Complete Solutions
When auscaltating a pt's apical pulse, you listen until you hear the S1 and S2 heart sounds clearly
and regularly. S2 is produced when the ✔✔semilunar valve closes
When preparing to use a tympanic thermometer, what step is most important for accuracy?>
✔✔gently pulling the pinna up and back.
When assessing a newly admitted pt, establish an accurate baseline for respirations by...
✔✔observing the pt's chest movements while appearing to assess his pulse.
What could affect your process of taking v/s? ✔✔if the pt is 60 lbs over weight.
pt with a stuffy nose
pt on digoxin
pt with mastectomy
When assessing a pt's respirations, it is recommended that the pt ✔✔have the head of the bed
elevates 45-60 degrees.
Where is the PMI aka apical pulse located? ✔✔at the 5th intercostal space as the left midclavicular
line.
The difference between a pt's systolic and diastolic BP is called ✔✔the pulse pressure
The best way to determine the depth of a pt's respirations is to... ✔✔observe the degree of chest-
wall movement during inspiration and expiration.