Nurs258 (SDSU) Exam 1 With
Complete Solution
PHYSICAL ASSESSMENT
What is the biggest thing to remember when working with infants and
toddlers? - ANSWER Do least invasive first
PHYSICAL ASSESSMENT
What is the biggest thing to remember when working with preschoolers? -
ANSWER Do not offer choices if none to be made. Body first then head
PHYSICAL ASSESSMENT
What is the biggest thing to remember when working with school age
children? - ANSWER Tell them what you are doing before you do it. Head to
toe assessment with good explanation.
PHYSICAL ASSESSMENT
Biggest thing(s) to remember when working with aging adult? - ANSWER
Monitor comfort, do not assume hearing difficulty, be aware of changes in
senses, rest periods.
Head to toe assessment (minimal position changes)
PHYSICAL ASSESSMENT
What is the order of physical exam technique? - ANSWER Inspection (when
you first see the patient)
,Palpation (confirms inspection)
Percussion (tapping on skin) (direct vs indirect)
Auscultation (listening
Definition for: Indicate some of the body's basic functions but reflect many
things about health - ANSWER Vital Signs
VITAL SIGNS
When should you do more frequently? - ANSWER Critical situation
After surgery
During blood transfusions
Changes in patient status
VITAL SIGNS
Adult body temp range and average? - ANSWER Range - 96.4-99.1 F and
35.8-37.3 C
Average - 98.6 F and 37 C
VITAL SIGNS
Factors influencing body temp? - ANSWER Age
Environment
Time of day
Exercise and Stress
Hormone levels
,VITAL SIGNS
When do we not take an oral temp? - ANSWER Unconscious, confused,
seizure activity, prone, oral surgery, oral trauma, or young children that are
patients
VITAL SIGNS
Type of temp we take that is the last resort and gives core temperature? -
ANSWER Rectal
VITAL SIGNS
Type of temp we take that is good for children but we question the accuracy
- ANSWER Tympanic
VITAL SIGNS
Type of temp we take that is not at as accurate and must be done right -
ANSWER Axillary
VITAL SIGNS
Type of temp we use commonly and involved an artery - ANSWER Forehead
(temporal artery)
VITAL SIGNS
Definition of contraction of ventricles pumps blood into arteries through
aorta - ANSWER Pulse
VITAL SIGNS
Pulse site that is the most acurate? - ANSWER Apical
VITAL SIGNS
, Pulse site that is the most common? - ANSWER Radial
VITAL SIGNS
When do you count for a full minute during pulse? - ANSWER When the
count is irregular
Otherwise 30 seconds and x by 2
VITAL SIGNS
Factors that are influencing Pulse - ANSWER Exercise/Activity
Temperature
Medications
Bleeding
VITAL SIGNS
When do you not take a pediatric pulse? - ANSWER When they are crying -
pulse increases and decreases with respirations
VITAL SIGNS
Factors influencing respiration? - ANSWER Stress and Exercise
Medications
Pain and Anxiety
VITAL SIGNS
What do you need to remember when counting Pediatric Respirations? -
ANSWER Count for a full minute (irregular because they have 10-15 s apnea)
VITAL SIGNS
Complete Solution
PHYSICAL ASSESSMENT
What is the biggest thing to remember when working with infants and
toddlers? - ANSWER Do least invasive first
PHYSICAL ASSESSMENT
What is the biggest thing to remember when working with preschoolers? -
ANSWER Do not offer choices if none to be made. Body first then head
PHYSICAL ASSESSMENT
What is the biggest thing to remember when working with school age
children? - ANSWER Tell them what you are doing before you do it. Head to
toe assessment with good explanation.
PHYSICAL ASSESSMENT
Biggest thing(s) to remember when working with aging adult? - ANSWER
Monitor comfort, do not assume hearing difficulty, be aware of changes in
senses, rest periods.
Head to toe assessment (minimal position changes)
PHYSICAL ASSESSMENT
What is the order of physical exam technique? - ANSWER Inspection (when
you first see the patient)
,Palpation (confirms inspection)
Percussion (tapping on skin) (direct vs indirect)
Auscultation (listening
Definition for: Indicate some of the body's basic functions but reflect many
things about health - ANSWER Vital Signs
VITAL SIGNS
When should you do more frequently? - ANSWER Critical situation
After surgery
During blood transfusions
Changes in patient status
VITAL SIGNS
Adult body temp range and average? - ANSWER Range - 96.4-99.1 F and
35.8-37.3 C
Average - 98.6 F and 37 C
VITAL SIGNS
Factors influencing body temp? - ANSWER Age
Environment
Time of day
Exercise and Stress
Hormone levels
,VITAL SIGNS
When do we not take an oral temp? - ANSWER Unconscious, confused,
seizure activity, prone, oral surgery, oral trauma, or young children that are
patients
VITAL SIGNS
Type of temp we take that is the last resort and gives core temperature? -
ANSWER Rectal
VITAL SIGNS
Type of temp we take that is good for children but we question the accuracy
- ANSWER Tympanic
VITAL SIGNS
Type of temp we take that is not at as accurate and must be done right -
ANSWER Axillary
VITAL SIGNS
Type of temp we use commonly and involved an artery - ANSWER Forehead
(temporal artery)
VITAL SIGNS
Definition of contraction of ventricles pumps blood into arteries through
aorta - ANSWER Pulse
VITAL SIGNS
Pulse site that is the most acurate? - ANSWER Apical
VITAL SIGNS
, Pulse site that is the most common? - ANSWER Radial
VITAL SIGNS
When do you count for a full minute during pulse? - ANSWER When the
count is irregular
Otherwise 30 seconds and x by 2
VITAL SIGNS
Factors that are influencing Pulse - ANSWER Exercise/Activity
Temperature
Medications
Bleeding
VITAL SIGNS
When do you not take a pediatric pulse? - ANSWER When they are crying -
pulse increases and decreases with respirations
VITAL SIGNS
Factors influencing respiration? - ANSWER Stress and Exercise
Medications
Pain and Anxiety
VITAL SIGNS
What do you need to remember when counting Pediatric Respirations? -
ANSWER Count for a full minute (irregular because they have 10-15 s apnea)
VITAL SIGNS
