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69 Cards in this Set
- Front
- Back
Normal Respiratory Rate
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12-20 breaths per minute
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Normal Pulse Rate
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60-100
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Pulse Greater than 100
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Tachycardic
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Pulse Less than 60
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Bradycardic
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More than 20 breaths per minute
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Tachypnea
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Breaths less than 12
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Bradypnea
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Normal Oral Temperature in F
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98.6
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Normal Oral Temperature in C
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37
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Normal Rectal Temperature in F
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99.6
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Normal Rectal Temperature in C
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37.5
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Normal Axillary Temperature in C
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36.5
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Normal Axillary Temperature in F
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97.6
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Normal Systolic Pressure
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100 - 130
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Normal Diastolic Pressure
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60 - 80
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Pain that arises from the skin's surface
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Cutaneous Pain
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Arises from a variety of body tissues such as tendons, ligaments, joints, muscles, connective tissue, blood vessels, bones.
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Deep Somatic Pain
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Arises from body organs
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Visceral Pain
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Pain that is felt in its original position and also in a distant area
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Radiating Pain
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Short-term, self-limiting pain with probable duration of less than 6 months
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Acute Pain
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Long-term, constant or recurring pain without an anticipated or predictable end and a duration of more than 6 months
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Chronic Pain
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What type of data:
- Physical examination - Vital Signs - Client behaviors - Physical appearance |
Objective Data
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What type of Data?
- Use clients reporting of pain characteristics - Have client rate pain on 1-10 |
Subjective Data
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Five distinct sounds heard while measuring blood pressure.
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Korotkoff's Sounds
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Absence of a 2nd Korotkoff sound.
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Asculatory Gap
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Elevation in body temperature
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Hyperthermia
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A state in which body temperature is reduced below normal.
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Hypothermia
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A temporary condition of low blood pressure caused by failure of compensatory mechanisms
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Orthostatic Hypotension
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To have a fever
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Pyrexia
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Pain experienced at a sight distant from the injured tissue.
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Referred Pain
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Reduction in the perception or experience of pain
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Analgesia
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A reflection of the skin's elasticity measured as the time it takes for the skin to return to normal after being pinched
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Turgor
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A hemorrhagic infiltration of the skin, a bruise
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Ecchymosis
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What are the 6 P's?
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- Pain
- Pulses - Pallor - Paralysis - Paresthesia (numbness tingling) - Palpate tense tissue (edema) |
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Describe the position:
Lateral |
Laying on side
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Describe the position:
Sims |
Forward side-lying
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Describe the position:
Supine |
horizontal on back
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Describe the position:
Fowler's |
Sitting 90 degrees
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Describe the position:
Semi-Folwers |
Sitting 45 degrees
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Describe the position:
Prone |
Front down, face turned to the side
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Sensory loss in the legs and trunk
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Paraplegia
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Numbness on only one side of the body
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Hemiparesis
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When a blood clot develops in the lumen of a deep leg vein
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DVT (Deep vein thrombosis)
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Difficulty breathing
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Dyspnea
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Inadequate oxygenation at the level of body tissues
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Hypoxia
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What % oxygen does a nasal cannula deliver?
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22 - 40%
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What % oxygen does an oxygen face mask deliver?
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40 - 65%
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What % oxygen does a non-rebreather mask deliver?
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60 - 90%
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What is APE - TO - MAN?
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- Aortic
- Pulmonic - Erb's Point - Tricuspid - Mitral |
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What does the Homans sign detect?
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DVT
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What is a high risk Morse Fall score?
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45 and greater
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What is a moderate risk Morse Fall score?
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25 - 44
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What is a low risk Morse Fall score?
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0 - 24
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If there are no bowel sounds how long do you wait until you determine there are no bowel sounds?
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5 minutes
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What are the 6 F's?
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- Fluid
- Fetus - Fibroids (cysts) - Fat (excess) - Flatulence - Feces |
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Painful urination
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Dysuria
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Enuresis
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Bedwetting at night
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Urinary retention
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When you can't fully empty your bladder
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Dribbling of urine with increased abdominal pressure
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Stress Incontinence
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Sudden desire to urinate and immediate seeking of toilet facilities
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Urge Incontinence
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Unpredictable, involuntary passage of urine in the presence of normal bladder and urethral function
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Functional Incontinence
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Inability to control urination
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Total Incontinence
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Dysphagia
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difficulty swallowing
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Rebound tenderness
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pain upon removal of pressure rather than the application of pressure
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Melena
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Black "terry" feces that are associated with GI bleed
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Gray stool mixed with observable fat and mucous caused by malabsorption of fat
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Steatorrhea
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A screening test for blood in the feces that is not visible to the naked eye
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Hemoocult
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A reagent used for detecting occult blood in the stool
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Guaiac
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What are the 6 Rights of Medication administration
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- Medication
- Patient - Dosage - Route - Time - Documentation |
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What are the 4 cardinal signs of infection?
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- Redness/Erythema
- Swelling/Edema - Pain - Heat |