NUR 230 Exam 1 SHERPATH With Verified
Solutions
Which temperature, taken rectally, is outside the normal range for a healthy adult?
97 degrees fahrenheit (below normal range for healthy adult)
.
An increase in body temperature may be an indication of which condition?
infection, damage to hypothalamus, and vasoconstriction
vasodilation
dilation of blood vessels, increasing heat loss through the skin; it is not related to temperature
regulation
hypothermia
describes the condition of having abnormally low body temperature and is not a temperature-
regulating reaction
pyrexia
fever response, triggered by the production and release of prostaglandins; not related to temperature
regulation
shivering
results from contraction and relaxation of the skeletal muscles, warming the body
Which is the best method by which to measure temperature in a 5-month-old patient
tympanic method
what describes the benefit to using an electric thermometer to measure an adult patient's
temperature
quicker to use
which method of temperature measurement is the most reliable
tympanic because it measures core temperature
The nurse is taking the pulse of an adult patient. which description of pulse amplitude is characteristic
of a normal pulse
strong
which findings relating to a patient's pulse are considered normal
regular rhythm, strong amplitude, contour with smooth uptake
which characteristics of respiration are normal findings
breathing without effort, breathing with regular rhythm, abdominal movement with breathing, quiet
breathing
, the best way to measure respirations is to count the breathe for ____ seconds and multiply by 2
30
which respiratory rate (in breaths per minute) would the nurse characterize as bradypnea
9
which blood pressure response is expected when a patient rises from a sitting position
a rise in diastolic pressure
blood pressure follows a diurnal pattern, peaking at what time during the day
midmorning
what auscultatory landmark, identified after the systolic sound, marks the first diastolic sound
muffling of sounds
what auscultatory landmark marks the first systolic sound
two consecutive beats
What marks the auscultatory gap
disappearance of the korotkoff sounds
What is the appropriate rate to deflate a BP cuff
2-3 mmHg per second
The pulse oximeter measures a patient's blood oxygen based on which properties of hemoglobin?
deoxygenated hemoglobin absorbs more red light than oxygenated hemoglobin
Which body areas are best for measuring the blood levels of an adult patient
finger, toe, pinna
the pulse oximetry reading indicates which physiological measure
how much oxygen the blood is carrying
What is one limitation to most self-reporting pain scales relating to the patient's perception of pain
very few include patient's emotional response
numeric pain scale
numbers with which the patient can rate their pain
descriptive pain scale
pain descriptions with which the patient can rate their
Solutions
Which temperature, taken rectally, is outside the normal range for a healthy adult?
97 degrees fahrenheit (below normal range for healthy adult)
.
An increase in body temperature may be an indication of which condition?
infection, damage to hypothalamus, and vasoconstriction
vasodilation
dilation of blood vessels, increasing heat loss through the skin; it is not related to temperature
regulation
hypothermia
describes the condition of having abnormally low body temperature and is not a temperature-
regulating reaction
pyrexia
fever response, triggered by the production and release of prostaglandins; not related to temperature
regulation
shivering
results from contraction and relaxation of the skeletal muscles, warming the body
Which is the best method by which to measure temperature in a 5-month-old patient
tympanic method
what describes the benefit to using an electric thermometer to measure an adult patient's
temperature
quicker to use
which method of temperature measurement is the most reliable
tympanic because it measures core temperature
The nurse is taking the pulse of an adult patient. which description of pulse amplitude is characteristic
of a normal pulse
strong
which findings relating to a patient's pulse are considered normal
regular rhythm, strong amplitude, contour with smooth uptake
which characteristics of respiration are normal findings
breathing without effort, breathing with regular rhythm, abdominal movement with breathing, quiet
breathing
, the best way to measure respirations is to count the breathe for ____ seconds and multiply by 2
30
which respiratory rate (in breaths per minute) would the nurse characterize as bradypnea
9
which blood pressure response is expected when a patient rises from a sitting position
a rise in diastolic pressure
blood pressure follows a diurnal pattern, peaking at what time during the day
midmorning
what auscultatory landmark, identified after the systolic sound, marks the first diastolic sound
muffling of sounds
what auscultatory landmark marks the first systolic sound
two consecutive beats
What marks the auscultatory gap
disappearance of the korotkoff sounds
What is the appropriate rate to deflate a BP cuff
2-3 mmHg per second
The pulse oximeter measures a patient's blood oxygen based on which properties of hemoglobin?
deoxygenated hemoglobin absorbs more red light than oxygenated hemoglobin
Which body areas are best for measuring the blood levels of an adult patient
finger, toe, pinna
the pulse oximetry reading indicates which physiological measure
how much oxygen the blood is carrying
What is one limitation to most self-reporting pain scales relating to the patient's perception of pain
very few include patient's emotional response
numeric pain scale
numbers with which the patient can rate their pain
descriptive pain scale
pain descriptions with which the patient can rate their
