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HCB TEST 2 > Vital Sign/ Pain Assessment > Flashcards

Vital Sign/ Pain Assessment Flashcards

1
Q

Signs necessary to life, temperature, respiratory rate, pulse and blood pressure, used to evaluate a patient’s condition.

A

Vital Signs

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2
Q

A measure of the amount of heat blow the skin and the subcutaneous tissues

A

Temperature

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3
Q

Elevated body temperature

A

Fever

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4
Q

With fever

A

Febrile

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5
Q

Without fever

A

Afebrile

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6
Q

Body temperature, which is below normal range

A

Hypothermia

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7
Q

Body temperature, which is above normal range

A

Hyperthermia

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8
Q

Regular recurrent expansion and contraction of an artery produced by waves of pressure caused when the heart beats; sensation that can be felt with fingertips lightly compress an artery against an underlying bone.

A

Pulse

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9
Q

Abnormally, rapid heartbeat above 100 in adults

A

Tachycardia

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10
Q

Abnormally slow heartbeats below 60 in adults

A

Bradycardia

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11
Q

Weak rapid pulse

A

Thready pulse

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12
Q

Unusually strong pulse

A

Bounding pulse

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13
Q

Pulse with irregular rhythm

A

Arrhythmia

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14
Q

Exchange of gases between the atmosphere blood and body cells

A

Respiration

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15
Q

The act of expelling air out of the lungs

A

Exhalation

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16
Q

Labored or difficult breathing

A

Dyspnea

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17
Q

Absent of breathing

A

Apnea

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18
Q

Excessively rapid breathing

A

Tachypnea

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19
Q

Measurement consists of one inhalation and one exhalation

A

Respiration

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20
Q

The force the circulation, blood exerts against artery walls as the heart contracts and relaxes. Measured in the unit millimeters of mercury ( mm Hg). Recorded as two separate pressures and fraction form.

A

Blood pressure

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21
Q

The pressure created in arteries when the heart contracts enforces blood out in to circulation. ( high number) 120/80

A

Systolic pressure

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22
Q

The pressure remaining in the arteries when the heart is relaxed. This is the last pressure sound you’ll hear. ( low number ) 120/80

A

Diastolic pressure

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23
Q

The flow of blood through tissues provide them with oxygen and nutrients and removing waste products

A

Perfusion

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24
Q

Abnormally low blood pressure may cause insufficient perfusion and internal organs

A

Hypotension

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25
Q

Abnormally high blood pressure may cause rupture of the arteries and destruction of the organs

A

Hypertension

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26
Q

Blood pressure

A

B/P

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27
Q

Diastolic blood pressure

A

DBP

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28
Q

Fahrenheit

A

F

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29
Q

Millimeter of mercury

A

mm Hg

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30
Q

Pulse

A

P

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31
Q

Respirations

A

R

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32
Q

Respiratory rate

A

RR

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33
Q

Systolic blood pressure

A

SBP

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34
Q

Temperature

A

T

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35
Q

Vital signs

A

VS

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36
Q

A patient temperature can be taken in many locations what are they

A

Oral
Rectal
Axillary
Tympanic

37
Q

Inside the patients mouth

A

Oral

38
Q

Inside the patients anus

A

Rectal

39
Q

Underneath the patients armpits

A

Axillary

40
Q

Inside the patients ear

A

Tympanic

41
Q

Known as the wrist pulse and is found on the lateral side of the patient’s wrist just above the crease

A

Radial

42
Q

Found in the upper arm

A

Brachial

43
Q

Felt along the large carotid artery on either side of the neck

A

Carotid

44
Q

Found along the femoral artery in the patients leg

A

Femoral

45
Q

Located behind the patients kneecap and can be palpated on the dorsal side of the patient’s knee

A

Popliteal

46
Q

Runs along the line between the first and second toe and its pulse point is felt in the mid foot

A

Dorsalis pedis

47
Q

Divide between the medial malleolus and heel into the lateral and medial plantar arteries

A

Posterior tibial

48
Q

Watching the rise and fall of the chess cavity is the most accurate way to visually take note of patients _____________.

A

Respirations

49
Q

The blood pressure cuff should be positioned on the patient’s upper arm, with the center of the bed covering the brachial artery. This checks the what?

A

Blood pressure

50
Q

____________ is the ratio of the amount of oxygen present in the blood to the amount they could be carried expressed as percentage

A

Oxygen saturation ( SPO2 )

51
Q

Oral temp normal range

A

98.6 degrees F

52
Q

Rectal normal range

A

99.6 degrees F

53
Q

Axillary normal range

A

97.6 degrees F

54
Q

Tympanic normal range

A

98.6 degrees F

55
Q

Pulse : ________ beats per minute

A

60- 100

56
Q

Respiration rate: _______ breathes per minute

A

12 - 20

57
Q

Pulse oximetry ( SPO2) _______ oxygen saturation

A

96% - 100%

58
Q

Measured in millimeters of mercury ( mm Hg)

A

Blood pressure

59
Q

Systolic pressure : 90 - 140

A

Normal range

60
Q

Systolic pressure : 121 - 139 mm Hg

A

Pre hypertension

61
Q

Systolic pressure : 140 - 159 mm Hg

A

Stage 1 hypertension

62
Q

Systolic pressure : 160 mm Hg and above

A

Stage 2 hypertension

63
Q

Diastolic pressure 60 - 90 mm Hg

A

Normal range

64
Q

Diastolic pressure: 81 - 89 mm Hg

A

Pre hypertension

65
Q

Diastolic pressure : 90 - 99 mm Hg

A

Stage 1 hypertension

66
Q

Diastolic pressure: 100 mm Hg and above

A

Stage 2 hypertension

67
Q

Short duration, it has a sudden onset in association with injury surgery or an acute illness episode

A

Acute

68
Q

Less every months or longer, and is often sustained by a pathophysiologic process

A

Chronic

69
Q

Unpleasant sensory and emotional experience associated with tissue damage

A

Pain

70
Q

What are the types of pain

A

Nociceptive ( somatic ) pain
Neuropathic
Central sensitization
Psychogenic and Idiopathic Pain

71
Q

_____________ is pain without an identifiable etiology

A

Idiopathic pain

72
Q

Involves many factors that influence the patients report of pain, psychiatric conditions like anxiety, depression, personality and coping styles, culture, norms, and social support systems

A

Psychogenic pain

73
Q

There is altercations of central nervous system processing of sensation leading to amplification of pain signals there is a lower pain threshold to none painful stimuli, and the response to any may be more severe than expected

A

Central sensitization

74
Q

It’s a direct consequence of a lesion or disease affecting the somatosensory system. Overtime. This pain may become independent of the inciting injury, becoming burning lancinating, or shock, like in quality. It may persist, even after healing from the initial injury has occurred.

A

Neuropathic

75
Q

Medication Administration Record (MAR)
Nursing notes ( SF 510)

A

Inpatient

76
Q

Chronological Record of Medical Care ( SF 600)
Emergency Treatment Record
( SF 558)
Field or Mass Casualty ( DD 1380)

A

Outpatient

77
Q

Date of onset
Duration
Variability
Related to injury or exposure to illness

A

onset

78
Q

Throbbing, shooting, stabbing, sharp, cramping hot or burning, aching, heavy, tender, splinting, tiring or exhausting, sickening fear, producing punishing or cruel

A

Quality

79
Q

Descriptive skill gives an objective means of measuring pain
1. Numeric rating scale.( NRS)
2. Wong Baker FACE chart
Defense and veterans pain rating scale (DVPRS)

A

Intensity

80
Q

Restlessness, pacing guarding, wincing
Crying withdrawing from touch

A

Non verbal cues

81
Q

Distraction, relaxation, ice, heat, massage, electrical stimulation, acupuncture

A

Pain control measures

82
Q

Pain can be measured by

A

Medication’s mild exercise, diversion technique, hydrocal compresses, physical therapy technique, reinsurance

83
Q

Documentation of pain can be recorded on these forms

A

Medication administration record (MAR)
Nursing notes ( SF 510)
chronological record of medical care (SF 600)
Emergency treatment record (SF 558)
Field or mass casualty (DD 1380)

84
Q

Resulting from damage to tissue

A

Nociceptive pain

85
Q

Resulting from damage to nerves

A

Neuropathic pain

86
Q

Resulting from malignant disease

A

Cancer pain

87
Q

Without visible signs of disease

A

Psychogenic pain

88
Q

Longer duration than expected for healing, or no identifiable cause

A

Chronic or idiopathic pain

HCB TEST 2 (2 decks)

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