Ch 8 Assessing General Health Status And Vital Signs

Front 1

What part of body is indicators of Health

Back 1

The clients Vital Signs temperature, pulse, respirations, blood pressure, and pain

Front 2

Vital Signs provide data that reflects the status of several body systems including but not limited to the

Back 2

Cardiovascular, neurology, peripheral vascular, and respiratory system

Front 3

What make a fast pulse, respiration, and blood pressure

Back 3

Activity , talking, gum chewing, and anxiety allow 5 minutes from breast before beginning to take vital signs

Front 4

The General survey includes observation of the client

Back 4

Physical development and body build, gender and sexual development, apparent H as compared to reported age, skin condition and color, dress and hygiene, posture and gate, level of Consciousness, behaviors, body movement, and affect facial expression, speech, vital signs

Front 5

Accurate body temperature is

Back 5

36.5 degrees Celsius and 37.7 degrees Celsius which is 96.0 degrees Fahrenheit in 99.9 degrees Fahrenheit orally.. an approximate reading of core body temperature can be taken at various anatomic sites. None of these is completely accurate they are simply an approximate is section of the core body temperature

Front 6

Factors that may cause normal variations in the core body temperatures are

Back 6

Strenuous exercise, stress, and I relationship can raise the temperature

Front 7

Body temperature is

Back 7

Louis early in the morning between 4 a.m. and 6 a.m. and high is late in the evening between 8 p.m. to midnight

Front 8

Hypothermia

Back 8

Lower than 36.5 degrees Celsius is 496.0 Fahrenheit maybe slim and Tall long exposure to the cold, hypoglycemia, hypothyroidism, or starvation

Front 9

Hyperthermia

Back 9

Higher than 38.0 degrees Celsius or 100 degrees Fahrenheit may be seen in viral or bacterial infections, malignancies, trauma, and various blood, endocrine and immune disorders

Front 10

Adult considerations related to temperature

Back 10

In the older adult, temperature May range from 95 degrees Fahrenheit to 97.5 degrees Fahrenheit. Therefore, the older client may not have an obviously elevated temperature with an infection or be considered hypothermic below 96 degrees Fahrenheit

Front 11

Characteristic that should be assessed when measuring the radial pulse rate are

Back 11

Rhythm, rate, amplitude, Contour, and elasticity

Front 12

Amplitude can be qualified as

Back 12

0 absent

+ 1 weak diminished easy to obliterate

2 + normal obliterate with moderate pressure

3 + bounding unable to obliterate or requires firm pressure

Front 13

Characteristics of respiration are

Back 13

Rate, Rhythm, depth

Front 14

Factors that affect a blood pressure on

Back 14

Cardiac output

elasticity of the arteries

Blood volume

Blood velocity heart rate enter blood viscosity thickness

Front 15

Cardiac output is

Back 15

The more blood the heart pumps, the greater the pressure in the blood vessels. For example blood pressure increases during exercise

Front 16

Peripheral vascular resistance

Back 16

An increase in resistance in the peripheral vascular system, as happens with people who have circulatory disorders, with increased blood pressure

Front 17

Circulating blood volume

Back 17

An increase in volume will increase blood pressure. It's sudden drop in blood pressure May indicate a sudden blood loss as with internal bleeding

Front 18

Viscosity

Back 18

When the blood becomes thicker or more viscous as with polycythemia, the pressure in the blood vessels will increase

Front 19

Elasticity of vessel walls

Back 19

An increase in stiffness of the vessel wall example of atherosclerosis changes will increase blood pressure

Front 20

When pain is present identify

Back 20

The location, intensity, quality, duration, and Amy alleviating or aggravating factors to the client

Front 21

Older adult party decorations related to posture and gate

Back 21

And older adults, I still platek standing in collapse of the vertebrae secondary to bone loss the results and kyphosis. And older men, gate maybe wider base, with arms held out words. Older women tend to have a narrow base and may waddle to compensate for a decreased sense of balance. Steps shortens, with the crease speed and arm swing. Mobility maybe decrease, and gate maybe rigid

Front 22

Tympanic temperature range is

Back 22

36.7 to 38.3 degrees Celsius or 98.0 to 100.9 degrees Fahrenheit

Front 23

Temperature below 36.7 degrees Celsius or 98.0 degrees Fahrenheit represent

Back 23

hypothermia and can be result of prolonged exposure to cold, hypoglycemia, hypothyroidism, starvation, no logic disfunction, or shocks

Front 24

Temperature above 38.3 degrees Celsius or 100 .9 degrees Fahrenheit represent

Back 24

Hyperthermia and can indicate bacterial, viral, or fungal infections, and inflammatory process, malignancies, trauma, or various blood, endocrine and immune disorders

Front 25

Old temperature is

Back 25

35.9 to 37.5 degrees or 96.6 to 99.5 degrees Fahrenheit

Front 26

Axillary temperature is

Back 26

35.4 to 37.0 degrees Celsius or 95.6 to 98.5 degrees Fahrenheit

Front 27

Temporal temperature range is

Back 27

36.3 to 37.9 degrees or 97.4 to 100.3 degrees Fahrenheit

Front 28

Rectal temperature range is

Back 28

36.3 to 37.9 degrees Celsius or 97.4 to 100.3 degree Fahrenheit

Front 29

Tachycardia

Back 29

Rate greater than 100 beats per minute may occur with fever, certain medications, stress, and other abnormal states such as cardiac dysrhythmias

Front 30

Bradycardia

Back 30

Rate less than 60 beats per minute. Sitting or standing for long periods may cause the blood to cold and decrease the pulse rates. Heart block or dropped it can also manifest and bradycardia perform cardiac auscultation of the apical pulse is the client exhibits any abnormal findings

Front 31

When describing irregular Beach indicate whether they are

Back 31

Regularly irregular or irregularly irregular. Regular rhythm is present when there is an equal amount of time between beats. And irregular Rhythm may be regularly irregular or irregularly irregular period regularly irregular pulse

Front 32

Post amplitude and Contour abnormal findings

Back 32

Abounding a weak and thready pulse is abnormal. Delayed upstroke is also abnormal. Follow up with an abnormal amplitude and Contour findings by palpating the carotid arteries, which provides the best assessment of amplitude and Contour

Front 33

Arterial elasticity should be straight resilient and springing abnormal findings include

Back 33

Auto read it feels rigid

Hint 33

The older clients artery may feel more rigid, hard, and vent

Front 34

Respiratory rate range from

Back 34

Between 12 and 20 beats per minute fewer than 12 beats per minute or more than 20 beats per minute is abnormal

Hint 34

In the older adult, the respiratory rate May Ranch from 15 to 22. The rate may increase with a shot lower inspiratory phase because vital capacity and inspiratory verse volume decrease with aging

Front 35

Respiratory reason and respiratory death should be regular and equal bilateral chest expansion 1 to 2 inch abnormal findings are

Back 35

Irregular Rhythm, unequal, shallow, or extreme deep chest extension and labored or gasping breath or abnormal

Front 36

Recommendations for follow-up based on initial blood pressure measurements for adults without a acute end organ damage

Back 36

Normal to check in 2 years

Prehypertension recheck in one year inter stage 1 hypertension confirms within 2 months

Stage 2 hypertension use Ira door refrigerator source of care within one month. For those with higher pressure example greater than 180 over 110 evaluate and treat immediately or within one week depending on clinical situation or complication

Front 37

Optimal blood pressure

Back 37

Less than 120 over 80

Hint 37

Normal

Front 38

Normal blood pressure

Back 38

120-129 / 80 - 84

Hint 38

Prehypertension

Front 39

Borderline hypertension

Back 39

130 to 139 / 85 to 89

Hint 39

Prehypertension

Front 40

Hypertension

Back 40

Graeter's equal to 140 over 90

Front 41

Stage 1 hypertension

Back 41

142 - 149 over 90 to 99

Front 42

Stage 2 hypertension

Back 42

160 to 179 / 102 to109

Front 43

Stage 3 hypertension

Back 43

Greater or equal to 180 over 110

Front 44

Acromegaly

Back 44

Overgrowth of bones in the face, head, and hands

Front 45

Obesity

Back 45

Having an excessive amount of body fat. It increases the risk of disease and health problems such as heart disease, diabetes, and high blood pressure

Front 46

Anorexia nervosa

Back 46

Emaciated appearance that follows self-starvation in accompanying Extreme Weight Loss

Front 47

Marfan syndrome

Back 47

Elongated fingers are characteristic of this condition

Front 48

Cushing syndrome

Back 48

The affected client reflects the centralized weight gain