Health Assessments NURS 133 Chp 10
Terms
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- What part of the Brain is responsible for Temperature Regulation? (P.179)
- - Hypothalamus
- What is the BASIC definition of Hyperthermia and Hypothermia? (P.179)
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- Hyperthermia - Increase in Body Temperature
- Hypothermia - Decrease in body Temperature - What are the two main causes of Hyperthermia? (P.179)
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- Pyrogens from Bacteria such as Myocardial Infarction
- Trauma to the Brain - What is Hypothermia usually a result of? (P.179)
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- Exposure to Cold in Trauma
- Induced in Surgery to Reduce Oxygen Requirement - What is Bradycardia? (P.181)
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- Slow Heart Rate
- Usually <60 bpm - What is Tachycardia? (P.181)
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- High Heart Rate
- Usually >100 bpm - What is Sinus Arrhythmia? (P.181)
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- Irregular Heart Beat
- Found in Children
- Heart Rate Varies with Respiratory Cycle - What are some of the causes of Hyperthermia? (P.179)
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- Pyrogens from Bacteria such as Myocardial Infarctions
- Neurological Disorders from Brain Trauma - What is Tachypnea?
- - Abnormally Fast Breathing
- What is Bradypnea?
- - Abnormally Slow Breathing
- What is Orthostatic Hypotension? (P.187)
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- Abrupt drop in Systolic Pressure of 20 mm Hg
- Caused by Increased Vasodilation without Increase in Cardiac Output - What is Cheyne-Stokes?
- - Cycle in which Respiration Wax and Wanes
- What is Eupnea?
- - Normal Breathing
- What is a Sphygmomanometer?
- - Instrument Used to Measure Blood Pressure Aneroid (Gauge) Mercury (Liquid)
- Define BMI? (P.145)
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- Body Mass Index
- Practical Marker to assess body fat distribution to indicate health
- BMI = Weight (kg) / Height (meters)^2 - Describe various Routes of Temperature Measurement and Special Consideration for Each Route? (P.179)
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- Oral (Accurate and Convenient)
- Rectal (Only When Other Routes NOT Practical, High Patient Discomfort/Disruptive)
- Tympanic (Swift and Accurate)
- Axillary (Safe and Accurate when Environment is Reasonable Controlled) - Describe Appropriate Procedure for Assessing Normal Respirations? (P.182)
- - Do NOT Mention Counting of Respirations
- List Factors that Affect Blood Pressure? (P.183)
- - Age, Sex, Race, Diurnal Rhythm, Weight, Exercise, Emotions, Stress
- Relate the use of a Blood Pressure Cuff of Improper Size to the Possible Findings that May be Obtained? (P.184)
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- Inaccurate Readings
- Narrow Cuff Could Yield Artificially High Values - Discuss Measurement of Weight and Height? (P.179)
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- Weight, Remove Shoes/Heavy Clothing
- Height, Remove Shoes, Stand Straight, Look Straight - Describe the Four Qualities Considered when one Assesses the Pulse?
- - Rate, Rhythm, Force, Elasticity
- Normal TPR, BP range for adult? (P.197)
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- Temperature – Decreases with Age
- Pulse – Normal Range Between 60 – 100.
- Respiration – Increase in Rate and more Shallow
- Blood Pressure – Increases with Age due to Stiffening of Arteries and Hypertension - . Describe the Relationships Among the Terms Blood Pressure, Systolic Pressure, Diastolic Pressure, Pulse Pressure, and Mean Arterial Pressure (MAP)? (P.183)
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Systolic Pressure – Maximum Pressure on Artery During Contraction
Diastolic Pressure – Elastic Recoil or Resting Pressure
Pulse Pressure – Systolic - Diastolic
MAP – Average Pressure Over a Cycle. Note: NOT average of Systolic and Diastolic - Correct Process of Measuring Postural Vital Signs? (P.187)
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- Patients with Hypertension
- Measure Pulse, BP with patient Supine, Sitting, Standing (Wait 2 mins in between) - . List the information considered in each of the four areas of a general survey; physical appearance, body structure, mobility, and behavior? (P.177)
- - Refer to Book (Too many factors)
- Discuss Relevant Developmental Consideration in Relation to General Survey? (P.189)
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- Physical Apperance, Body Structure, Mobility
- Behavior
- Parental Bonding