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N16 Midterm

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Heart rate lower than 60 BPM is ___________. Heart rate above 100 BPM is __________.
Bradycardia
Tachycardia
Normal Ranges:
Oral temp Farenheit: _______
Oral temp Celcius : _______
Pulse Rate : ________
Respirations: ________
Apical-radial Pulse: _______
97.6-99.6
36.5-37.5
60-100
12-20
60-100 w/no pulse deficit
Length of time needed to count:
A regular pulse: _______
An irregular pulse: _______
15 sec. x4 or 30 sec. x2
60 sec.
Blood Pressure:
<120/80 = _________
120/80-139/90 = _________
140/90-159/99 = _________
>/=160/100 = ________
Normal
Prehypertension
Stage 1 HTN
Stage 2 HTN
_______ _______ equals systolic minus diastolic and is normally about ___ mm Hg.
Pulse pressure
40
_______ ____ is a period of silence when sound become inaudible, only to reappear as the pressure in the cuff is reduced further.
Auscultatory Gap
A too small BP cuff falsely _________ BP while a too large cuff falsely _________ BP.
elevates
lowers
Korotkoff sounds:
Phase 1: _________
Phase 2: _________
Phase 3: _________
Phase 4: _________
Phase 5: _________
tapping
swooshing
knocking
abrupt muffling
silence
Korotkoff sounds:
Phase 1: Intraluminal pressure and cuff pressure are _______
Phase 2: The vessel is ________ with blood
Phase 3: The vessel is open is ________ but not _______
Phase 4: Pressure is closest to ________ arterial pressu
equal
distending
systole
diastole
diastolic
open
The bladder width of a BP cuff should be ____% of the cirumference of the ________
of the upper arm.
40
mid-point
The bladder length of a BP cuff should be approximately _________ the recommended width.
twice
To find the Palpated Systolic Pressure - 1. palpate the ________ or ________ artery. 2. Pump BP cuff up ______ until pulse is __________. 3. Continue ___ mmHg beyond. 4. Release pressure slowly and note where ________ pulse ________
brachial
radial
slowly
obliterated
30
arterial
returns
Body temperature is controlled primarily by the ____________
hypothalamus
When a person has a normal temperature, he is said to be ________
afrebile
Rectal temperatures should be taken on clients who have _________ difficulty or who might ______ the thermometer.
respiratory
bite
When taking an axillary temp, leave the glass thermometer in place for ____ to ____ minutes
five
ten
List the seven peripheral pulses.
Carotid
Brachial
Radial
Femoral
Popliteal
Posterior tibial
Dorsalis pedis
Do not take a BP on an arm that has an ___ or a _____, on the same side as a _______, with a ______ shunt, or where ______ has recently been drawn.
IV
cast
mastectomy
dialysis
blood
If a client has a fever he is _______. If body temp is significantly lower than normal, it is called ________
febrile
hypothermia
When taking a rectal temp, point the tip of the thermometer toward the _________ and insert it about ____ inch
umbilicus
one
Heart ventricles _______ during systole and _______ during diastole
contract
relax
WHen assessing BP on the thigh, have patient in the _____ position using the thigh and ______ artery.
prone
popliteal
BS: Bronchial
Pitch: ______
Amplitude: _____
Duration: ______
Quality: ______, ______, ______
Normal location: ________ and ________
high
loud
I<E 1:2
harsh, hollow, tubular
trachea
larynx
BS: Bronchovesiclar
Pitch: ________
Amplitude: _________
Duration: ________
Quality: ________
Normal location: __________
moderate
moderate
I = E
mixed
over margin bronchi
BS: Vesicular
Pitch: ________
Amplitude: _______
Duration: _______
Quality: ________
Normal location: ________
low
soft
I>E 2.5:1
rustling
peripheral lung fields
The palpable vibration you feel when the client speaks is tactile or vocal ________
fremitus
During inspiration the diaphragm ________ as it contracts. During exhalation the diaphragm _________ and rises to assume a ______ shape.
flattens
relaxes
dome
Discontinuous sounds resulting from air bubbling through moisture in the alveoli or from collapsed alveoli popping open are ________ or _______
rales
crackles
Loose mucus secretions in a larger airway produce lower pitched sonorous wheezes often called ________
rhonci
A friction rub occurs between the _______ layers and not in the ______. It results from the rubbing together of the ________ and visceral layers of an inflamed pleura. Produces a ______-pitched grating or ________ sound
pleural
lung
parietal
high
squeaking
_______ is a high-pitched continuous honking sound resulting from an upper airway or partial obstruction, or a spasm of the trachea or larynx
Stridor
___________ is the abnormal clarity of the spoken work as heard through the stethoscope.
Bronchophony
_________ is translated as "voice of the goat". EEE changes to AY.
Egophony
_________ _________ is present if you hear "one, two, three" clearly instead of "puff, puff, puff".
Whispered pectoriloquy
________ is a curving ofthe spine that causes a bowing of the back, which leads to a hunchback or slouching posture.
Kyphosis
________ is an increased curvature of the normally curved lumbar spine.
Lordosis
________ is the lateral curvature of the spine, often S-shaped or C-shaped.
Scoliosis
In orthostatic/postural hypotension, the BP and HR changes when changing from _______ to ______ to ________
supine
sitting
standing
Orthostatic/postural: abnormal is a drop in systolic pressure > ____ mmHg or HR increase > ___ BPM
20
10
Crackles are heard on the end of _______. Wheezes are heard on ________.
inspiration
expiration
_________ is when the patient can't breathe in the supine position
Orthopnea
_______ is course crackling sounds heard in the chest (sounds like rice crispies)
Crepitus
Name some risk factors that can increase BP
stress
obestiy
smoking
family history
alcohol consumption

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