NUR 2090- EXAM 1 QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
what are the 5 vital signs?
blood pressure, heart rate, temperature, respirations, AND pain (included as the 5th
sign)
who would the depth of respirations be described?
the excursion of the chest (how much the chest will rise and fall)
what is the rhythm of respirations?
rhythm refers to the pattern
what is the quality of respirations?
the way the breath sounds (i.e. crackling)
what is the "equation" for blood pressure?
blood pressure = cardiac output x peripheral vascular resistance.
what is the "equation" for cardiac output?
cardiac output = heart rate x stroke volume
temperature site: axilarry
range: 96.6f - 98.6f OR 35.8c - 73.0c
temperature site: oral
range: 97.6f - 99.6f OR 36.5c - 37.5c
temperature site: tympanic
, range: 98.2f - 100.2f OR 36.8c - 37.9c
temperature site: rectal
range: 98.6f - 100.6f OR 37.0c - 38.1c
grading scale for pulses: 0
0 = absent, no pulse
grading scale for pulses: 1+
1+ = diminished, thready, easily obliterated
grading for pulses: 2+
2+ = normal, not easily obliterated
grading for pulses: 3+
3+ + increased, full volume
grading for pulses: 4+
4+ = bounding, hyperkinetic
where can we asses heart rate?
carotid, apical and radial pulse sites
where/how do we find the apical pulse?
begin at the substernal notch, work way down to the fifth intercostal space (fifth space in
between the ribs), and then move to the left to the midclavicular line (typically under the
nipple)
when do we use the apical pulse?
to measure rapid rates and irregular rhythms. also checked before administering cardiac
medications
What is bradypnea?
WITH COMPLETE SOLUTIONS VERIFIED
what are the 5 vital signs?
blood pressure, heart rate, temperature, respirations, AND pain (included as the 5th
sign)
who would the depth of respirations be described?
the excursion of the chest (how much the chest will rise and fall)
what is the rhythm of respirations?
rhythm refers to the pattern
what is the quality of respirations?
the way the breath sounds (i.e. crackling)
what is the "equation" for blood pressure?
blood pressure = cardiac output x peripheral vascular resistance.
what is the "equation" for cardiac output?
cardiac output = heart rate x stroke volume
temperature site: axilarry
range: 96.6f - 98.6f OR 35.8c - 73.0c
temperature site: oral
range: 97.6f - 99.6f OR 36.5c - 37.5c
temperature site: tympanic
, range: 98.2f - 100.2f OR 36.8c - 37.9c
temperature site: rectal
range: 98.6f - 100.6f OR 37.0c - 38.1c
grading scale for pulses: 0
0 = absent, no pulse
grading scale for pulses: 1+
1+ = diminished, thready, easily obliterated
grading for pulses: 2+
2+ = normal, not easily obliterated
grading for pulses: 3+
3+ + increased, full volume
grading for pulses: 4+
4+ = bounding, hyperkinetic
where can we asses heart rate?
carotid, apical and radial pulse sites
where/how do we find the apical pulse?
begin at the substernal notch, work way down to the fifth intercostal space (fifth space in
between the ribs), and then move to the left to the midclavicular line (typically under the
nipple)
when do we use the apical pulse?
to measure rapid rates and irregular rhythms. also checked before administering cardiac
medications
What is bradypnea?
