Karteikarten
N112 Quiz #2
Karten in diesem Stapel (119)
- 1What are symptoms of DVT?Warmth, swelling, throbbing pain
- 2Femoral pulse is taking where?Under the inguinal area
- 3Before starting an abdominal exam, what needs to be done?Client needs to peepee
- 4For an abdominal assessment, what is the order?Inspection, auscultation, percussion, palpation. Ausculate earlier so bowel sounds aren't altered
- 5In what order do you assess the abdominal quadrants?RLQ, RUQ, LUQ, LLQ
- 6What should the contour of the abdomen be normally?Flat, rounded, or schaphoid (skinny)
- 7What is an abnormal countour for the abdomen?Protuberant (way way wayyyyy bloated)
- 8What are normal bowel sounds?Series of soft clicks and gurgles at 5-30 per minute (normoactive)
- 9What is borborygmi?tummy growling-hungry!
- 10Which sites do you listen to when assessing the abdomen for a bruit?Aortic, renal arteries, iliac arteries, femoral arteries
- 11In the abdomen, what should be the most occuring sound?Tympany (over stomach and intestines because they are air filled)
- 12Ascites are mostly due to what?Cirrhosis
- 13With ascites, where would you hear dullness?Wherever the fluid pools-depends on their position
- 14If pain is felt by patient while doing blunt percussion on the kidneys, what might this mean?Kidney infection or stones
- 15Light palpation should be done how?With fingertips in a rotary motion
- 16With deep palpation, what MAY be felt?Lower border of liver and the aorta
- 17Should the spleen be felt during palpation?No
- 18Full bladders can be felt where?Above the symphysis pubis
- 19What is rebound tenderness?Pain felt upon release of pressure
- 20What is referred pain?Pain felt in different area than where problem is
- 21With appendicitis, where will patient have pain?in RLQ, at McBurney's Point
- 22When is the best time to measure abdominal girth?Morning, before breakfast and just after voiding. Do it while patient is STANDING if possible
- 23What abdominal changes occur in the older adult?More fat in abdomen, loss of muscle tone, decreased blood to liver, gas and constripation
- 24What are the 4 symptoms of alcoholism?Craving, loss of control, physical dependence, tolerance
- 25FlexionBending limb at a joint
- 26ExtensionStraightening limb at a joint
- 27AbductionMoving a limb away from midline
- 28AdductionMoving a limb toward midline
- 29PronationTurning forearm so palm is down
- 30SupinationTurning forearm so palm is up
- 31CircumductionMoving arm in a circle around shoulder
- 32Inversionmoving sole of foot inward at ankle
- 33EversionMoving sole of foot outward at ankle
- 34RotationMoving head around a central axis
- 35ProtractionMoving a body part forward and parallel to the ground (head)
- 36RetractionMoving a body part backward and parallel to the ground (head)
- 37ElevationRaising a body part
- 38DepressionLowering a body part
- 39What is contracture?Shortening of a muscle leading to limited ROM of a joint
- 40What is active ROM?Patient moves own joints
- 41What is passive ROM?Someone else moves the patients joints
- 42What is a gonimeter?Measures joint angles
- 43Muscle strength is measured on what kind of scale?5 point scale. 5 = full ROM
- 44What are the 5 kinds of vertebral bones?Cervical, Thoracic, Lumbar, Sacral, Coccygeal
- 45What is Lordosis?Curving of the spine during pregnancy, AKA swayback
- 46What is kyphosis?hunchback
- 47If straight leg raising causing pain, this most likely means what?herniated disc
- 48What is the Phalen's Test?Flexion of wrist for 1 minute at 90 degrees. If numbness and burning = carpal tunnel
- 49What is Tinel's Test?Percussion of the median nerve at wrist. If numbness and burning: Carpal Tunnel
- 50What does RICE stand for?First Aid protcol. Rest injured area, Ice it for 48-72 hours, Compress it with ace bandage, Elevate above heart to increase venous return and decrease edema
- 51What musculoskeletal changes occur in the older adult?Get shorter, SQ fat resides mostly in abdomen (less elsewhere), Loss of muscle mass
- 52Osteoarthritis is usually accompanied with what?Herberden's nodes at distal finger, and Bouchard's nodes at proximal finger
- 53What does exercise do?Increases energy level, flexability, strength, endurance, and metabolism. Improves sleep. Reduces stress
- 54Rickett's is due to a deficiency of what?Vitamin D. Should get 200 units/day
- 55How do we get vitamin D?Sunlight, Food, or supplements
- 56Where is the base of the heart located?the TOP
- 57Where is the apex of the heart located?At the BOTTOM
- 58The right ventricle brings blood where?Brings oxygenated blood to the lungs
- 59The left ventricle brings blood where?Brings oxygenated blood to the systemic circulation (body)
- 60What is the name for the sac that surrounds and protects the heart?Pericardium
- 61Which are the two AV valves?Tricuspid and Mitral
- 62Which are the two semilunar valves?Pulmonic and Aortic
- 63AV valves lead to which chamber?Lead to ventricles
- 64Semilunar valves go to where?Lungs or body
- 65What is the order of electrical conduction in the heart?SA node --> AV node --> Bundle of his --> Perkinje fibers
- 66Cardiac Output is equal to what?Stroke Volume x Heart Rate
- 67What do thready, weak pulses signify?Blood loss or decreased cardiac output
- 68What do bounding pulses signify?Anxiety, fever, or fluid excess
- 69Bradycardia normally occurs when?In trained athletes, during sleep, or with hypothyroidism
- 70Tachycardia normally occurs when?With exercise, fever, nervousness, hyperthyroidism, or anemia
- 71When palpating across the precordium, what part of your hand do you use and what are you looking for?Use palmar aspect of hand, looking for pulsations or thrills
- 72Apical pulse is located where?5th ICS
- 73When assessing apical pulse, how should the patient be positioned?Supine or left lateral side lying
- 74What are the 5 heart sides to ausculate?Aortic, Pulmonic, Erb's Point, Tricuspid, Mitral
- 75Aortic site is where?2nd ICS, RSB
- 76Pulmonic site is where?2nd ICS, LSB
- 77Erb's Point is where?3rd ICS, LSB
- 78Tricuspid site is where?5th ICS, LSB
- 79Mitral site is where?5th ICS, MCL
- 80S1 is loudest where?At the apex
- 81S1 signals what?Beginning of sytole
- 82S1 signifies the closing of which valves?AV valves
- 83S1 coincides with which pulse?Carotid
- 84S2 signifies the closure of which valves?Semilunar
- 85S2 signifies what?End of systole
- 86S2 is loudest where?Base
- 87Thrills and Bruits are normal for which patients?Dialysis patients with a shunt
- 88What causes murmurs?Increased velocity of blood (pregnancy, exercise), or structural defects in the valves
- 89How should patient be positioned when listening for murmurs?Supine (bell), lateral left (bell), or sitting up and leaning slightly forward (diaphragm)
- 90Which 3 points should you auscultate when listening with the bell over the carotid?Base of jaw, mid neck, and above the clavicle
- 91Jugular vein reflects what?Central venous pressure
- 92What happens in older adults that affects their heart?Stiffening of the arteries -->increased systolic BP -->increased pulse pressure. Also, the left ventricle increases in thickness
- 93At how many weeks gestation does the fetal heart start beating?3 weeks
- 94What are symptoms of an MI?Chest pain, SOB, diaphoresis
- 95What are symptoms of the failure of the normal electrical heart system?Syncope, dizziness, bradycardia
- 96HF is due to what?Increased fluid! Impaired cardiac pumping or filling -->low CO
- 97What are symptoms of Right Sided HF?More systemic- Jugular vein distention, enlarged liver, edema, swollen hands and fingers
- 98What are symptoms of Left Sided HF?More pulmonary-Fatigue, Angina, dry cough, dyspnea, crackles in lungs, froathy sputum, tachycardia
- 99What are the 9 pulse sites?Temporal, carotid, brachial, ulnar, radial, femoral, popliteal, posterial tibeal, dorsalis pedis
- 100What is a normal pulse rated?2+
- 101A bounding pulse is rated what?3+
- 102When performing the Allen's Test, color should return to hand within how many seconds?2-5 seconds. If longer, may have obstruction in that artery
- 103When measuring calf size, the difference can be no greater than what to be considered normal?1 cm
- 104Edema is measured on what type of scale?4 point scale. 4+ is worst/deepest
- 105Edema is measured on what type of scale?4 point scale. 4+ is worst/deepest
- 106When assessing legs, which two sites should be checked for edema?Pretibial (shin) and malleolous (ankle bone)
- 107Bilateral edema is caused by what?HF
- 108Unilateral edema is caused by what?Inflammation or obstruction
- 109Arteries are _____ pressurehigh
- 110Veins are ______ pressurelow
- 111Arteries pump which kind of blood?Oxygenated blood-bring it to the body
- 112Veins pump which kind of blood?Deoxygenated blood-bring it to the heart
- 113What is Ischemia?Hypoxia to the heart
- 114What is claudication?Pain that relieves with rest
- 115How do you perform the Elevational Pallor Test?Raise legs 12 inches off ground to drain blood. Blood/color should return in less than 10 seconds
- 116What is the Ankle-Brachial Index?Ankle systolic/arm systolic. If less that 90%= PVD
- 117What happens to blood vessels in older adults?They become more ridgid-->increased risk for thrombosis
- 118What are symptoms of arterial insufficiency?Thin shiny skin, thick nail, cool pale skin, loss of hair on legs, decreased pulse
- 119What are symptoms of venous insufficiency?Brown pigment edema, aching pain at end of day, NORMAL pulse
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- Karteikarten am N112 Quiz #2, erstellt von Kate Caldwell am 18/05/2013.
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- Kate Caldwell
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