NURSING 2410 EXAM 1 QUESTIONS AND COMPLE
What care cthe cvital csigns? c- cCORRECT cANS✔✔-Temperature
-Pulse
-Respiratory cRate
-Blood cPressure
-Oxygen cSaturation
-Pain c(extra)
Normal cbody ctemperature c- cCORRECT cANS✔✔96.4-99.1
average: c98.6
what care cthe cchanges cin cBody cTemp cduring cthe cday c- cCORRECT cANS✔✔lower cin cthe cAM
higher cin cthe cPM
Age crelated cvariables con cbody ctemp c- cCORRECT cANS✔✔elderly: cless clikely cto cdevelop ca cfe
cnot cefficient, cdecreased csubcutaneous cfat)
children: creduced ccapacity cto cregulate cbody ctemp c(immaturity cof cthe cnervous csystem)
Position cof cPinna cWhen cTaking cTympanic cTemperature c- cCORRECT cANS✔✔<3 cyears cold c- c
>3 cyear cold c- chold cpinna cup cand cback
How clong cdo cyou cwait cto ctake ctympanic ctemp cif cthere care chearing caids? c- cCORRECT cANS✔
Difference cin cAxillary cTemperature c- cCORRECT cANS✔✔1 cdegree cless cthan coral c
*must cadd cone cdegree cto caxillary ctemperature
difference cin crectal ctemperature c- cCORRECT cANS✔✔1 cdegree chigher cthan coral
*must csubtract cone
,effects cof cexercise con cpulse c- cCORRECT cANS✔✔moderate cexercise= cincrease cby c20-30 cbpm
consistent cathletic cexercise= cdecrease cresting cheart crate
what ctwo cfingers cdo cyou cuse cto cfind cradial cpulse? c- cCORRECT cANS✔✔pads cof ctwo cmiddle c
how clong cdo cyou ccount cwhen cfinding cpulse? c- cCORRECT cANS✔✔count cfor c30 cseconds cmult
how clong cdo cyou ccount cif cpulse cis cirregular? c- cCORRECT cANS✔✔a cfull cminute cand ccheck ca
what cis canother cname cfor capical cpulse? c- cCORRECT cANS✔✔point cof cmaximal cimpulse c(PMI)
Where cis cthe capical cpulse clocated? c- cCORRECT cANS✔✔5th cintercostal cspace, cleft cmid-clavic
how clong cdo cyou ccount cwhen cfinding cthe capical cpulse? c- cCORRECT cANS✔✔60 cseconds
what cdoes cit cmean cif cthe capical cpulse cis cgreater cthan cthe cradial cpulse? c- cCORRECT cANS✔✔
cdon't cget cto cthe cperiphery)
-conditions: cheart cfailure, cmyocardial cinfection, catrial cfibrillation
-ineffective cheart ccontractions
3 cpoint cpulse cgrade cscale c- cCORRECT cANS✔✔3+= cbounding
2+ c= cnormal
1+= cweak, cthready
0=absent
regular cpulse cmeans c- cCORRECT cANS✔✔time cbetween cbeats cis cconsistent
irregular cpulse cmeans c- cCORRECT cANS✔✔time cbetween cbeats cvaries
how clong cdo cyou ccount crespirations? c- cCORRECT cANS✔✔normal c- c30 csecs cx c2
irregular c- cfull cminute
normal crespiration crate c- cCORRECT cANS✔✔adults: c12-20/min
infants: c30-60/min
children: c18-30/min
eupnea c- cCORRECT cANS✔✔normal crespiration
bradypnea c- cCORRECT cANS✔✔< c12 cbreaths/min
tachypnea c- cCORRECT cANS✔✔> c20 cbreaths/min
apnea c- cCORRECT cANS✔✔absence cof cbreathing
hypoventilation c- cCORRECT cANS✔✔decreased crate cand cdepth cof cair cmovement cinto cthe clung
hyperventilation c- cCORRECT cANS✔✔increased crate cand cdepth cof cbreathing
dyspnea c- cCORRECT cANS✔✔shortness cof cbreath
orthopnea c- cCORRECT cANS✔✔difficulty cbreathing cwhen clying cdown
what cdoes cblood cpressure cmeasure? c- cCORRECT cANS✔✔measures cthe cpressure cof cthe cbloo
what cis csystolic cBP c- cCORRECT cANS✔✔ventricular ccontraction, cmaximal cpressure con cthe cart
, how cdoes cweight caffect cBP c- cCORRECT cANS✔✔obese cpatients ctend cto chave chigher cBP
how cdo cpersonal chabits caffect cbP c- cCORRECT cANS✔✔smoking, ccaffeine cwithin c30 cmins ccan
what care csome climb cprecautions cwhen ctaking cBP? c- cCORRECT cANS✔✔with cmastectomy cpat
cfor cdialysis c(pink cband)
what care cthe cKrotkoff csounds? c- cCORRECT cANS✔✔1- cfirst ctapping
2- cswishing
3- cintense ctapping
4- cmuffled csound
5- cdisappearance
what cis can causcultory cgap? c- cCORRECT cANS✔✔no csound cbetween cphase c1 cand c2
- ccommon cin chypertension
- cresults cin cfalsely clow cBP creading
What cis ca cnormal cBP creading c- cCORRECT cANS✔✔90/60 cto c120/80
prehypertension c- cCORRECT cANS✔✔120-129/80
hypertension c- cCORRECT cANS✔✔elevated cBP c>130/80
hypotension c- cCORRECT cANS✔✔low cBP
what cis cthe c5th cvital csign? c- cCORRECT cANS✔✔pain
how cdo cyou cmeasure cpain? c- cCORRECT cANS✔✔measurement cof cthe cpresence cor cabsence c
- c0 cto c10 cscale
- csubjective cmeasurment
What ctype cof cpatients cuse cthe cPAINAD cscale? c- cCORRECT cANS✔✔dementia cpatients
Who cuses cthe cFLACC cscale? c- cCORRECT cANS✔✔nonverbal cor cpreverbal c(infants) cpatients
who cuses cthe cface cscale? c- cCORRECT cANS✔✔children
what cis ca cnormal cpulse coximetry cmeasurement? c- cCORRECT cANS✔✔95-100%
What cis cpulse coximetry? c- cCORRECT cANS✔✔measure cof cthe cpercentage cof chemoglobin csatu
what ccan ccause cunstable coxygen clevels? c- cCORRECT cANS✔✔pneumonia, casthma, cor cemphy
cshortness cof cbreath)
what ccan ccause calterations cin coxygenation? c- cCORRECT cANS✔✔anesthesia, ctrauma, cpain cm
what caffects cpulse coximetry creadings? c- cCORRECT cANS✔✔falsely chigh creading: c
-dark cskin ctones
-moisture
-finger cnail cpolish
-low chemoglobin
-jaundice
falsely clow creading:
What care cthe cvital csigns? c- cCORRECT cANS✔✔-Temperature
-Pulse
-Respiratory cRate
-Blood cPressure
-Oxygen cSaturation
-Pain c(extra)
Normal cbody ctemperature c- cCORRECT cANS✔✔96.4-99.1
average: c98.6
what care cthe cchanges cin cBody cTemp cduring cthe cday c- cCORRECT cANS✔✔lower cin cthe cAM
higher cin cthe cPM
Age crelated cvariables con cbody ctemp c- cCORRECT cANS✔✔elderly: cless clikely cto cdevelop ca cfe
cnot cefficient, cdecreased csubcutaneous cfat)
children: creduced ccapacity cto cregulate cbody ctemp c(immaturity cof cthe cnervous csystem)
Position cof cPinna cWhen cTaking cTympanic cTemperature c- cCORRECT cANS✔✔<3 cyears cold c- c
>3 cyear cold c- chold cpinna cup cand cback
How clong cdo cyou cwait cto ctake ctympanic ctemp cif cthere care chearing caids? c- cCORRECT cANS✔
Difference cin cAxillary cTemperature c- cCORRECT cANS✔✔1 cdegree cless cthan coral c
*must cadd cone cdegree cto caxillary ctemperature
difference cin crectal ctemperature c- cCORRECT cANS✔✔1 cdegree chigher cthan coral
*must csubtract cone
,effects cof cexercise con cpulse c- cCORRECT cANS✔✔moderate cexercise= cincrease cby c20-30 cbpm
consistent cathletic cexercise= cdecrease cresting cheart crate
what ctwo cfingers cdo cyou cuse cto cfind cradial cpulse? c- cCORRECT cANS✔✔pads cof ctwo cmiddle c
how clong cdo cyou ccount cwhen cfinding cpulse? c- cCORRECT cANS✔✔count cfor c30 cseconds cmult
how clong cdo cyou ccount cif cpulse cis cirregular? c- cCORRECT cANS✔✔a cfull cminute cand ccheck ca
what cis canother cname cfor capical cpulse? c- cCORRECT cANS✔✔point cof cmaximal cimpulse c(PMI)
Where cis cthe capical cpulse clocated? c- cCORRECT cANS✔✔5th cintercostal cspace, cleft cmid-clavic
how clong cdo cyou ccount cwhen cfinding cthe capical cpulse? c- cCORRECT cANS✔✔60 cseconds
what cdoes cit cmean cif cthe capical cpulse cis cgreater cthan cthe cradial cpulse? c- cCORRECT cANS✔✔
cdon't cget cto cthe cperiphery)
-conditions: cheart cfailure, cmyocardial cinfection, catrial cfibrillation
-ineffective cheart ccontractions
3 cpoint cpulse cgrade cscale c- cCORRECT cANS✔✔3+= cbounding
2+ c= cnormal
1+= cweak, cthready
0=absent
regular cpulse cmeans c- cCORRECT cANS✔✔time cbetween cbeats cis cconsistent
irregular cpulse cmeans c- cCORRECT cANS✔✔time cbetween cbeats cvaries
how clong cdo cyou ccount crespirations? c- cCORRECT cANS✔✔normal c- c30 csecs cx c2
irregular c- cfull cminute
normal crespiration crate c- cCORRECT cANS✔✔adults: c12-20/min
infants: c30-60/min
children: c18-30/min
eupnea c- cCORRECT cANS✔✔normal crespiration
bradypnea c- cCORRECT cANS✔✔< c12 cbreaths/min
tachypnea c- cCORRECT cANS✔✔> c20 cbreaths/min
apnea c- cCORRECT cANS✔✔absence cof cbreathing
hypoventilation c- cCORRECT cANS✔✔decreased crate cand cdepth cof cair cmovement cinto cthe clung
hyperventilation c- cCORRECT cANS✔✔increased crate cand cdepth cof cbreathing
dyspnea c- cCORRECT cANS✔✔shortness cof cbreath
orthopnea c- cCORRECT cANS✔✔difficulty cbreathing cwhen clying cdown
what cdoes cblood cpressure cmeasure? c- cCORRECT cANS✔✔measures cthe cpressure cof cthe cbloo
what cis csystolic cBP c- cCORRECT cANS✔✔ventricular ccontraction, cmaximal cpressure con cthe cart
, how cdoes cweight caffect cBP c- cCORRECT cANS✔✔obese cpatients ctend cto chave chigher cBP
how cdo cpersonal chabits caffect cbP c- cCORRECT cANS✔✔smoking, ccaffeine cwithin c30 cmins ccan
what care csome climb cprecautions cwhen ctaking cBP? c- cCORRECT cANS✔✔with cmastectomy cpat
cfor cdialysis c(pink cband)
what care cthe cKrotkoff csounds? c- cCORRECT cANS✔✔1- cfirst ctapping
2- cswishing
3- cintense ctapping
4- cmuffled csound
5- cdisappearance
what cis can causcultory cgap? c- cCORRECT cANS✔✔no csound cbetween cphase c1 cand c2
- ccommon cin chypertension
- cresults cin cfalsely clow cBP creading
What cis ca cnormal cBP creading c- cCORRECT cANS✔✔90/60 cto c120/80
prehypertension c- cCORRECT cANS✔✔120-129/80
hypertension c- cCORRECT cANS✔✔elevated cBP c>130/80
hypotension c- cCORRECT cANS✔✔low cBP
what cis cthe c5th cvital csign? c- cCORRECT cANS✔✔pain
how cdo cyou cmeasure cpain? c- cCORRECT cANS✔✔measurement cof cthe cpresence cor cabsence c
- c0 cto c10 cscale
- csubjective cmeasurment
What ctype cof cpatients cuse cthe cPAINAD cscale? c- cCORRECT cANS✔✔dementia cpatients
Who cuses cthe cFLACC cscale? c- cCORRECT cANS✔✔nonverbal cor cpreverbal c(infants) cpatients
who cuses cthe cface cscale? c- cCORRECT cANS✔✔children
what cis ca cnormal cpulse coximetry cmeasurement? c- cCORRECT cANS✔✔95-100%
What cis cpulse coximetry? c- cCORRECT cANS✔✔measure cof cthe cpercentage cof chemoglobin csatu
what ccan ccause cunstable coxygen clevels? c- cCORRECT cANS✔✔pneumonia, casthma, cor cemphy
cshortness cof cbreath)
what ccan ccause calterations cin coxygenation? c- cCORRECT cANS✔✔anesthesia, ctrauma, cpain cm
what caffects cpulse coximetry creadings? c- cCORRECT cANS✔✔falsely chigh creading: c
-dark cskin ctones
-moisture
-finger cnail cpolish
-low chemoglobin
-jaundice
falsely clow creading:
