Health Assessment Final (NR 304) || 100% Verified Solutions.
hypovolemic shock correct answers emergency situation which severe blood or fluid loss makes
heart unable pump enough blood to body
-can cause organ failure
causes of hypovolemic shock correct answers bleeding
burns
diarrhea
excessive perspiration
vomiting
signs & symptoms of hypovolemic shock correct answers major blood loss
rapid heartbeat (tachycardia)
quick, shallow breathing
fatigue/weakness
confusion
little - no urine output
low BP
cool, clammy skin
deep vein thrombosis (DVT) correct answers blood clot (thrombus) forms in a large vein, usually
in a lower limb
-if swells = thrombophlebitis
risk factors for DVT correct answers prolonged bed-rest
immobility
heart failure
,obesity
varicose veins
used to determine severity of DVT correct answers wells score
-1 to 2: moderate
-3+: high
signs & symptoms of DVT correct answers aching calf pain/lower leg pain
-worse at end of day/prolonged siting or standing
itching w/ stasis dermatits
lower leg edema unresolved w/ diuretic therapy
-firm & brawny
coarse, thickened skin
normal pulse
brown pigment discoloration
petichea
venous stasis = increased venous pressure/RBC leakage
expected vital signs of 2 month old infant correct answers -reverse order: respirations, pulse then
temperature
-temperature = rectal
*probe no further 1 in.
*normally higher than older ages (~100 degrees)
-pulse = apical rate
*fluctuates more in response to illness & emotions
*awake ~100-190
*asleep ~90-160
,-respirations = count 1 full minute
*more diaphragmatic than thoracic
*sleeping rate more accurate
*tachypnea = >60/min (indication of infection/fever)
*~30-53 breaths/min
-BP = electronic device or doppler ultrasound
*smaller arm vessels = harder hear korotkoff sounds
*~72-104/37-53
peripheral artery disease (PAD) correct answers Common circulatory problem in which narrowed
arteries reduce blood flow to limbs
-affects non-coronary arteries
-blood flow can't match muscle demand during exercise
signs & symptoms of PAD correct answers painful cramping after certain activities
leg numbness/weakness
coldness lower leg & foot
shiny skin/no hair on legs
no pulse/weak pulse in legs & foot
non-healing sores on toes, feet, leg
change color legs
hair loss/distribution changes
causes of PAD correct answers atherosclerosis
risk factors for PAD correct answers smoking
diabetes mellitus
, kidney disease
high BP
high cholesterol
>50 yrs old
obesity
sedentary lifestyle
African American
first sign of PAD correct answers intermittent claudation
signs of advanced PAD correct answers burning/aching pain in feet & toes while resting
cool skin
redness/other skin color changes
foot ulcers
chronic obstructive pulmonary disease (COPD) correct answers group lung diseases block
airflow making it difficult to breathe
-most common = emphysema & chronic bronchitis
-damage to lungs irreversible
signs & symptoms of COPD correct answers wheezing
shortness of breath (SOB)
barrel chest
decreased breath sounds
clubbing
paradoxical pulse
hemoptysis
hypovolemic shock correct answers emergency situation which severe blood or fluid loss makes
heart unable pump enough blood to body
-can cause organ failure
causes of hypovolemic shock correct answers bleeding
burns
diarrhea
excessive perspiration
vomiting
signs & symptoms of hypovolemic shock correct answers major blood loss
rapid heartbeat (tachycardia)
quick, shallow breathing
fatigue/weakness
confusion
little - no urine output
low BP
cool, clammy skin
deep vein thrombosis (DVT) correct answers blood clot (thrombus) forms in a large vein, usually
in a lower limb
-if swells = thrombophlebitis
risk factors for DVT correct answers prolonged bed-rest
immobility
heart failure
,obesity
varicose veins
used to determine severity of DVT correct answers wells score
-1 to 2: moderate
-3+: high
signs & symptoms of DVT correct answers aching calf pain/lower leg pain
-worse at end of day/prolonged siting or standing
itching w/ stasis dermatits
lower leg edema unresolved w/ diuretic therapy
-firm & brawny
coarse, thickened skin
normal pulse
brown pigment discoloration
petichea
venous stasis = increased venous pressure/RBC leakage
expected vital signs of 2 month old infant correct answers -reverse order: respirations, pulse then
temperature
-temperature = rectal
*probe no further 1 in.
*normally higher than older ages (~100 degrees)
-pulse = apical rate
*fluctuates more in response to illness & emotions
*awake ~100-190
*asleep ~90-160
,-respirations = count 1 full minute
*more diaphragmatic than thoracic
*sleeping rate more accurate
*tachypnea = >60/min (indication of infection/fever)
*~30-53 breaths/min
-BP = electronic device or doppler ultrasound
*smaller arm vessels = harder hear korotkoff sounds
*~72-104/37-53
peripheral artery disease (PAD) correct answers Common circulatory problem in which narrowed
arteries reduce blood flow to limbs
-affects non-coronary arteries
-blood flow can't match muscle demand during exercise
signs & symptoms of PAD correct answers painful cramping after certain activities
leg numbness/weakness
coldness lower leg & foot
shiny skin/no hair on legs
no pulse/weak pulse in legs & foot
non-healing sores on toes, feet, leg
change color legs
hair loss/distribution changes
causes of PAD correct answers atherosclerosis
risk factors for PAD correct answers smoking
diabetes mellitus
, kidney disease
high BP
high cholesterol
>50 yrs old
obesity
sedentary lifestyle
African American
first sign of PAD correct answers intermittent claudation
signs of advanced PAD correct answers burning/aching pain in feet & toes while resting
cool skin
redness/other skin color changes
foot ulcers
chronic obstructive pulmonary disease (COPD) correct answers group lung diseases block
airflow making it difficult to breathe
-most common = emphysema & chronic bronchitis
-damage to lungs irreversible
signs & symptoms of COPD correct answers wheezing
shortness of breath (SOB)
barrel chest
decreased breath sounds
clubbing
paradoxical pulse
hemoptysis
