Lab Quiz 2

Front 1

List/recognize the admission protocol

Back 1

1.Advance directives
2.Bill of rights
3.Admission assessment-RN only in specified time.
4.Legible ID band
5.Consent formed by mentally complete adult/gaurdian

Front 2

Who is responsible for admission assessment and why?

Back 2

The RN is responsible per the requirement of JCAHO.

Front 3

3 ways to ensure accuracy of Wt.

Back 3

1.Same scale each time
2.void before weighing
3.wearing same type of clothing

Front 4

3 ways to ensure accuracy of ht.

Back 4

1.Stand erect
2.Lshaped bar on top of head
3.Stand so back is facing balance bar

Front 5

Role of Nurse if client wants to leave AMA.

Back 5

-notify MD asap
-ask client why leaving
-Explain MD reasons to stay
-Explain risks of leaving
-offer AMA form and get sig, RN to cosign
-for refusal sig, note on form and witness, form in client chart,escort client,notify relatives if safety issues.

Front 6

APEX

Back 6

pointed end of a come shaped part or organ.

Front 7

APNEA

Back 7

ABSENCE OF BREATHING

Front 8

AXILLA

Back 8

ARMPIT

Front 9

BRADYCARDIA

Back 9

PULSE RATE BELOW 60 BPM

Front 10

CARDIO

Back 10

PERTAINING TO THE HEART

Front 11

DIASTOLE

Back 11

PERIOD WHEN HEART DILATES AND FILLS WITH BLOOD; PERIOD OF RELAXATION

Front 12

HEART RYTHM

Back 12

TIME INTERVAL BETWEEN HEARTBEAT

Front 13

HYPERPNEA

Back 13

ABNORMAL INCREASE IN DEPTH/RATE OF BREATHING.

Front 14

HYPERTENSION

Back 14

BP CONSIDERED HIGHER THAN NORMAL RANGE

Front 15

HYPERTHERMIA

Back 15

UNUSUALLY HIGH BODY TEMP

Front 16

HYPOTHERMIA

Back 16

BODY TEMP BELOW AVERAGE NORMAL RANGE.

Front 17

NORMAL PULSE RATE

Back 17

-SMOOTH ROUNDED SHARP INCREASE STROKE TO DECREASE STROKE.
-PROVIDE INFO ON CARDIAC STATUS/BLOOD VOL.
-CORRELATES WITH CARIAC CONTRACTION.

Front 18

PALPATE

Back 18

TO EXAMINE BY TOUCH,FEEL

Front 19

PERIPHERAL

Back 19

PERIPHERY, AWAY FROM CENTRAL STRUCTURE

Front 20

PULSE DEFICIT

Back 20

HEART RATE COUNTED AT APEX BY AUSCULTATION GREATER THAN RATE BY PALPATION OF RADIAL PULSE. PULSE WAVE NOT TRANSMITTED TO PERIPHERY TO PRODUCE PALPABLE RADIAL PULSE.

Front 21

PULSE PRESSURE

Back 21

DIFF BTWEN SYSTOLIC/DIASTOLIC PRESSURE.

Front 22

PYROGEN

Back 22

ANY SUBSTANCE THAT PRODUCES FEVER.

Front 23

SET POINT

Back 23

BODY'S NORMAL CORE TEMP

Front 24

SHOCK

Back 24

INADEQUATE TISSUE PERFUSION RESULTING FROM CIRC FAILURE B/C OF MANY FACTORS.
-IDENTIFIED BY VARIOUS S&S.

Front 25

SPHYGMOMANOMETER

Back 25

DETERMINES ARTERIAL BP.

Front 26

TACHYCARDIA

Back 26

HR GREATER THAN 100 BPM

Front 27

TACHYPNEA

Back 27

RESP RATE ABOVE 24 BPM. RATE REMAINS REG BUT SHALLOW IN PATTERN.

Front 28

VALSALVA'S MANEUVER

Back 28

FORCIBLY EXHALE WTIH GLOTTIS,NOSE,MOUTH CLOSED.
INCREASED INTRATHORACIC PRESSURE

Front 29

INFO TEMP PROVIDES

Back 29

BALANCE BTWEEN HEAT GAIN/LOSS

Front 30

INFO PULSE PROVIDES

Back 30

OVERALL IMPRESSION OF HEARTS ACTION.

Front 31

INFO RESP PROVIDES

Back 31

DATA ON CLIENTS ENTIRE BREATHING PROCESS

Front 32

INFO BP PROVIDES

Back 32

COND OF HEART,ARTERIES,VESSEL RESISTENCE,ARTERIOLES,CARDIAC OUTPUT,CV STATUS

Front 33

INFO PAIN LEVEL PROVIDES

Back 33

HOMEOSTASIS,QUALITY OF LIFE. PAIN LOCATION, INTESITY,OUTCOMES OF RELIEVE MEASURES.

Front 34

FACTORS THAT INFLUENCE VS

Back 34

AGE,GENDER,RACE,HEREDITY,LIFESTYLE,ENVIRON,PAIN,EXERCISE,
ANXIETY,STRESS,METABOLISM,
CIRCADIAN RYTHMN,HORMONES

Front 35

S&S OF FEVER

Back 35

PERSPIRATION OVER BODY,BODY WARM TO TOUCH,CHILLS/SHIVERS,
FLUSHED FACE,HOT/COLD FLASHES,
INCREASEDPULSE/RESP,MALAISE/FATIGUE,PARCHED LIPS/DRY SKIN,CONVULSIONS

Front 36

CONDITIONS ALTERING FEVER

Back 36

DISEASE,INFLAMMATION,BRAIN LESIONS,PYROGENS,DEGENERATING TISSUE

Front 37

NORM ORAL TEMP

Back 37

97-99.5F
36-37.5C

Front 38

NORMAL RECTAL TEMP

Back 38

1 DEGREE HIGHER THAN ORAL: 98-100.5F

Front 39

NORMAL AXILLARY TEMP

Back 39

96-98.5F 1 DEGREE LOWER THAN ORAL

Front 40

NORMAL EAR TEMP

Back 40

98.5-99.5F 0.5 DEGREES HIGHER THAN ORAL

Front 41

FACTORS THAT ALTER CORE TEMP

Back 41

EATING,DRINKING,GUM,SMOKING,
EXERCISING

Front 42

WAIT TIME AFTER ALTERING FACTORS OF CORE TEMP

Back 42

20-30 MINUTES ORALLY

Front 43

HOW DO TEMPS VARY THROUGHOUT THE DAY

Back 43

CIRCADIAN THERMAL RYTHMN

Front 44

WHEN TO AVOID ORAL TEMP

Back 44

UNCONSCIOUS,MOUTH BREATHER,FACIAL,NUERO,PROBLEMSOPENING MOUTH,LOW ORAL TEMP NO CAUSE

Front 45

PLACEMENT OF ELEC. THERMOMETER,ORAL

Back 45

UNDER TONGUE,ALONG GUMLINE IN SUBLINGUAL POCKET