Assessing Apical-Radial Pulse in Clinical Setting

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Why should rectal temperature measurements be used with caution in certain clients?

To avoid stimulating the vagus nerve (correct)

To speed up the heart rate

To prevent a decrease in heart rate

To ensure a more accurate reading

What is the normal range for rectal temperature?

35.5 – 37.2 °C

36.3 – 38.1 °C (correct)

37.0 – 38.5 °C

36.8 – 37.6 °C

How does the parasympathetic nervous system affect heart rate?

It increases the force of contraction

It increases heart rate

It decreases heart rate (correct)

It has no effect on heart rate

What is the normal pulse rate range for adults?

60 – 100 bpm Signup and view all the answers

Why should rectal temperature measurements not be used in newborns or children with diarrhea?

Due to potential vagus nerve stimulation Signup and view all the answers

What is the definition of tachycardia?

A heart rate (HR) of 100 - 180 bpm Signup and view all the answers

What is bradycardia and what are some common causes?

A heart rate (HR) of less than 60 bpm, caused by vagal stimulation and severe pain Signup and view all the answers

How is pulse amplitude graded?

0 = Weak, 1+ = Diminished, 2+ = Normal, 3+ = Bounding Signup and view all the answers

What term is used to describe an irregular pulse rhythm?

Dysrhythmia Signup and view all the answers

When should the apical pulse be assessed?

When giving medications that can alter heart rate and rhythm Signup and view all the answers

What is a potential source of error in blood pressure assessment that can lead to falsely low assessments?

Using a cuff that is too small or too narrow Signup and view all the answers

Which technique is used to measure arterial oxyhemoglobin saturation noninvasively?

Pulse oximetry Signup and view all the answers

What is the usual range for oxygen saturation in percentage?

95% - 100% Signup and view all the answers

How does the conical shape of an obese arm affect blood pressure assessment?

It makes it difficult to fit the blood pressure cuff properly Signup and view all the answers

Which factor does NOT affect oxygen saturation levels?

Temperature Signup and view all the answers

What is the term used to describe the difference between apical pulse rate and radial pulse rate?

Pulse deficit Signup and view all the answers

Where should a nurse listen with a stethoscope to assess the apical pulse?

Over the apex of the heart Signup and view all the answers

What does the term 'diffusion' refer to in the context of respiration?

Exchange of O2 and CO2 between alveoli and circulating blood Signup and view all the answers

Which receptors are responsible for detecting an increase in CO2, triggering a powerful respiratory response?

Chemo receptors located in the aortic arch Signup and view all the answers

What does the term 'perfusion' involve in the context of respiration?

Exchange of O2 and CO2 between circulating blood and tissue cells Signup and view all the answers