Respiratory
The temporary cessation of breathing, especially during sleep.
What is apnea
Chronic condition where the force of blood against artery walls is consistently too high 130-139/80-89 (mmHg), forcing the heart to work harder.
What is Stage 1 Hypertension/High blood pressure.
Technique requiring Pulling the ear up and back before inserting the thermometer.
What is tympanic temperature.
High-pitched bowel sounds at frequency of 45 sounds per minute.
What is hyperactive bowel sounds.
Increased blood flow through a valve causing an extra or abnormal sound that is heard when listening to your heart through a stethoscope.
What is a murmur
Shortness of breath or the sensation of not being able to get enough air into the lungs.
What is dyspnea.
A sudden drop in blood pressure occurring upon standing, characterized by a systolic drop of >20 mmHg or diastolic drop of >10 mmHg within 3 minutes.
What is Orthostatic Hypotension
Cardinal signs erythema (redness),edema (swelling), heat, pain, purulent drainage (pus), and loss of function.
What are signs of inflammation
soft, infrequent, or weak abdominal sounds indicating slowed intestinal activity, often occurring during sleep, after surgery, or with medication use (e.g., opioids)
What is Hypoactive bowel sounds
A neurological assessment used to check brainstem integrity, specifically cranial nerves II (optic) and III (oculomotor)
What is PERRLA (pupils are Pupils Equal, Round, Reactive to Light, and Accommodation)
The sensation of severe shortness of breath that occurs when lying flat, which is immediately relieved by sitting or standing up.
What is Orthopnea.
The medical term for abnormally low blood pressure, generally defined as a reading lower than 90/60 mmHg. It signifies reduced blood flow to vital organs.
What is Hypotension
Respiratory disorder causing bluish color in skin, fingernails and lips (cyanosis).
What is Hypoxemia
High-pitched, bubbling, bowel sounds that occur at a frequency of 4 to 32 times per minute.
What are Normal bowel sounds.
A type of swelling caused by excess fluid buildup in tissues, typically in the legs, feet, and ankles, which leaves a lingering, visible indentation (or "pit") for several seconds after pressure is applied
What is pitting edema
1+ (Trace): Barely perceptible 2 mm indentation, disappears immediately.
2+ (Mild): a deeper pit 4 mm indentation, rebounds in 10–15 seconds.
3+ (Moderate): A deep pit 6 mm indentation, lasts for 30 to more than 1 minute.
4+ (Severe): An even deeper pit 8 mm indentation (greater than 1 inch), persists for 2-5 minutes before rebounding.
Medical term for breathing that is deeper and/or more rapid than normal.
What is Hyperpnea
Ensuring the patient is seated with their arm at heart level.
What is proper position of pt when taking b/p
Measurement of how much Oxygen has combined with hemoglobin in the red blood cell
What is Oxygen Saturation
Absence of any bowel sounds, requiring nurse to listen for 4 minutes to confirm.
What are absent bowel sounds
Assessment of color, temperature, moisture, texture, turgor, evidence of injury or lesions.
What is Skin assessment.
Respiratory rate greater than normal, resulting in abnormally rapid and shallow breathing
What is Tachypnea
Inflating cuff 30 mmHg above the pressure at which the radial pulse was palpated and disappeared
What is estimated systolic pressure.
Site provides the most accurate core body temperature measurement
What is Tympanic Temperature
First step the nurse performs when conducting an abdominal assessment
What is inspection
Non measurable information reported directly by the patient or family, reflecting their personal feelings, perceptions, and experiences, such as pain levels, nausea, or anxiety.
Subjective data