Study sets, textbooks, questions
Upgrade to remove ads
RESP 214 Patient Assessment Exam (First Half Ellie version)
Terms in this set (39)
What is the distance for the intimate space? How much eye contact should be used
Minimal eye contact
What actions should be taken before going into a patient's room
Read the chart and identify key information
You suspect that the patient has been exposed to TB. But the patient says no to travel and no to exposure to dirt. These "no" are a ____ negative.
A pertinent negative
"when did you cough start" or "how long did the pain last" are examples of ____ questions
Your patient's rectal temperature varies from early morning and late afternoon, which temp would be higher, and is it afebrile?
The later afternoon temperature
Afebrile- temperature is in the normal range of 37 ish
A world champion marathoner has an HR of 50. What follow up questions should you ask to determine if the patient's normal average
Extreme fitness athletes have slow heart rate because of the efficiency. Questions to assertain if it is not "normal" are are they cold? what medications are they on?
During chest compressions which artery should be palpated to assess chest compressions
What is the difference between hypoventilation and hypopnea
Hypoventilation is decreased rate and depth. Hypopnea is decreased depth of respiration
Biot's breathing is caused by ____ and also referred to as _____
Damage to the pons due to stroke or trauma or opioid OD
Ataxic or ataxia
A patient with diabetic ketoacidosis would have _______ breathing, _______ than average urine output , ___________ skin turgor
greater than average
decreased skin turgor because of dehydration
_______ is when systolic P drops more than 10 mmHg on inspiration
A patient comes in with dark nail polish and dark skin pigmentation the pulse oximetry results would be a false ________ , if the room is very bright and the sunlight is hitting the oximeter the SpO2 should be _________.
Re-tested by covering the light source
Your patient is very young and is refusing to keep the pulse oximeter on their finger what should you do?
Try alternative pulse oximetry locations such as earlobe, forehead, and toe
Why is the end tidal co2 measure 3-5 mmHg lower
You have one patient who is lethargic another is stuporous. What is the main difference between these two states
Lethargic - sleepy, arouses easily, responds to verbal/painful stimuli
Stuporous - does not completely wake up does respond to pain
A 14 year old male patient arrives highly agitated and mumbling before you start assessing GCS what part of the patient's history would be helpful
History of existing condition. They may be on the autism spectrum.
A patient has blue fingers, what do you suspect? What lab result would confirm your hypothesis? You would have ___ difficulty if the patient also had anemia
Peripheral cyanosis, also known as acrocyanosis
Hemoglobin that is reduced by more than 5.0 g/d
Anemia can mask cyanosis
Trachea moves away from these 3 diseases
Pneumothorax, Pleural effusion, and Tumors
A patient comes in with 2 cm JVD is this normal or abnormal
Abnormal JVD is measurements greater than 3-4 cm
Define these positional dyspnea terms
Paroxysmal nocturnal dyspnea
PND- sudden onset, occurs during sleep in the recumbent position, often associated with cough/heart failure
Orthopnea- inability to breathe when lying down , associated with heart failure
Trepopnea - difficulty lying on one side
Platypnea - dyspnea in the upright position
Retractions are seen in ________ lung disorders.
If there was a 3 year old and a 30 year old, the ____ year old would be more likely to have retractions in the _______, _____, ____________.
Restrictive lung disorders like Pneumonia and ARDS
3 year old because of their flexible thorax
Retractions in the
substernal, supraclavicular, intercostal
You see a patient splinting their chest most likely they are experiencing _____ chest pain
You look at their history they have come out of a post-operative thoracic procedure. A good reason to encourage incentive _______ because they are increased risk for _______________
Pleuritic chest pain aka. pleurisy
increased risk for atelectasis or pneumonia
Which of these conditions do not cause receptor stimulation
- tactile pressure in ear
- temperature difference
- chemical irritants
- mechanical injury to abdomen (punch to diaphragm)
What is the difference in pectus carinatum, pectus excavatum, kyphoscoliosis ? How are they corrected
carinatum - sternum protrudes out anteriorly
excavatum- sternum depressed
Kyphosis- abnormal AP (hunchback of notre dame)
You have an obese 65 year old male patient with decreased tactile fremitus and normal bronchial sounds. What could be a reason for the decreased tactile? Would you be able to hear heart sounds clearly?
Obesity is a fat accumulation- decreased due to increased thickness of chest wall
A 25 year old female patient comes in and thoracic expansion move 1-2 cm equally this is ___________ expansion, when you auscultate you hear pleural frictional rub during ________ and it gets ______ with deep breathing
reduced expansion normal is 3-5
pleural friction rub is usually heard only on inspiration grating sound
gets louder with deep breathing
A 5 year child comes in after swallowing a lego, you would hear __________ in the airway due to the obstruction. Can you hear this without the aid of a stethoscope?
Increased capillary refill time is caused by __________.
Compartment syndrome is ______
low cardiac output
Compartment syndrome is caused by abdominal pressure greater than 20 mmHg
Where is the point of maximal impulse?
5th intercostal space, midclavicular line
The point of maximal impulse will move _________ from Pneumothorax, __________ Atelectasis
away from pneumothorax,
Atria of heart is located underneath the __________
Under the upper-middle portion of gladiolus
A patient comes in asthma exacerbation you might hear a _____phonic wheeze on ___________. Between a higher-pitched wheeze and lower-pitched wheeze, a ________ wheeze is more serious.
Polyphonic wheeze on exhalation
higher pitch because it means smaller the diameter
Some signs of brain injury seen around the ears and heads are _______, __________, _______________
battle sign, racoon eyes, bleeding ears
A 22-year-old female patient comes in complaining of SOB. You suspect anxiety what are some good questions to ask?
Why should dyspnea always be seen as a concerning symptom
Has she been stressed lately? Does she feel like the world is going to end? Does she feel overwhelmed? Does she have any other pain?
The sensation is both sensory and perceptive.
Static Charting is _____________
Approved and standardized forms that goes into the patient's chart. Legal
You are running to multiple patients and take down notes on your notepad to enter into the system later. This is an example of _____________ charting
Is "patient is sitting in a chair, dazed with a normal heartbeat and normal breath" a good example of charting? What would be a better way to describe this
Nope too general
the patient is sitting in semi-fowler, appears confused when asked questions, HR 80, RR 14.
When you enter drugs and drug dosages into the chart why are units important?
Should you put times in as 2 pm or 14:00
A student makes a mistake on their chart, should they use a whiteout or draw a single line through the entry?
To ensure there isn't potential for misinterpretation
14:00 use the 24-hour clock
What are the main components of SBAR reporting?
What is not an advantage?
- Improved Patient Safety
-Enabled a Shared Mental Model
-Deepens Interprofessional Hierarchies
-Format is clear and to the point
Situation, Background, Assessment. Recommendation ( extra- what are the parts in each)
Other sets by this creator
NRP 8th E-
RESP 214 Pt. 2
RESP 218 Overall Questions
HLTH 201 Infection Prevention and Control / Egans…
Recommended textbook solutions
Clinical Reasoning Cases in Nursing
Julie S Snyder, Mariann M Harding
The Human Body in Health and Disease
Gary A. Thibodeau, Kevin T. Patton
Medical Language Accelerated
Andrew Cavanagh, Steven Jones
Health: The Basics
Rebecca J. Donatelle
Other Quizlet sets
Phonology Quiz #4
Workplace seminar questions
Final Exam - Practice Quizzes (Chapters 10-18)
Aviation Safety Final