NSG 464 MIDTERM Exam Questions and Answers| New Update with 100% Correct Answers
BMI ranges Underweight: < 18.5
Normal: 18.5-24.9
Overweight: 25-29.9
Obese (I): 30-34.9
Obese (II): 35-39.9
Extremely Obese: over 40
Sequence of Physical Examination Inspection
Palpation
Percussion
Auscultation
Correct size BP cuff Bladder width: 40% of arm circumference
Bladder length: 80% of arm circumference
if BP cuff is too small BP will read high
If the BP cuff is too large BP will read low
If BP arm is below heart BP reading will be higher
If BP arm is above heart BP reading will be lower
Lower border of BP cuff should be 2.5cm above AC crease
, Normal BP Systolic <120
Diastolic <80
Normal Orthostatic BP Systolic BP drops sightly or remains unchanged, diastolic BP rises
slightly
orthostatic hypotension a systolic blood pressure decrease of at least 20 mm Hg or a
diastolic blood pressure decrease of at least 10 mm Hg within three minutes of standing
Normal heart rate 60-100
Normal oral temperature 37 C (98.6 F)
Normal Tympanic Temperature 0.8C or 1.4F > oral temperature
Nociceptive (somatic) pain related to tissue damage
neuropathic pain pain from damage to neurons of either the peripheral or central nervous
system
Central sensitization pain Alteration of the CNS processing of sensation amplifying signals
psychogenic pain individual feels pain but the cause is emotional rather than physical
idiopathic pain pain without an identifiable etiology
Preload volume of blood in ventricles at end of diastole
BMI ranges Underweight: < 18.5
Normal: 18.5-24.9
Overweight: 25-29.9
Obese (I): 30-34.9
Obese (II): 35-39.9
Extremely Obese: over 40
Sequence of Physical Examination Inspection
Palpation
Percussion
Auscultation
Correct size BP cuff Bladder width: 40% of arm circumference
Bladder length: 80% of arm circumference
if BP cuff is too small BP will read high
If the BP cuff is too large BP will read low
If BP arm is below heart BP reading will be higher
If BP arm is above heart BP reading will be lower
Lower border of BP cuff should be 2.5cm above AC crease
, Normal BP Systolic <120
Diastolic <80
Normal Orthostatic BP Systolic BP drops sightly or remains unchanged, diastolic BP rises
slightly
orthostatic hypotension a systolic blood pressure decrease of at least 20 mm Hg or a
diastolic blood pressure decrease of at least 10 mm Hg within three minutes of standing
Normal heart rate 60-100
Normal oral temperature 37 C (98.6 F)
Normal Tympanic Temperature 0.8C or 1.4F > oral temperature
Nociceptive (somatic) pain related to tissue damage
neuropathic pain pain from damage to neurons of either the peripheral or central nervous
system
Central sensitization pain Alteration of the CNS processing of sensation amplifying signals
psychogenic pain individual feels pain but the cause is emotional rather than physical
idiopathic pain pain without an identifiable etiology
Preload volume of blood in ventricles at end of diastole