Pt. Care unit 3- pt.assessment

  1. The radiographer must be able to?
    • Identify the needs of the pt.
    • set appropriate priorities 
    • provide pertinent information to the radiologist
  2. Personal needs of pt.s
    • Anxiety relief
    • continuity of care
    • physical comfort
    • security of personal belongings
  3. Physiological needs of pt.s
    • Water
    • elimination(assisting pts. to the bathroom, bedpans and urinals, urine collection bags, and colostomy care)
    • sanitary supplies
  4. Position in which the patient is laying down
  5. Position in which patient is recumbent and on their back
  6. Position in which the patient is recumbent on their stomach.
  7. Lateral position in which the patient is laying on their right for left side.
    Lateral recumbent/recovery position
  8. Oblique position in which one left is up higher than the other
    Sims position (enema tip insertion)
  9. Position in which the patients feet are higher than their head
    trendelenburg position
  10. Position in which the patients head is higher than their feet.
    Fowler's position
  11. Position that increases the flow of blood to the patients head.
    Knee-chest position
  12. Position in which the patient is in a supine position with their thighs abducted
    Lithotomy position
  13. Patients who experience difficulty breathing, nausea, abdominal pain, or lower back pain should be placed in what position?
    Fowler's position with the knees flexed
  14. What are the most common problems with geriatric patients?
    • They don't respond we'll to being hurried 
    • loss of adipose and skin texture makes them more sensitive to the cold
    • loss of sense of balance makes them more susceptible to falls
    • circulation is compromised/more susceptible to decubitus ulcers
  15. The total abuse rate is ______ cases per 1,000 children.
  16. battered child syndrome/non accidental trauma:
    • Neglect(most common)
    • sexual
    • emotional
    • physical
  17. Elder abuse:
    • Physical abuse
    • sexual abuse
    • neglect
    • exploitation
    • emotional abuse
    • abandonment
    • self-neglect
  18. What should be done when taking a history?
    • Rationale(why are we doing this procedure?
    • procedure(note any symptoms twinkle doing the procedure)
    • precautions(look for things that should contradict the procedure-contrast, can the pt stand?, etc.)
    • additional considerations(anything that you notice)
  19. What are some techniques for better history taking?
    • Open ended questions
    • facilitation
    • silence
    • probing questions
    • repetition
    • summarization
  20. What must be done to assess a patients physical status?
    • Check the chart
    • physical examination
    • -physical signs
    • -vital signs
    • -temperature, pulse, and respirations
  21. What is a lack of oxygen in the tissues?
    CysnoticCyan stoic
  22. What what does syncope refer to?
  23. A diaphoretic patient experiences a ________.
    Cold sweat
  24. Body temperature is ________ in the morning and ________ in the evening.
    • Lowest
    • highest
  25. Normal oral temperatures range from _____ degrees to_____ degrees.
  26. A rectal temperature should be _____ to _____ degrees _________ than oral.
    • .5 to 1.9 
    • higher
  27. An axillary temp. should be _____ to _____ degrees ________ than oral.
    • .5 to 1.0 
    • lower
  28. An increase in body metabolism, usually in response to an infectious process.
  29. When should the oral method not be used?
    • If the pt has had something to drink
    • if the pt is receiving oxygen
    • if the pt is under 6 years old
    • if the pt is disorientated or confused
  30. What method of taking temperature is the most accurate and faster?
  31. What method of temperature taking is slower, but less invasive than the other methods?
  32. What are some types of thermometers?
    • Digital electronic (can be read in 1 minute of less)
    • glass
    • tympanic
    • disposable
  33. The advancing pressure wave in an artery when the left ventricle contracts
  34. What is the average pulse?
    60-100 bpm
  35. When doesn't tachycardia occur?
    When a pts bpm is over 100
  36. When can bradycardia occur?
    When a patient has less than 60 bpm
  37. How should the quality of the pulse be?
    Strong and steady
  38. What is the normal range of reseperations?
    12-20 breaths per minute
  39. What is dyspenia?
    Difficulty breathing
  40. What is orthopnea?
    Difficulty breathing in a supine position
  41. What is tachypnea?
    Rapid breathing
  42. When does hyperventilation occur?
    When too much oxygen has been inhaled
  43. What bradypnea?
    Abnormal breathing; less than 12 breaths per minute
  44. A measure of the force exerted by blood on the arterial walls during contraction and relaxation.
    Blood pressure
  45. The constant pressure that is still exerted on the arterial vessels by the blood even when the heart is relaxed.
    Diastolic pressure
  46. The peak pressure that is present during contraction of the heart.
    Systolic pressure
  47. What is the normal range of systolic pressure?
    95-119 mm Hg (old=130)
  48. What is a normal range for diastolic pressure?
    60-79 mm Hg (old=90
  49. When is a patient considered to have prehypertension?
    • When the systolic pressure is between 120 and 139 mm Hg
    • and
    • the diastolic pressure is between 80 and 89 mm Hg
  50. If a prehypertension pt is left untreated, the pt will increase the risk of ______ or _______.
    • Heart attack
    • stroke
  51. What should the pulse pressure always be?
  52. Diastolic pressure that is greater than 90 mm Hg.
  53. Diastolic pressure that is less than 50/60 mm Hg.
  54. What kinds of equipment is used to auscultate blood pressure?
    • Spigmomanometer
    • stethoscooe
  55. The first sound of blood flow is the _______ pressure.
  56. When is the diastolic pressure reached?
    When the sound of blood flowing through the arm can no longer be heard
  57. How should a blood pressure be recorded?
    Should be recorded in mm Hg with the systolic measurement over the diastolic
  58. What are some devices that monitor patients?
    • Pulse oximeter
    • ECG or EKG
    • EEG
Card Set
Pt. Care unit 3- pt.assessment