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121 heath assessment Exam 1 Study Set Questions And Accurate Answers
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121 heath assessment Exam 1 Study Set QuestionsAnd Accurate Answers
What do you concern in physical appearance?
Age
Hygiene
Body Structure
Normal finding of mental status.
Alert and oriented X4 (person, place, time and situation)
Cerebral status
What do you look for in Mobility?
Gait
Posture
Range of Motion
Abnormal findings in the physical appearance.
Thin and Frail
Looks tired
Fatigue
Age : looks older than chronological age
Personal hygiene: disheveled, inappropriate garments, etc.
Abnormal findings in Behaviour and mental status.
Level of consciousness: confused, decreased mentation, etc.
Behaviour: inappropriate
Mood: Depressed, flat affect
Speech: slurred speech, difficulty articulating words.
Abnormal findings of Distress.
,Signs of respiratory, cardiac, pain and gastrointestinal distress.
What is involved in the temperature?
Body temp is regulated by the thermoregulatory center in the hypothalamus.
body temp varies with the time of day and site measured
Normal range for an adult is 97.5F-99.5F or 36C-37.5C
Different ways to measure temperature.
Oral
Tympanic
Temporal
Axillary
Rectal
Important things to remember when taking Temperatures.
Oral: Under tongue and medial to oral frenulum, mouth closed.
Tympanic: Adults (3+), Pull up and back. Peds (infant-3), Pull down and back
Rectal: Adults, 1-1.5 inches, Peds, .5-1 inches, Infant, .5 inches. Have patient on their
left side.
Temporal: Across dry forehead LIFTING and going behind ear.
Axillary: Dry area and closed arm
What does the pulse rate measure?
Measure the heart rate in beats per minute.
Normal pulse rate 60-100 bpm.
What does each number on the pulse scale mean?
, 0: absent or no pulse
1: weak or threading pulse
2: normal quality
3: bounding
What is the measure for Bradycardia?
Heart rate is less than 60 bpm.
What is the measure for Tachycardia?
Heart rate is more than 100 bpm.
How to find Apical Pulse?
5th intercostal space, following nipple line.
Normal range for Respiratory rate?
12-20 breaths per minute
Things that can affect blood pressure?
Gender
Developmental Stage
Family History
Lifestyle
Diurnal variations: changes in a persons schedule.
Exercise
Body position
Stress
Pain
Medications
Disease
Normal blood pressure range.
120/80 mmHg
What are the 5 sounds on the Korotkoff chart?
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