The 4 areas to consider during the general survey are:
Physical appearance, body structure, mobility and behaviour.
During the general survey part of teh exam, gait is assessed. When walking, the base is usually:
as wide as the shoulder width.
During the 8th and 9th decades of life, physical changes occur. Height and weight
both decrease.
During an initial home visit, the patient's temperature is noted to be 97.4* F. This temperature:
Can't be evaluated because we don't know the patient's age.
Select the best description of an accurate assessment of a patient's pulse.
begin counting with zero: count for 30 seconds.
After assessing the patient's pulse, the practitioner determines it to be "normal". This would be recorded as
2+
Select the best description of an accurate assessment of a patient's respirations.
Cound for 30 seconds following pulse assessment.
Pulse pressure is:
the difference between the systolic and diastolic pressure.
the examiner is going to assess for coarchtation of the aorta. In an individual with coarctation the thigh pressure would be:
lower than the arm.
Mean arterial pressure is:
diastolic pressure plus one third pulse pressure.
The general survey consists of four distinct areas. These areas include:
a)mental status, speech, behavior, and mood and affect.
b)gait, range of motion, mental status, and behavior.
c)physical appearance, body structure, mobility, and behavior.
d)level o
C: physical appearance, body structure, mobility, and behavior.
The general survey is a study of the whole person, covering the general health state and any obvious physical characteristics. The four areas of the general survey are physical appearance, bo
A common error in blood pressure measurement includes:
a)taking the blood pressure in an arm that is at the level of the heart.
b)waiting less than 1 to 2 minutes before repeating the blood pressure reading on the same arm.
c)deflating the cuff about 2 mm
B waiting less than 1 to 2 minutes before repeating the blood pressure reading on the same arm.
Waiting less than 1 to 2 minutes before repeating the blood pressure reading on the same arm will result in a falsely high diastolic pressure related to venous
Data collection for the general survey begins:
a)at the first encounter.
b)at the beginning of the physical examination.
c)while taking vital signs.
d)during the mental status examination.
A at the first encounter.
The general survey is initiated at the first encounter with the patient.
The Doppler technique:
a)is used to assess the apical pulse.
b)augments Korotkoff sounds during blood pressure measurement.
c)provides an easy and accurate measure of the diastolic pressure.
d)measures arterial oxygenation saturation.
B augments Korotkoff sounds during blood pressure measurement.
The Doppler technique may be used to locate peripheral pulse sites and for blood pressure measurement to augment Korotkoff sounds.
The tympanic membrane thermometer:
a)provides an accurate measurement of core body temperature.
b)senses the infrared emissions of the cerebral cortex.
c)is not used in unconscious patients.
d)accurately measures temperature in 20 to 30 seconds.
provides an accurate measurement of core body temperature
.
The tympanic membrane thermometer (TMT) is an accurate measurer of core body temperature.
Endogenous obesity is:
a)due to inadequate secretion of cortisol by the adrenal glands.
b)caused by excess adrenocorticotropin production by the pituitary gland.
c)characterized by evenly distributed excess body fat.
d)a result of excessive secretion of g
caused by excess adrenocorticotropin production by the pituitary gland.
Endogenous obesity is caused by either the administration of adrenocorticotropin (ACTH) or excessive production of ACTH by the pituitary.
To perform an accurate assessment of respirations, the examiner should:
a)inform the person of the procedure and count for 1 minute.
b)count for 15 seconds while keeping fingers on the pulse and then multiply by four.
c)count for 30 seconds after completi
count for 30 seconds after completing a pulse assessment and multiply by two.
Respirations should be counted for 30 seconds (if regular) and multiplied by two. The respirations should be counted after the pulse assessment.
Physical appearance includes statements that compare appearance with:
a)mood and affect.
b)stated age.
c)gait.
d)nutrition.
stated age.
Physical appearance includes statements that compare appearance with age, sex, level of consciousness, skin color, and facial features.
An adult patient's pulse is 46 beats per minute. The term used to describe this rate is:
a)tachycardia.
b)bradycardia.
c)weak and thready.
d)sinus arrhythmia.
bradycardia.
A heart rate of less than 50 beats per minute in an adult is bradycardia.
The nurse records that the patient's pulse is 3+ or full and bounding. Which of the following could be the cause?
a)Dehydration
b)Shock
c)Bleeding
d)Anxiety
Anxiety
A full, bounding pulse (3+) reflects an increased stroke volume, as with anxiety and exercise.
Respiratory acidosis
Low pH (<7.35)
High PaCO2 (>45)
hypo-ventilation causes CO2 build up in blood (lowers pH)
Compensatory Mechanism
excrete acid H+
Retain HCO3 (bicarbonate)
Respiratory Alkalosis
High pH (>7.45)
Low PaCO2 (<35)
hyper-ventilation causes low CO2 level, which increases pH
Compensatory Mechanism
retain H+ (acid)
excrete bicarbonate (HCO3)
Metabolic Acidosis
Low pH (<7.35
Low HCO3 (<22)
Caused by body not excreting enough acid (through urination)
Compensatory mechanism
increased respiratory rate (blow off CO2)
excrete H+ (acid)
Metabolic Alkalosis
high pH (>7.45)
High HCO3 (>26)
Caused by body excreting too much acid
Compensatory mechanism
decreased respiration (retain CO2)
Retention of H+