Nursing Assistant - A nursing process approach (Vital Signs)
Temperature is less stable in
Children
Dyspnea
Difficult breathing
The most accurate temperature is taken with the tympanic thermometer
False
Tachypnea
Rapid respiration
When using an overbed scale, the patient's body must be free of the bed
True
sphygmomanometer
blood pressure apparatus
Blood pressure is raised by
exercise
Exhalation
expiration
Tachycardia
faster heart rate
The earpieces of the stethoscope should be pointed _________________as they are placed in the ears
forward
High blood pressure is known as
hypertension
Postural_______________is a sudden decrease in blood pressure when changing position
hypotension
Accelerated
increased/ sped up
dyspnea
is how we chart difficult respirations
Blood pressure is lowered when weight is
lost
rales
moist respirations
Apnea
periods of no respiration
apical
pulse rate will be the second you count
tachypnea
rapid respiration
rhythm
regularity
Rate
speed
elasticity
stretch
The closing of the heart valves is heard as the _______ sounds
systolic
radial
the pulse rate you will count from
A patient who cannot get out of bed cannot be measured
False
Always apply gloves before taking a temporal artery temperature.
False
Blood pressure taken over arteries closer to the heart will be lower then those taken over arteries farther from the heart.
False
Depressant drugs elevate the blood pressure
False
Disconnect the catheter bag before weighing the patient
False
Exercise decreases blood pressure
False
Gently pull the ear pinna back and down before inserting the tympanic thermometer in an adult.
False
Hold the temporal artery thermometer in place for 3 minute
False
Ill-fitting dentures have no effect on weight
False
Measuring the temperature in the groin area given the most accurate indication of body temperature
False
Only temperature variations of more than 5 F should by reported to the nurse
False
Orthostatic hypotension is most common in middle-aged adults
False
Pulses differ when counted at different pulse sites
False
The axillary temperature of a patient will register approximately one degree higher than his oral temperature.
False
The forearm is a good alternate location for taking blood pressure
False
The large lines on the blood pressure gauge are in increments of 20 millimeters of mercury pressure.
False
The oral thermometer should remain in place for 1 minute.
False
The probe of an electronic thermometer covered with a red sheath for rectal use.
False
The tympanic temperature reading is the most accurate.
False
To measure a patient who is confined to bed, first help her assume the left Sims' position
False
To measure a rectal temperature, the patient is best positioned on her back.
False
Wait 5 minutes after the patient has taken hot liquids to measure an oral temperature.
False
The normal temporal artery temperature reading is 97.2 F
False - 99 F
A pulse is best counted using the thumb placed over the artery
False - Any of your three middle fingers.
The temporal artery is deep within the body core.
False - Its actually close to the surface
The pulse site used most often is the carotid artery
False - Its the radial artery
Cheyne-Stokes respirations are deep and regular.
False - They are a period of dyspnea followed by periods of apnea
The pulse rate of an infant is 110 to 130 bpm
False = 120-160 bpm
Hypertension
High blood pressure
Which way do we measure weight at Munson?
Kilogram
Diastolic
Lowest blood pressure reading
Bradycardia
Slow pulse
stertorous
Snoring types of respiration
Vital signs include
Temperature, pulse, respiration, and blood pressure.
96.8 F is an average oral temperature
True
A blood pressure below 100/60 suggests hypotension
True
A pulse deficit results when there is a difference between the apical and radial pulses.
True
Always check the overbed scale for needed repairs before use.
True
Always wipe the axillary area before placing a thermometer
True
An apical pulse should be counted in children
True
Many health care professionals depend on the accuracy of patient weight and height measurements.
True
Mucus in the air passages causes crackles
True
Patients and residents can and often do develop malnutrition during a stay in a health care facility
True
Reading taken with a plastic thermometer may not be entirely accurate
True
Stethoscope earpieces should be cleaned both before and after use.
True
Temperature is the measurement of body heat.
True
The most common method of measuring the temperature of a cooperative adult is by mouth
True
The respiratory system rids the body of excess carbon dioxide
True
The scale used most often to weigh ambulatory patients in health care facilities is the upright scale
True
The temporal artery and tympanic thermometers are ideal for taking temperatures of patients using oxygen.
True
The volume of blood in the circulatory system affects the blood pressure
True
To accurately measure blood pressure, you will need both a manual BP cuff and a stethoscope
True
Using a blood pressure cuff of the wrong size will give an inaccurate reading
True
Weight loss is a common problem in health care facilities because of physical and mental conditions
True
When charting an axillary temperature, always print AX after the reading
True
When measuring a blood pressure, always keep the gauge at eye level.
True
All rectal thermometers should be lubricated before insertion.
True.
The pulse is the pressure of blood against the arterial wall.
True.
There may be times when a temperature has to be measured in the groin area
True.
When using an electronic thermometer, you should not touch the tip of the probe sheath with you fingers.
True.
The upright scale is used to weigh
ambulatory patients
A temporal artery temperature might be expected to be slightly higher than
an oral temperature and about the same rectal temperature.
brachial
artery most commonly used to determine blood pressure
cyanosis
bluish discoloration to the skin
Which way do we measure height at Munson?
centimeters
