
20 mins if ingested hot/cold liquids/foods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What does Pyrexia mean?

A

Fever, also known as febrile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is Hyperthermia?

A

Increased temp

Body cannot regulate our temperature, IE: Heatstroke

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is Hypothermia

A

Decreased temp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is Hypovolumia?

A

If the volume of our blood is low, heart rate will go up to compensate for the missing volume.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What may influence pulse?

A

Age, exercise, Emotions, Pain, Medications

Body positions, hypovolumia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Considerations for measuring Pulse?

A

Assess by waiting 5-10 mins after activity

If irregular pulse (A-FIB - extra beat) , count for the full min.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is Tachycardia?

A

Rapid pulse of beats over 100 per min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is Bradycardia?

A

Slow pulse of under 60 beats per min

17
Q

How do you assess force/strength of a pulse? (Hint: Numerical)

A

0- Absent
1+ - weak/thready
2+ - Strong/normal
3+ - Bounding

18
Q

What may influence respirations?

A

Exercise, Pain, Anxiety, Smoking, Body positions

Medications, Brain injury, sleep

19
Q

What is Systolic Pressure measuring?

A

Ventricular contractions

AKA how hard your heart has to push to pump to your arteries

20
Q

What is Diastolic pressure measuring?

A

Resting, filling of the heart

21
Q

What is mean arterial pressure?

A

Average pressure over cardiac cycle

22
Q

What may influence blood pressure?

A

Age, Ethnocultural background, wt, emotions, gender

Diurnal rhythm, exercise, stress, medications

23
Q

Considerations when assessing BP

A

Rest at least 5 mins (wait 60 if pt has ingested coffee or smoked)
Sit supported, feet flat on floor
Arm at level of heart, palm up

24
Q

Common errors when taking BP measurements ?

A

Inaccurate cuff size
Taking pressure when patient Is anxious, angry or has been active
Faulty technique (Arm position, failure to palpate radial)

25
Q

What is Hypotension?

A

Low Blood Pressure

26
Q

What is Hypertension?

A

High Blood Pressure

27
Q

What is Orthostatic (Postural) Hypotension?

A

Getting up to fast from a sitting to standing position.

28
Q

What are some changes in vital signs when pain is experienced?

A

Temp - Diaphoresis with acute pain (sweating)
Pulse - tachycardia with acute pain, bradycardia with unrelieved or severe pain
Resps - Shallow and increase with acute pain, irregular with severe pain
BP- Increased with acute pain, may decrease with severe pain

Patients may NOT show any changes in vital signs

29
Q

What is the 4 phases of pain (Nocioception) through the nerve pathway?

A

Transduction
Transmission
Perception
Modulation

30
Q

What is acute pain?

A

Pain that causes a sympathetic response (fight or flight), Usually lasts under 6 months
sudden pain onset, can be relieved

31
Q

what is chronic pain?

A

Last over 6 months, persistent and unrelieved pain

may case a parasympathetic response

32
Q

What is and example of Nocioceptive pain?

A

Source of pain that is a normal response

Examples are visceral pain or deep and superficial somatic pain

33
Q

What is an example of Neuropathic pain?

A

Abnormal response

Phantom Limb pain, or diabetic neuropathy

34
Q

True or False ?

Pain is whatever a patient say it is??

A

TRUE!

You can not feel there pain, therefore can not say that it does not exist. No matter what!

Nursing 202 Post Midterm (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions