Vital Signs

Front 1

Normal Respiratory Rate

Back 1

12-20 breaths per minute

Front 2

Normal Pulse Rate

Back 2

60-100

Front 3

Pulse Greater than 100

Back 3

Tachycardic

Front 4

Pulse Less than 60

Back 4

Bradycardic

Front 5

More than 20 breaths per minute

Back 5

Tachypnea

Front 6

Breaths less than 12

Back 6

Bradypnea

Front 7

Normal Oral Temperature in F

Back 7

98.6

Front 8

Normal Oral Temperature in C

Back 8

37

Front 9

Normal Rectal Temperature in F

Back 9

99.6

Front 10

Normal Rectal Temperature in C

Back 10

37.5

Front 11

Normal Axillary Temperature in C

Back 11

36.5

Front 12

Normal Axillary Temperature in F

Back 12

97.6

Front 13

Normal Systolic Pressure

Back 13

100 - 130

Front 14

Normal Diastolic Pressure

Back 14

60 - 80

Front 15

Pain that arises from the skin's surface

Back 15

Cutaneous Pain

Front 16

Arises from a variety of body tissues such as tendons, ligaments, joints, muscles, connective tissue, blood vessels, bones.

Back 16

Deep Somatic Pain

Front 17

Arises from body organs

Back 17

Visceral Pain

Front 18

Pain that is felt in its original position and also in a distant area

Back 18

Radiating Pain

Front 19

Short-term, self-limiting pain with probable duration of less than 6 months

Back 19

Acute Pain

Front 20

Long-term, constant or recurring pain without an anticipated or predictable end and a duration of more than 6 months

Back 20

Chronic Pain

Front 21

What type of data:
- Physical examination
- Vital Signs
- Client behaviors
- Physical appearance

Back 21

Objective Data

Front 22

What type of Data?
- Use clients reporting of pain characteristics
- Have client rate pain on 1-10

Back 22

Subjective Data

Front 23

Five distinct sounds heard while measuring blood pressure.

Back 23

Korotkoff's Sounds

Front 24

Absence of a 2nd Korotkoff sound.

Back 24

Asculatory Gap

Front 25

Elevation in body temperature

Back 25

Hyperthermia

Front 26

A state in which body temperature is reduced below normal.

Back 26

Hypothermia

Front 27

A temporary condition of low blood pressure caused by failure of compensatory mechanisms

Back 27

Orthostatic Hypotension

Front 28

To have a fever

Back 28

Pyrexia

Front 29

Pain experienced at a sight distant from the injured tissue.

Back 29

Referred Pain

Front 30

Reduction in the perception or experience of pain

Back 30

Analgesia

Front 31

A reflection of the skin's elasticity measured as the time it takes for the skin to return to normal after being pinched

Back 31

Turgor

Front 32

A hemorrhagic infiltration of the skin, a bruise

Back 32

Ecchymosis

Front 33

What are the 6 P's?

Back 33

- Pain
- Pulses
- Pallor
- Paralysis
- Paresthesia (numbness tingling)
- Palpate tense tissue (edema)

Front 34

Describe the position:
Lateral

Back 34

Laying on side

Front 35

Describe the position:
Sims

Back 35

Forward side-lying

Front 36

Describe the position:
Supine

Back 36

horizontal on back

Front 37

Describe the position:
Fowler's

Back 37

Sitting 90 degrees

Front 38

Describe the position:
Semi-Folwers

Back 38

Sitting 45 degrees

Front 39

Describe the position:
Prone

Back 39

Front down, face turned to the side

Front 40

Sensory loss in the legs and trunk

Back 40

Paraplegia

Front 41

Numbness on only one side of the body

Back 41

Hemiparesis

Front 42

When a blood clot develops in the lumen of a deep leg vein

Back 42

DVT (Deep vein thrombosis)

Front 43

Difficulty breathing

Back 43

Dyspnea

Front 44

Inadequate oxygenation at the level of body tissues

Back 44

Hypoxia

Front 45

What % oxygen does a nasal cannula deliver?

Back 45

22 - 40%

Front 46

What % oxygen does an oxygen face mask deliver?

Back 46

40 - 65%

Front 47

What % oxygen does a non-rebreather mask deliver?

Back 47

60 - 90%

Front 48

What is APE - TO - MAN?

Back 48

- Aortic
- Pulmonic
- Erb's Point
- Tricuspid
- Mitral

Front 49

What does the Homans sign detect?

Back 49

DVT

Front 50

What is a high risk Morse Fall score?

Back 50

45 and greater

Front 51

What is a moderate risk Morse Fall score?

Back 51

25 - 44

Front 52

What is a low risk Morse Fall score?

Back 52

0 - 24

Front 53

If there are no bowel sounds how long do you wait until you determine there are no bowel sounds?

Back 53

5 minutes

Front 54

What are the 6 F's?

Back 54

- Fluid
- Fetus
- Fibroids (cysts)
- Fat (excess)
- Flatulence
- Feces

Front 55

Painful urination

Back 55

Dysuria

Front 56

Enuresis

Back 56

Bedwetting at night

Front 57

Urinary retention

Back 57

When you can't fully empty your bladder

Front 58

Dribbling of urine with increased abdominal pressure

Back 58

Stress Incontinence

Front 59

Sudden desire to urinate and immediate seeking of toilet facilities

Back 59

Urge Incontinence

Front 60

Unpredictable, involuntary passage of urine in the presence of normal bladder and urethral function

Back 60

Functional Incontinence

Front 61

Inability to control urination

Back 61

Total Incontinence

Front 62

Dysphagia

Back 62

difficulty swallowing

Front 63

Rebound tenderness

Back 63

pain upon removal of pressure rather than the application of pressure

Front 64

Melena

Back 64

Black "terry" feces that are associated with GI bleed

Front 65

Gray stool mixed with observable fat and mucous caused by malabsorption of fat

Back 65

Steatorrhea

Front 66

A screening test for blood in the feces that is not visible to the naked eye

Back 66

Hemoocult

Front 67

A reagent used for detecting occult blood in the stool

Back 67

Guaiac

Front 68

What are the 6 Rights of Medication administration

Back 68

- Medication
- Patient
- Dosage
- Route
- Time
- Documentation

Front 69

What are the 4 cardinal signs of infection?

Back 69

- Redness/Erythema
- Swelling/Edema
- Pain
- Heat