| Term | Definition |
|---|
| vital signs | temp, pulse, respirations, blood pressure, pain are what? |
| correctly | a nurse must measure vital signs ________ (the nurse must be able to do this) |
| interpret | understand and _______ the values (the nurse must be able to do this) |
| communicate | _____________ findings appropriately (the nurse must be able to do this) |
| interventions | begin ________ as needed (the nurse must be able to do this) |
| pyrexia, febrile, hyperthermia | what are words to describe when a temp is above normal? |
| fever | what is actually a body defense? |
| destroy invading bacteria | what will fever do? |
| constant | remains elevated consistently means? |
| intermittent | means rising and falling.... |
| remittent | what means symptoms temporarily abate at regular intervals, but do not wholly cease? |
| hypothermia | what is the medical term for abnormally low body temp? |
| 98.6f or 37c | what is the bodys normal temp? |
| hypothalamus | what hepls maintain a balance between heat lost and heat produced by the body? |
| core temp, surface temp | what are two types of body temp? |
| oral temp | what is not obtained in the comatose or disoriented pt or in small infants? |
| axillary | what temp is considered the least accurate method? |
| 1 degree higher | rectal readigns are normally _______ than oral temps |
| 1 degree lower | axillary readings are normally _______ than oral temps |
| signs or symptoms of elevated body temp | thirst, anorexia, flushed, warm skin,irritability, glassy eyes/sensitivity to light, headache, elevated pulse and resp,increased perspiration, disorientation, shivering is________ |
| repeat reading | if a pt has a temp of 102 what should you do? |
| every 4 hours | how often should you monitor the temp of your pt if it is abnormal? |
| tylenol | what is an example of a anti-pyretic drug used to lower temp? |
| look for source of infection | what should you look for if someone has a hight temp? |
| stethoscope | when assessing the apical heart rate, the nurse uses a ________ |
| the regular, recurrent expansion and contraction of an artery produced by waves of pressure caused by the ejection of blood from the left ventricle of the heart as it contracts | what is a pulse? |
| rate, rythem, and volume | what does the nurse note about the pulse? |
| 60 and 100 | normal adult pulse rate |
| 40-50 | normal adult pulse rate for athletes? |
| tachycardia | pulse faster than 100 BPM |
| bradycardia | pulse slower than 60 BPM |
| dysrhythmia | any disturbance or abnormality in a normal rhythmic pattern, specifically irregularity in the normal rhythm of the heart (irregular pulse) |
| radial and apical | what locations are the most common sites for pulse rate assessment? |
| 0 absent pulse | what is the number you would put if you could not feel a pulse? |
| 1+ thready pulse | what is the number you would put if it is difficult to feel the pulse? |
| 2+ weak pulse | what is the number you would put if the pulse is somewhat stronger but still difficult to feel? |
| 3+ normal | what is the number you would put if the pusle is easily felt? |
| 4+ bounding | what is the number you would put if the pulse feels full and springlike? |
| peripheral | pulses on both sides of the __________ vascular system should be asssessed |
| pulse deficit | difference between the radial and apical rates; signifies that the pumping action of the heart is faulty is what? |
| medulla oblongata | what controlls breathing? |
| rate, depth, rythem, quality | in terms to respirations, what does the assesment include? |
| tachypnea | rapid respiratory rate |
| bradypnea | a slow respiratory rate |
| 12-20 per minute | normal adult respirations |
| dyspnea | breathing with difficulty |
| apnea | lack of spontaneouse resirations |
| cheyne-strokes respirations | what is an abnormal pattern of respirations? alternating patterns of apnea and deep, rapid breathing |
| systolic | the top number when taking a blood pressure (pumping) |
| diastolic | the bottom number when taking a blood pressure (ralaxed) |
| pulse pressure | diffrence between the systolic and diastolic pressure |
| normal adult blood pressure | what does 120/80 represent? |
| hypertension | sustaned elevated blood pressure is above 140/90 |
| hypotension | blood pressure below normal |
| orthostatic hypotension | a sudden drop in blood pressure |
| korotokoff sound | another name for when you hear the first sound and the last while taking blood pressure is? |
| behind the knee | where whould you take a bp in the lower extremities? |
| automatic measurement devices | what goes out of calibration? |
| underlying disease | what MIGHT a significant loss of weight show? |
| at the same time of the day | when should pt be weighed? |
| same | you should use the _____ scale when weighing a pt |
| the same thing | if a pt is wearing shorts and a shirt to be weighed, what should they were the next day they are weighed? |
| when the pt is admitted to the facility and then as prescribed by the physician or as policy dictates | a set of vital signs is taken when _______ |
| 97.2 | what is the average core temp of someone over 75? |
| significant | when getting the temp from an older pt, room temp plays a more ___________ role |
| fragile | an older persons skin is more _______ than to a younger pt |
| orthostatic | what kind of hypotension is more common in older pts? |
| when the pt is at rest | when are vital signs more accurate? |
| a patients pain level | what also affect vital signs? |
| weight | if you take the height, you must get the __________ |
| what you can see from/on a pt | objective data |
| when the pt tells you what is wrong with them | subjective data |
| disease | what is any disturbance of a structure or function of the body; a pathologic condition of the body? |
| clustered in groups | signs and symptoms are _______________ to help the physician make a diagnois |
| situation, habit, enviromental condition, genetic predisposition, physiologic condition | risk factors for development of a disease |
| at risk | if all of John's family had diabetes, but he dosent, this means hes ________ for getting diabetes |
| genetic, physiologic, age, enviroment, lifestyle | what are categories of risk factors |
| chronic | develops slowly and persists over a long period, often for a persons lifetime is called what? |
| remission | partial or complete disappearance of clinical and subjective characteristics of a disease is called what? |
| acute | what is the word for something that begins abruptly with markedd intensity of severe signs and symptoms and the often subsides after a period of treatment? |
| infection | what is the word that describes an invasion of microorganisms, such as bacteria, viruses, fungi, or parasites that produce tissue damage? |
| inflammation | what is the body tissues protective response to irritation, injury, or invasion by a disease-producing organism? |
| erythema | medical term for redness |
| edema | medical term for swelling |
| heat, pain, purulent drainage, loss of funciton, erythema, edema | what are cardinal signs of infection and inflammation? |
| first interview | the _________ is the most challenging to conduct with a pt |
| introduce yourself, state name, position, and purpose of the interview | what must you do to let the pt know who you are and why you are there? |
| biographical data | what is the date of birth, sex, address, family members, martial status, religous preference, occupations, source of health care, and insure of the pt known as? |
| provocative/palliative | what does the P in PQRST stand for? |
| quality/quantity | what does the Q in PQRST stand for? |
| region/radiation | what does the R in PQRST stand for? |
| severity | what does the S in PQRST stand for? |
| timing | what does the T in PQRST stand for? |
| past health history | when you are asking the pt about any past ilness, surgeries, hospitalizations, allergies, habits and lifestyle patterns, sleep, exercise and nutrition, what are you getting from them? |
| head-to-toe | when doing an assesment you must do it from ____________ |
| level of consciousness and level of orientation | when doing a head-to-toe assessment you are look for _________ |
| look, listen, feel | when doing an assesment on a pt, you must always does these three things? what are they? |
| pupils | what does the P in PERRLA stand for? |
| equal | what does the E in PERRLA stand for? |
| round, reactive | what do the R's in PERRLA stand for? |
| light | what does the L in PERRLA stand for? |
| accommodation | what does the A in PERRLA stand for? |
| anorexia | lack of appetite resulting in the inability to eat |
| asthenia | a condition of debility, lost of strength and energyand depleted vitality |
| constipation | difficulty in passing stools or an incomplete or infrequent passage of hard stools |
| coughing | sudden audible expulsion of air from the lungs |
| cyanosis | Blusish discoloration of the skin and mucous |
| diaphoresis | the secretion of sweat |
| diarrhea | Frequent passage of loss liquid stools |
| ecchymosis | discoloration of an area of the skin or mucous membrane (black eye) |
| fetid | Pertaining to something that has a foul, putrid, or offensive odor |
| jaundice | Yellow tinge to the skin |
| lethargy | the state or quality of being indiffrenent, apatheic or sluggish (fatigue) |
| nausea | a sensation often leading to the urge of vomit |
| orthopnea | an abnormal condition in which a person must sit or stand to breathe deeply or comfortably |
| pain | an unpleasant senation caused by noxious (extremely destructive or harmful) stimulation of the sensory nerve endings |
| pallor | an unnatural paleness or absence of color in the skin |
| pruritus | A symptom of itching and an uncomfortable sensation leading to an urge to scratch |
| purulent drainage (pus) | a creamy, vicous, pale yellow or yellow-green fluid exudate that is a result of fluid remains of liquefied necrosis of tissues |
| sallow | an unhealthy yellow color |
| scleral icterus | the color of the sclera is yellow |
| vomiting | to expel the contents of the stomach through the esophagus and out of the mouth |
Combine with other sets
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