Nursing 2104 Final

Front 1

Bradycardia

Back 1

Slow Heart Rate

Front 2

Cardiac Murmurs

Back 2

Audible sounds from turbulent blood flow

Front 3

Pulse Deficit

Back 3

Difference between heart beats and pulsations at periphery

Front 4

Tachycardia

Back 4

Rapid Heart Rates

Front 5

S1

Back 5

First Heart Rate LUB

Front 6

S2

Back 6

Second Heart Rate DUB

Front 7

Contracture

Back 7

Muscle tightening

Front 8

Crepitus

Back 8

Grating sound of broken bone

Front 9

Hypertrophy

Back 9

Enlargement by cell growth

Front 10

Prone/supine

Back 10

prone face down
supine up palms up

Front 11

Aphasia

Back 11

inability to communicate with spoken/written word

Front 12

Contralateral

Back 12

originating from or affecting the opposite side

Front 13

dysmetria

Back 13

inability to preform smooth rom

Front 14

Cog wheel Rigidity

Back 14

Jerky movement

Front 15

Hemipelgia

Back 15

paralysis affecting only one side of the body

Front 16

Paresthesia

Back 16

unexplained prickling burning or tingling of skin

Front 17

proprioception

Back 17

sensing body's position

Front 18

syncope

Back 18

fainting

Front 19

Parkinson's Tremor

Back 19

Shaking while at rest

Front 20

MS Tremor

Back 20

intention tremor

Front 21

Head/voice tremor

Back 21

central tremor

Front 22

obtunded

Back 22

responds to shaking

Front 23

lethargic

Back 23

slowly responds verbally

Front 24

Stuporous

Back 24

Responds to pain - pushes hand away

Front 25

Semicomatose

Back 25

Response to pain - moan

Front 26

Comatose

Back 26

Completely unresponsive

Front 27

Decorticate

Back 27

Damage to cortex of brain, hands and feet flexed and internally rotated

Front 28

Decerebrate

Back 28

Damage to structures of brain stem
hands and feet extended

Front 29

Glascow coma scale

Back 29

7 or less = severe damage

Front 30

Dyspnea

Back 30

Shortness of breath

Front 31

Bradypnea

Back 31

Slow breathing, decreased but regular rate, less than ten BPM

Front 32

hyperventilation

Back 32

increase in rate and depth

Front 33

Hypoventilation

Back 33

irregular shallow pattern breathing

Front 34

Tachypnea

Back 34

rapid shallow breathing greater than 24 BPM

Front 35

Orthopnea

Back 35

need to assume a more upright position to breathe

Front 36

Tactile Fremitus

Back 36

Palpable vocal vibrations

Front 37

Three types of normal breathing sounds

Back 37

Bronchial Bronchovesicular vesicular

Front 38

Bronchial:
Pitch
Amplitude
Duration
Quality

Back 38

Tracheal
Pitch: high
Amplitude: Loud
Duration: Inspiration < Expiration
Quality: harsh, hollow, tubular

Front 39

Bronchovesicular
Pitch
Amplitude
Duration
Quality

Back 39

Pitch: Moderate
Amplitude: Moderate
Duration: Inspiration = expiration
Quality: Mixed

Front 40

Vesicular
Pitch
Amplitude
Duration
Quality

Back 40

Pitch : low
Amplitude : soft
Duration : inspiration > expiration
Quality: rustling

Front 41

Normal Respirations for 6-9 y.o.

Back 41

18-26

Front 42

Normal Respirations for 2-6 y.o.

Back 42

20-30

Front 43

Newborn

Back 43

30-60

Front 44

Adults

Back 44

14-20

Front 45

Normal Type of respirations for male and female

Back 45

Male abdominal and diaphragmatic
Female thoracic

Front 46

Kussmaul's Respirations

Back 46

Deep rapid and labored respirations associated with ketoacidosis

Not the same as hyperventilation

Front 47

Cheyne-Stokes

Back 47

periods of apnea and tachypnea

Front 48

SOB

Back 48

Shortness of breath

Front 49

DOE

Back 49

Dyspnea on exertion

Front 50

Normal Chest Shape

Back 50

AP lateral, abnormal is barrel chest

Front 51

Ribs should slope ..

Back 51

Downward

Front 52

Cachexia

Back 52

Skinny, loss of appetite, loss of weight ..

Front 53

Normal percussion sounds on chest

Back 53

Resonance over lungs
(Hyperresonance = emphysemic)
flat on bones, dull on organs

Front 54

Where is vesicular heard

Back 54

most of lung fields / \
/

Front 55

where is Bronchovesicular heard

Back 55

Main bronchus, below clavicles and between scapulae /\

Front 56

Where is Bronchial

Back 56

neck

Front 57

Rales

Back 57

High pitched crackling (low rales)
Intense to high pitched gurgling (medium rales)
Very loud gurgling (Coarse Rales)

Front 58

Wheezes

Back 58

narrow bronchi

Front 59

Rhonchi

Back 59

low pitched snoring noise

Front 60

Friction Rubs

Back 60

Lack of Pleural Fluid
Loud Crackling and Grating

Front 61

Transmitted Voice Sounds

Back 61

Bronchophony, Egophony, Whispered Pectroliloquy

Front 62

Egophony

Back 62

PT says EE

Normally hear "ee"
Abnormally hear "Ah"

Front 63

Bronchophony

Back 63

Hear clearly everywhere "99"

Front 64

Whispered Pectroliloquy

Back 64

PT whispers
normally- faint almost inaudible
abnormal- very clear

Front 65

Arterial Insuffiency of lower Extremities

Back 65

Decreased/absent pulse
Pale color on elevation
Dusky Rubor on Dependency
Cool/cold
no Edema
Shiny skin, thick nails, no color, ulcers on toes
pain, more with exercise

Front 66

Venous Insufficiency

Back 66

Present pulse
Pink to cyanotic
brown pigment at ankles
warm temperature
Edema
Discolored skin, scaly, ulcers on ankles
Pain, more with standing or sitting, relieved with elevation/support

Front 67

ICS

Back 67

Intercostal Space

Front 68

Aortic Ascultation Site

Back 68

2 RICS RSB

(2nd right intercostal space, right sternal border)

Front 69

Pulmonic Auscultation Site

Back 69

2 LICS LSB

(2nd Left intercostal space, left sternal border)

Front 70

Auscultation Sites

Back 70

Aortic 2RICS RSB
Pulmonic 2LICS LSB
Erb's Point 3LICS LSB
Triscupid 4-5LICS LSB
Mitral 5LICS MCL

Front 71

Apical Impulse

Back 71

PMI (point of maximal impulse)

Front 72

Lateral Recumbent Position

Back 72

Good for auscultation of apical pulse

Front 73

Crepitation

Back 73

grating crackling popping sounds

Front 74

ROM Knees

Back 74

Foreward 15 Degrees
Back 130 Degrees

Front 75

Ankylosis

Back 75

stiffness of a joint

Front 76

Isometric V Isotonic

Back 76

Isometric - holding stable
Isotonic - lifting a weight

Front 77

Dysphagia

Back 77

Difficulty swallowing

Front 78

Dysphasia

Back 78

difficulty speaking

Front 79

Best Eye Opening Response

Back 79

Untestable U
No response 1
To Pain 2
to voice 3
purposeful and spontaneous 4

Front 80

Best Verbal Response

Back 80

U untestable
1 no response
2 incomprehensible sounds
3 inappropriate words
4 disoriented
5 oriented

Front 81

Best Motor Response

Back 81

6 Obeys Response
5 localizes pain
4 withdraws to pain
3 flexion to pain
2 extension to pain
1 no response
U untestable

Front 82

Three Types of Motor Systems

Back 82

Corticospinal
Extrapyramidal
Cerebellar

Front 83

Rhomberg Test

Back 83

Positive - ataxia is sensory in nature
Negative- cerebellar

Front 84

Denver Development Screening Test

Back 84

Tests Accomplishments for 6yr olds and under (personal social, fine motor, language, gross motor)

Front 85

Physical effects of spirituality

Back 85

Decrease HR and BP
Increased immune system, sense of well being and self worth

Front 86

Things to not assume about spirituality

Back 86

-they do or do not have a spiritual need
-an absence of data about religion means no affiliation or spirituality
-ill atheist doesnt want spiritual guidance
-spiritual needs are met b/c of clergy visits
-clients religion says everything about teh clients beliefs