Health Assessment Quiz
34 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What does BMI stand for?

  • Body Metabolism Index
  • Body Mass Index (correct)
  • Body Measurement Index
  • Body Muscle Indicator

    • Hypopituitary Dwarfism results from an excess of growth hormone.

    False

    What is considered the fifth vital sign?

    Pain

    The body maintains a steady temperature through a feedback mechanism regulated in the ______.

    <p>hypothalamus</p> Signup and view all the answers

    Match the following conditions with their definitions:

    <p>Hypopituitary Dwarfism = Deficiency in growth hormone Achondroplastic Dwarfism = Genetic disorder affecting bone growth Gigantism = Excessive secretion of growth hormone in childhood Acromegaly = Excessive secretion of growth hormone in adulthood</p> Signup and view all the answers

    What term is used for a body temperature above normal but below 41 °C?

    <p>Pyrexia</p> Signup and view all the answers

    Hyperthermia is associated with exposure to a cold environment.

    <p>False</p> Signup and view all the answers

    What physiological measure is commonly assessed by palpating the peripheral pulse?

    <p>rate, rhythm, and force</p> Signup and view all the answers

    A pulse rate is considered to increase due to __________.

    <p>exercise</p> Signup and view all the answers

    Match the following conditions with their corresponding effects on pulse rate:

    <p>Exercise = Increases pulse rate Fever = Increases pulse rate Hypovolemia = Increases pulse rate Age = Decreases pulse rate</p> Signup and view all the answers

    Which of the following factors can decrease pulse rate?

    <p>Rest and relaxation</p> Signup and view all the answers

    Count the beats for 15 seconds and multiply by 4 to find pulse rate if the beat is regular.

    <p>False</p> Signup and view all the answers

    What is the typical stroke volume pumped by the adult heart with each beat?

    <p>70 ml</p> Signup and view all the answers

    Which of the following is NOT a component of effective documentation guidelines?

    <p>Subjective</p> Signup and view all the answers

    Legibility in documentation guidelines refers to the use of colorful ink for improved visibility.

    <p>False</p> Signup and view all the answers

    What does 'complete' refer to in the context of documentation guidelines?

    <p>Information must contain appropriate and essential details.</p> Signup and view all the answers

    Documentation should be clear, concise, and easy to understand to ensure it is __________.

    <p>organized</p> Signup and view all the answers

    Match the following characteristics of effective documentation with their corresponding descriptions:

    <p>Current = Made at the time or shortly after an event Accurate = Use of exact measurements Legible = Black ink per local policy Concise = Clear and easy to understand data</p> Signup and view all the answers

    What is diastolic pressure?

    <p>The elastic recoil or resting pressure between contractions</p> Signup and view all the answers

    Pulse pressure is the pressure exerted by blood during heart contraction.

    <p>False</p> Signup and view all the answers

    What is considered hypotension?

    <p>Abnormally low blood pressure</p> Signup and view all the answers

    Korotkoff sounds are associated with __________.

    <p>blood pressure</p> Signup and view all the answers

    Match the following terms with their definitions:

    <p>Hypotension = Abnormally low blood pressure Hypertension = Abnormally high blood pressure Orthostatic Hypotension = Drop in systolic pressure upon standing Pulse Pressure = Difference between systolic and diastolic pressures</p> Signup and view all the answers

    What is the recommended difference in systolic blood pressure when comparing arm and thigh measurements?

    <p>10-40 mmHg higher in the thigh</p> Signup and view all the answers

    Pain is defined solely by physiological factors.

    <p>False</p> Signup and view all the answers

    Describe how to assess orthostatic hypotension.

    <p>Take baseline pulse and blood pressure while supine, then repeat while sitting and standing.</p> Signup and view all the answers

    Which pain assessment tool uses a scale from 0 to 10 for patients to rate their pain?

    <p>Brief pain inventory</p> Signup and view all the answers

    The faces pain scale is suitable for patients capable of understanding numerical ratings.

    <p>False</p> Signup and view all the answers

    What does the acronym PQRST stand for in pain assessment?

    <p>P = Provocation/Palliation, Q = Quality, R = Region/Radiation, S = Severity, T = Timing</p> Signup and view all the answers

    Chronic pain related to chronic physical disability is evidenced by ___ ability to continue usual activity.

    <p>altered</p> Signup and view all the answers

    Match the following pain assessment tools with their descriptions:

    <p>Brief Pain Inventory = Rates pain on a scale from 0-10 Numeric Rating Scale = Allows selection of a number for pain intensity Descriptive Scale = Uses words to describe pain intensity Faces Pain Scale = Uses facial expressions to depict pain levels</p> Signup and view all the answers

    Why is documentation important in patient care?

    <p>It creates a plan of care</p> Signup and view all the answers

    If something is not documented, it didn't happen according to the nursing practice principle.

    <p>True</p> Signup and view all the answers

    What is one of the primary goals of health care documentation?

    <p>To improve quality of patient care</p> Signup and view all the answers

    Study Notes

    Body Mass Index (BMI)

    • BMI is calculated by dividing weight (in kilograms) by height (in meters) squared.
    • BMI is a practical marker of optimal healthy weight for height and an indicator of obesity or malnutrition.

    Abnormalities in Body Height and Proportion

    • Hypopituitary dwarfism is caused by a deficiency in growth hormone, resulting in stunted growth, delayed puberty, and hypothyroidism.
    • Achondroplastic dwarfism is a genetic disorder that affects the conversion of cartilage to bone, leading to short arms, legs, and stature.
    • Gigantism is caused by excessive growth hormone secretion, leading to an overgrowth of the body.
    • Acromegaly (hyperpituitarism) is caused by excessive growth hormone secretion in adulthood, leading to overgrowth of bones in the face, head, hands, and feet.

    Vital Signs: Definitions

    • Vital signs include temperature, pulse, blood pressure, and respiratory rate.
    • Vital signs reflect the effectiveness of circulatory, respiratory, neural, and endocrine functions.
    • Any difference between normal baseline measurements and present measurements may indicate a need for nursing and medical interventions.
    • Pain is considered the fifth vital sign.

    Vital Signs: Temperature

    • Cellular metabolism requires a stable core or deep body temperature of 37.2 °C.
    • The hypothalamus in the brain regulates temperature through a feedback mechanism.
    • The hypothalamus maintains a balance between heat production and heat loss.
    • Afebrile refers to a patient without a fever.
    • Febrile refers to a patient with a fever.
    • Pyrexia is a temperature above normal but below 41°C.
    • Hyperpyrexia is a very high temperature of 41 °C and above.

    Vital Signs: Pulse

    • The adult heart pumps approximately 70 ml of blood with each beat (stroke volume).
    • The force of the heart beat flares the arterial walls, generating a pressure wave that is felt in the periphery as the heart rate, or pulse.
    • Palpating the pulse provides information about the heart rate, rhythm, and force.
    • The pad of the first three fingers should be used to palpate the pulse.
    • If the pulse is regular, count the beats for 30 seconds and multiply by two.
    • If the pulse is irregular, count the beats for a full minute.
    • Pulse rate decreases with age.
    • Pulse rate is slower in males after puberty than in females.
    • Pulse rate increases with exercise.
    • Pulse rate increases due to increased metabolic rate in a fever.
    • Some medications can increase or decrease pulse rate.
    • Hypovolemia (loss of blood) increases pulse rate.
    • Stress increases pulse rate and force.
    • Position changes can pool blood, decreasing venous return, which may lower blood pressure and increase pulse rate.

    Vital Signs: Blood Pressure

    • Blood pressure is the force exerted by the circulating blood on the walls of the arteries.
    • Systolic pressure is the maximum pressure during ventricular contractions.
    • Diastolic pressure is the elastic recoil or resting pressure that blood exerts constantly between each contraction
    • Pulse pressure is the difference between systolic and diastolic pressures and reflects stroke volume.

    BP Measurement - Equipment:

    • Non-invasive blood pressure can be measured from the arm and/or thigh.
    • The thigh may be used for BP measurements if the arm is not accessible or for comparison purposes.
    • Systolic pressure in the thigh is normally 10-40 mmHg higher than in the arm.

    Classification of Blood Pressure

    • Hypotension is abnormally low blood pressure.
    • Hypertension is abnormally high blood pressure.

    Orthostatic Hypotension

    • Orthostatic hypotension is a drop in systolic pressure of more than 20 mmHg with a postural change, usually when standing.
    • Orthostatic hypotension can be assessed by taking a baseline pulse and blood pressure when the patient is resting supine, then repeating the measurements while sitting and standing.
    • For patients unable to stand, assess while the patient is sitting then recumbent.

    Pain Assessment

    • Pain is defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage.
    • Pain is whatever the person experiencing it says it is.
    • Pain exists whenever the person says it does.

    Types of Pain

    • Acute pain is pain that is new or is experienced for the first time.
    • Chronic pain is pain that has lasted for three months or longer.
    • Nociceptive pain arises from damage to or inflammation of tissues.
    • Neuropathic pain is caused by damage to the nervous system.
    • Referred pain is pain felt in a location different from the point of origin.

    Pain Assessment Tools

    • Various multidimensional pain assessment tools have been developed.
    • The appropriate tool should be selected and used consistently.
    • Pain scales:
      • Initial pain assessment: Asks the patient to answer eight questions.
      • The brief pain inventory: Ask the patient to rate pain within the past 24 hours using gradative scales (0-10).
      • Numeric rating scale: Ask the patient to choose a number that rates the level of pain for each painful site.
      • Descriptive scale: Lists words that describe different levels of pain intensity.
      • Faces pain scale: Used for people who cannot understand the numeric scale (children, elderly, those with cognitive impairment).
    • Ask the patient questions about their pain, including the location, onset, description, intensity, aggravating/relieving factors, functional limitations, usual pain responses, and emotional impact of the pain.
    • Use the PQRST table to guide pain assessment:
      • Provocation/Palliation
      • Quality
      • Region/Radiation
      • Severity
      • Timing

    Documentation

    • Documentation improves quality of patient care, including:
      • Creation of a plan of care
      • Evaluation of patient progress against measurable goals
      • Promotion of communication between healthcare team members
      • Ensuring a historical record of the care episode
      • Encouraging accountability
    • Health care documentation is legal documentation.

    Documentation of Data

    • Documentation records the entire nursing process.
    • Provides clear data for all members of the healthcare team.
    • Protects the wellbeing of patients.
    • It can be electronic and/or paper-based.
    • The saying “if you didn’t document it, it didn’t happen” reflects the importance of documentation.

    Documentation Guidelines

    • Current: Make entries at the time or shortly after an event.
    • Factual: Document objectively and subjectively.
    • Accurate: Use exact measurements.
    • Legible: Use black ink per local policy.
    • Concise: Use clear and easy-to-understand language.
    • Complete: Ensure that information contains appropriate and essential information.
    • Organized: Communicate information in a logical order.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    BSN211 Clinical Health Assessment - Theory 2024/2025 PDF

    Description

    Test your knowledge on Body Mass Index (BMI), abnormalities in body height and proportion, and vital signs. This quiz covers definitions, causes, and effects regarding health metrics and disorders. Challenge yourself to understand the critical aspects of health assessments.

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser