Physical Assesment

juniperk's version from 2016-10-29 02:32


Question Answer
diastolic pressureleast amount of pressure exerted on arterial walls, which occurs when the heart is at rest between ventricular contractions
dyspneadifficult or labored breathing
dysrhythmiaan abnormal cardiac rhythm
eupneanormal respirations
Korotkoff soundsseries of sounds that correspond to changes in blood flow through an artery as pressure is released
orthopneatype of dyspnea in which breathing is easier when the patient sits or stands
orthostatic hypotension is a decrease in systolic blood pressure of 20 mm Hg or a decrease in diastolic blood pressure of 10 mm Hg within 3 minutes of standing when compared with blood pressure from the sitting or supine position
pulse deficitdifference between the apical and radial pulse rates
pulse pressuredifference between systolic and diastolic pressures
tachycardiarapid heart rate
Normal vital signs for Newborn96.7–98.5 PULSE/MIN: 70–190 RESP/MIN 30–55 BP 73/55
Normal vital signs for infants98.7–100.5 PULSE/MIN: 80–150 RESP/MIN 20–40 BP 85/37
Normal vital signs for Toddler98.7–100.5 PULSE/MIN: 70–120 RESP/MIN 20–30 BP 89/46
Normal vital signs for Child98.2–100 PULSE/MIN: 70–115 RESP/MIN 20–25 BP 95/57
Normal vital signs for Preteen96.4–99.5 PULSE/MIN: 65–110 RESP/MIN 18–26 BP 102/61
Normal vital signs for Teen96.4–99.5 PULSE/MIN: 55–105 RESP/MIN 12–22 BP 112/64
Normal vital signs for Adult96.4–99.5 PULSE/MIN: 60–100 RESP/MIN 12–20 BP 120/80
Normal vital signs for Aged Adult96.4–98.3 PULSE/MIN: 40–100 RESP/MIN 16–24 BP 120/80
How to convert Celsius to FahrenheitF = (Cx1.8) +32
How is the axillary temp reading different from the oral?Axillary temperature readings are approximately 1 degree lower than oral
How is the rectal temp reading different from the oral?Rectal temperature readings are approximately 1 degree higher than oral
What is Cheyne-Stokes respirations?Alternating periods of deep, rapid breathing followed by periods of apnea; regular
Body temperature varies during the day. How?It is lower in the morning and higher in the evening.
Two nurses are taking an apical-radial pulse and note a difference in pulse rate of 8 beats per minute. The nurse would document this difference as which of the following?The difference between the apical and radial pulse rate is called the pulse deficit.
A patient is having dyspnea. What would the nurse do first?Elevating the head of the bed allows the abdominal organs to descend, giving the diaphragm greater room for expansion and facilitating lung expansion.
A student nurse is learning to assess blood pressure. What does the blood pressure measure?Blood pressure is the measurement of the force of blood against arterial walls.
adventitious breath soundsabnormal breath sound heard over the lungs
bruitsunusual sound, usually abnormal, heard in auscultation
diaphoresisan excessive amount of perspiration, such as when the entire skin is moist
ecchymosiscollection of blood in subcutaneous tissues that causes a purplish discoloration
erythemaredness of the skin
focused assessmentassessment conducted to assess a specific problem; focuses on pertinent history and body regions
ongoing partial assessmentassessment that is conducted at regular intervals during care of the patient; concentrates on identified health problems to monitor positive or negative changes and evaluate the effectiveness of interventions
pallorpaleness of the skin
petechiaesmall, purplish hemorrhagic spots on the skin that do not blanch with applied pressure
precordiumanterior surface of the chest wall overlying the heart and its related structures
turgortension of the skin determined by its hydration