Jensen Ch. 5 Exam Questions with Correct Answers Latest Update

Jensen Ch. 5 Exam Questions with Correct Answers Latest Update Body temperature is not impacted by which of the following factors? a) Diurnal cycle b) Age c) Diet d) Physical activity - Answers Diet What are various measurements of the human body, including height and weight, called? a) Anthropometric b) Anthropomorphic c) Datum d) Vital measurements - Answers Anthropometric The client is exercising. The nurse understands that exercise has what effect on the body? Select all that apply. a) Increased heart rate b) Increased peripheral vascular resistance c) Increased blood pressure d) Decreased cardiac output e) Increased cardiac output - Answers • Increased heart rate • Increased blood pressure • Increased cardiac output The current blood pressure measurement on a 24-hour uncomplicated postoperative patient while standing at the bedside is 105/65. The last two readings were 130/75 and 125/70 while resting in bed. The nurse should be alert for signs of a) supine hypotension b) orthostatic hypotension c) postural hypertension d) hypertensive crisis - Answers orthostatic hypotension When assessing a client's pulse, the nurse should be alert to which of the following characteristics? a) Tenderness, moistness, contour, elasticity, pressure. b) Pain, temperature, amplitude and contour, and elasticity. c) Rate rhythm, temperature, rigidity, color, and elasticity. d) Rate, rhythm, amplitude and contour, and elasticity. - Answers Rate, rhythm, amplitude and contour, and elasticity. The nurse is applying the blood pressure cuff on a client's arm. Which action would be most appropriate? a) The cuff is placed about 1 inch above the antecubital area. b) The bladder inside the cuff encircles 50% of the arm circumference. c) The cuff starts to be wrapped at the end of the bladder. d) The cuff is wrapped loosely around the arm. - Answers The cuff is placed about 1 inch above the antecubital area. Which of the following would be most appropriate for the nurse to do to determine stroke volume? a) Take the blood pressure while the client is standing. b) Add the radial pulse and the systolic blood pressure. c) Calculate the difference between the diastolic and systolic pressures. d) Measure the strength of the radial pulse. - Answers Calculate the difference between the diastolic and systolic pressures. In interviewing a client about his heart rate, the nurse asks whether he has noticed any alteration to his heartbeat. The client responds that he sometimes feels his heart race even when he has not been exerting himself physically. This alteration is known as which of the following? a) Apical beats b) Pulse pressure c) Palpitation d) Dyspnea - Answers Palpitation After teaching a group of students about blood pressure and Korotkoff's sounds, the instructor determines that the teaching was successful when the students identify which of the following? a) Phase II sounds appear muffled and swishing. b) Phase IV sounds are clear and repetitive. c) Phase V reflects the systolic pressure. d) Phase I reflects the diastolic pressure. - Answers Phase II sounds appear muffled and swishing. *Phase II sounds are typically muffled or swishing and occur after Phase I sounds, which are faint, clear, repetitive tapping sounds indicating the systolic pressure. Phase IV sounds are muffled, less distinct, and softer (with a blowing quality) and are followed by Phase V, which is characterized by all sound disappearing completely. The last sound heard before continuous silence signals the onset of Phase V and is commonly considered the diastolic pressure. A nurse has an order to obtain orthostatic blood pressure readings on a client admitted with dehydration. The sitting blood pressure is 140/75mmHg. Which blood pressure reading with the client standing should the nurse recognize as orthostatic hypotension? a) 120/55 mmHg b) 130/65 mmHg c) 160/85 mmHg d) 140/55 mmHg - Answers 120/55 mmHg A female client is admitted to the health care facility due to reports of decreased appetite, loss of sleep, feelings of being unsafe in her own home, and inability to concentrate. She appears pale; hair disheveled, no makeup, and will not make eye contact. Based on this data, which nursing diagnosis can the nurse confirm? a) Imbalanced Nutrition: Less than Body Requirements b) Impaired Verbal Communication