Pulse/Temp
What are the normal temperature values for adults, children and infants?
What is 97-100
What is the single most important task in preventing the spread of infection
What is handwashing
How long after giving pain medications do you reassess patient pain levels.
What is 1-2 hours?
What is the average BP for an adult
What is 120/80
What are average respiration rates for adults, children, and infants?
What is
Adults: 12-20
Children: 16-25
Infants: 30-50
What color is the oral and rectal thermometer
What is Oral-blue, Rectal- Red
What does AIDET stand for?
What is Acknowledge, Introduce, Duration, Explain, Thank You.
What does WILDA stand for
What is Words, Intensity, Location, Duration,Aggravating and alleviating factors
What is the average BP for an infant and a child
What is child: 90/60
What is infant: 60/40
What is rales
What is small clicking, bubbling, or rattling sounds in the lungs. They are heard when a person breathes in (inhales)
What are 3 times that you take apical pulse?
What is
Ordered by a MD
Pts on certain meds such as Lanoxin or Digoxin
Pts with irregular heartbeats, hardening of the arteries, heart murmurs & weak or rapid radial pulses
Infants and children because they have rapid radial pulses.
Define the term vital sign, and what are the 6 vital signs?
What is
Vital signs are measurements of the body's most basic functions
O2 Saturation, BP, Pulse, Temp, Pn, Respiration
When is pn assessed?
What is
Admission assessment
Regular/routine assessment
When the patient asks for med
Follow-up within 2 hours
Discharge pain assessment
What is the tool used to read bp?
What is a sphygmomanometer
What is Cheyne-Stokes and what does it look like?
What is an abnormal breathing pattern right before death; a period of fast, shallow breathing followed by slow, heavier breathing and moments without any breath at all, called apneas.
What are 3 things that increase pulse and 3 things that decrease pulse.
What is
Increased pulse – Exercise, stimulants, excitement, fever, shock, anxiety
Decreased pulse – Sleep, depressants, heart disease, coma, physical training
What are 3 was the heat is lost and 3 ways that heat is produced?
What is
Heat is lost thru perspiration, respiration, excretion
Heat is produced by metabolism of food, muscle activity and gland activity
Where are the 4 places that you can take O2 Saturation?
What are the top and bottom numbers for BP and what do they mean?
What is
top:systolic, pressure in the walls of the arteries when the heart is at work
bottom: diastolic, pressure in the walls of the arteries when the heart is at rest
How should you check respiration, and how long should you check it?
What is unobtrusively; for 30 sec
Name the 7 pulse sites.
What is temporal, radial, brachial, femoral, carotid, popliteal, dorsalis pedis
What is the color blind chart called, and what is the chart for detecting nearsightedness/farsightedness called?
What is the Ishihara test and Snellen chart.
Name 4 things that pain affects
What is:
Sleep
Appetite
Energy
Activity
Relationships
Mood
What valves are closing with the lub sound, and the dub sound?
What is
lub: closure of the mitral and tricuspid atrioventricular (AV) valves
dub: closure of the semilunar (aortic and pulmonary) valves
Which lung is smaller, the right or left, and why?
What is the left lung, because it is slightly displaced by the heart which takes up more space on the left of the chest cavity.