The general survey includes observation of the client’s:

It is the angulation; it is the manner of how you walk

(a)  

To measure the level of consciousness, we use the:

(a)  

Glasgow Coma Scale has a perfect score

(a)  

Components of Glasgow Coma Scale

(a)  

Glasgow Coma Scale Eye Opening:

Opens spontaneously

(a)  

Glasgow Coma Scale Eye Opening:

Open in response to verbal commands

(a)  

Glasgow Coma Scale Eye Opening:

Only responds when pain is inflicted

(a)  

Glasgow Coma Scale Eye Opening:

No response

(a)  

Glasgow Coma Scale Verbal Response:

Can respond correctly to your question

(a)  

Glasgow Coma Scale Verbal Response:

Confused; answer is not accurate to what you are asking

(a)  

Glasgow Coma Scale Verbal Response:

Speaks inappropriate words

(a)  

Glasgow Coma Scale Verbal Response:

No words; incomprehensible sounds

(a)  

Glasgow Coma Scale Verbal Response:

No verbal response

(a)  

Glasgow Coma Scale Motor Response:

Can obey command

(a)  

Glasgow Coma Scale Motor Response:

Does not obey command, and no reactions; can identify pain if inflicted upon

(a)  

Glasgow Coma Scale Motor Response:

Cannot localize where the pain is, but can withdraw the body area where pain is inflicted upon.

(a)  

Glasgow Coma Scale Motor Response:

Decorticate – assumes abnormal flexion (results from traumatic brain injury)

(a)  

Glasgow Coma Scale Motor Response:

Decerebrate – abnormal extension (same as the hands of people with cerebral palsy)

(a)  

Glasgow Coma Scale Motor Response:

No motor response

(a)  

Glasgow Scoring Interpretations:

13 to 15

(a)  

Glasgow Scoring Interpretations:

9 to 12

(a)  

Glasgow Scoring Interpretations:

8 to 4

(a)  

Glasgow Scoring Interpretations:

1 to 3

(a)  

It is an immediate reaction or behavioral response to emotion.

(a)  

It is the set of observable manifestations of an experienced emotion.

(a)  

It is a language disorder caused by damage in a specific area of the brain that controls language expression and comprehension.

(a)  

It is a non-fluent aphasia in which the output of spontaneous speech is markedly diminished and there is a loss of normal grammatical structure (Brocus, frontal lobe of the brain is affected; area 22)

(a)  

It is characterized by impaired language comprehension. Despite this impaired comprehension, speech may have a normal rate, rhythm, and grammar. (temporal lobe, area 44)

(a)  

It refers to a profound impairment of all modalities of receptive and expressive language.

(a)  

It is a type of aphasia in which the main impairment is in the inability to repeat words or phrases.

(a)  

It is the immediate detector of life or the equilibrium of the body.

(a)  

This is a common, noninvasive PA procedure that most clients are accustomed to.

(a)  

It provide data that reflect the status of several body systems including but not limited to the cardiovascular, neurologic, peripheral vascular, and respiratory systems.

(a)  

What are the vital signs? (in order)

(a)  

Measuring the (a)   puts the client at ease and causes him to remain still for several minutes.

These are influenced by anxiety and keeping him still, you help to increase the accuracy of the data.

(a)  

It is controlled by the hypothalamus

(a)  

A core body temperature must be maintained for the body to function on a cellular level

(a)  

Several factors may cause normal variations in temperature

(a)  

When is body temperature lowest?

(a)  

When is body temperature highest?

(a)  

May be seen in prolonged exposure to the cold, hypoglycemia, hypothyroidism, or starvation.

(a)  

May be seen in viral or bacterial infections, malignancies, trauma, and various blood, endocrine, and immune disorders.

(a)  

The endocrine releases pyretic hormones:

(a)  

Hormones secreted by adrenal gland; sympathetic

(a)  

Hormones secreted by adrenal medulla; sympathetic

(a)  

Hormones secreted by adrenal medulla; sympathetic

(a)  

Areas of the body to measure temperature

(a)  

Least accurate to measure temperature

(a)  

Temperature closest to the core body that’s why it is the most accurate

(a)  

A shock wave is produced when the heart contracts and forcefully pumps blood out of the ventricles into the aorta.

(a)  

The shock wave travels along the fibers of the arteries and is commonly called the

(a)  

A shock wave is produced when the heart contracts and forcefully pumps blood out of the (a)   into the aorta.

A shock wave is produced when the heart contracts and forcefully pumps blood out of the ventricles into the (a)   .

Pulse is counted as number of

(a)  

Several characteristics should be assessed when measuring the radial pulse

(a)  

Wave of blood produced by the heart when it contracts

(a)  

Pulse rate of 60 to 100bmp

(a)  

Pulse rate of less than 60bmp

(a)  

Pulse rate of lgreater than 100bpm

(a)  

Pulse:

Amplitude of 0

(a)  

Pulse:

Amplitude of 1+

(a)  

Pulse:

Amplitude of 2+

(a)  

Pulse:

Amplitude of 3+

(a)  

Pulse can be affected by (a)  

These are additional clues to the client’s overall health status.

(a)  

Notable characteristics of of Respiration

(a)  

Respiration range:

12 to 20bpm or cpm (breath/cycle)

(a)  

Respiration range:

less than 12bpm

(a)  

Respiration range:

greater than 20bpm

(a)  

Respiration range:

rapid but shallow breathing

(a)  

Fast, deep, and loud breathing

(a)  

Rapid (faster than hyperventilation), deep breath during acidosis

(a)  

Also known as ataxic breathing is characterized by regular deep respirations interspersed with periods of apnea.

(a)  

Cycle of alternating crescendo and decrescendo, then periods of apnea; upper nervous system is damaged

(a)  

Labored breathing

(a)  

Sensation of breathlessness in the recumbent position, relieved by sitting or standing.

(a)  

No breathing

(a)  

It reflects the pressure exerted on the walls of the arteries.

(a)  

BP reflects the pressure exerted on the walls of the (a)  

It is a measurement of the pressure of the blood in the arteries when the ventricles are contracted (systolic BP) and when the ventricles are relaxed (diastolic BP)

(a)  

A client’s BP is affected by several factors:

(a)  

External influences that may cause the BP to vary

(a)  

The difference between systolic and diastolic pressure after measuring the BP is termed

(a)  

Pulse pressure reflects

(a)  

Normal bp

(a)  

Lower than normal tension

(a)  

Higher than normal tension

(a)  

It is very important in developing a comprehensive plan of care for the client

(a)  

It is essential to assess pain at the initial assessment.

(a)  

When pain is present

(a)  

Identifying Korotkoff’s Sounds:

It is characterized by the first appearance of faint, clear, repetitive tapping sounds that gradually intensify for at least two consecutive beats

(a)  

Identifying Korotkoff’s Sounds:

This coincides approximately with the resumption of a palpable pulse.

(a)  

Identifying Korotkoff’s Sounds:

The number on the pressure gauge at which you hear the first tapping sound is the systolic pressure.

(a)  

Identifying Korotkoff’s Sounds:

It is characterized as muffled or swishing; these sounds are softer and longer than phase I sounds.

(a)  

Identifying Korotkoff’s Sounds:

They also have the quality of intermittent murmur

(a)  

The loss of the sound during the latter part of phase I and during phase II is called the

(a)  

Identifying Korotkoff’s Sounds:

It is characterized by a return of distinct, crisp, and louder sounds as the blood flows relatively freely through an increasingly open artery.

(a)  

Identifying Korotkoff’s Sounds:

It is characterized by sounds that are muffled, less distinct, and softer (with a blowing quality)

(a)  

Identifying Korotkoff’s Sounds:

It is characterized by all sounds disappearing completely

(a)  

The last sound heard before this period of continuous silence is the onset of phase 5 and is the pressure commonly considered

(a)  

Associated decreased height and skeletal malformations

(a)  

Emaciated appearance that follows self-starvation and accompanying extreme weight loss.

(a)  

Defined as having an excessive amount of body fat. It increases the risk of diseases and health problems

(a)  

Elongated fingers are characteristic of this condition

(a)  

The affected client reflects the centralized weight gain

(a)