Vital Signs
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Questions and Answers

Which of the following is the most reliable method used to measure heart rate?

  • Auscultation and palpation
  • Observation
  • Auscultation (correct)
  • Palpation
  • Which pulse site is commonly used during routine measurement of heart rate?

  • Radial (correct)
  • Brachial
  • Carotid
  • Femoral
  • Which of the following is true about the respiratory rate?

  • Normal respiratory rate is 30-40 rpm
  • Normal respiratory rate is 20-30 rpm
  • Normal respiratory rate is 12-20 rpm (correct)
  • Normal respiratory rate is 8-12 rpm
  • Which pulse site is used to measure blood pressure?

    <p>Brachial (B)</p> Signup and view all the answers

    Which pulse site is used when the radial pulse is not accessible?

    <p>Temporal (D)</p> Signup and view all the answers

    Which pulse site determines leg circulation?

    <p>Femoral (A)</p> Signup and view all the answers

    Which of the following is true about fever?

    <p>Fever is the term to indicate an elevated body temperature (B)</p> Signup and view all the answers

    Which of the following is NOT considered a vital sign?

    <p>Oxygen Saturation (SpO2) (C)</p> Signup and view all the answers

    When should vital signs be measured?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the normal range for body temperature in Fahrenheit?

    <p>97.0° to 99.5°F (B)</p> Signup and view all the answers

    What is the normal range for body temperature in Celsius?

    <p>36.0° to 37.5°C (B)</p> Signup and view all the answers

    Which site is commonly used to measure body temperature?

    <p>Oral (C)</p> Signup and view all the answers

    What is the equivalent temperature range for axillary measurement in Fahrenheit?

    <p>97.5° (B)</p> Signup and view all the answers

    What is the equivalent temperature range for tympanic membrane measurement in Celsius?

    <p>36.4° (C)</p> Signup and view all the answers

    Which one of the following is a characteristic of hypotension?

    <p>Blood pressure suddenly falls 20 mm Hg to 30 mm Hg below the patient's normal BP (B)</p> Signup and view all the answers

    What is the normal range for oxygen saturation?

    <p>96-100% (D)</p> Signup and view all the answers

    What does a CRT longer than 2 seconds suggest?

    <p>Poor perfusion due to peripheral vasoconstriction (B)</p> Signup and view all the answers

    Which of the following is a life-threatening breathing pattern characterized by alternating periods of apnea and deep rapid breathing?

    <p>Cheyne-Stokes (C)</p> Signup and view all the answers

    What are two widely used pain scales?

    <p>Numerical Scale and Wong-Baker FACES Pain Rating Scale (D)</p> Signup and view all the answers

    What is the correct formula for calculating the respiratory rate?

    <p>Count the number of breaths for 1 minute (B)</p> Signup and view all the answers

    What is the purpose of a medical record?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the difference between systolic and diastolic blood pressure readings?

    <p>Systolic pressure is the pressure during the active phase of ventricular contraction, while diastolic pressure is the pressure of blood within the arteries when the ventricles are at rest (A)</p> Signup and view all the answers

    What is the purpose of the SBAR technique?

    <p>All of the above (D)</p> Signup and view all the answers

    What are Korotkoff sounds?

    <p>Sounds heard while taking blood pressure with a sphygmomanometer over the brachial artery (D)</p> Signup and view all the answers

    What does SOAP charting stand for?

    <p>Subjective, Objective, Assessment, Plan (D)</p> Signup and view all the answers

    Where should the cuff be placed when measuring blood pressure?

    <p>On the brachial pulse site (B)</p> Signup and view all the answers

    What does charting by exception involve?

    <p>Charting only abnormal assessment findings or care that deviates from a standard norm (A)</p> Signup and view all the answers

    How should the cuff be inflated when measuring blood pressure?

    <p>Inflate the cuff 30 mmHg beyond the previously obtained baseline measurement (C)</p> Signup and view all the answers

    What is a Kardex used for?

    <p>To provide a quick reference for current information centrally at the nursing station (D)</p> Signup and view all the answers

    What is considered high blood pressure?

    <p>Systolic reading consistently above 130 or a diastolic reading consistently over 80 (B)</p> Signup and view all the answers

    What is the normal range for heart rate in beats per minute (bpm)?

    <p>80-100 bpm (A)</p> Signup and view all the answers

    Which pulse site is commonly used to measure blood pressure?

    <p>Brachial pulse (C)</p> Signup and view all the answers

    What is the most reliable method used to measure heart rate?

    <p>Auscultation (A)</p> Signup and view all the answers

    What is the normal range for respiratory rate in ventilations per minute (rpm)?

    <p>16-20 rpm (D)</p> Signup and view all the answers

    Which of the following is NOT a factor to assess in respiratory rate?

    <p>Temperature (D)</p> Signup and view all the answers

    What is the equivalent temperature range for oral measurement in Fahrenheit?

    <p>98-100°F (A)</p> Signup and view all the answers

    What is the correct formula for calculating pulse deficit?

    <p>Apical pulse rate - Radial pulse rate (A)</p> Signup and view all the answers

    Which of the following is NOT considered a vital sign?

    <p>Temperature (D)</p> Signup and view all the answers

    What is the normal range for body temperature in Celsius?

    <p>36.0°C to 37.5°C (B)</p> Signup and view all the answers

    What is the equivalent temperature range for rectal measurement in Fahrenheit?

    <p>98.5°F to 99.0°F (A)</p> Signup and view all the answers

    Which pulse site is commonly used during routine measurement of heart rate?

    <p>Radial (A)</p> Signup and view all the answers

    What is the purpose of a medical record?

    <p>To communicate with other healthcare providers (B)</p> Signup and view all the answers

    What does a CRT longer than 2 seconds suggest?

    <p>Dehydration (B)</p> Signup and view all the answers

    What is the correct formula for converting Fahrenheit to Celsius?

    <p>$C = (F - 32) \times \frac{5}{9}$ (A)</p> Signup and view all the answers

    Which of the following is a characteristic of Cheyne-Stokes respiration?

    <p>Periods of apnea and deep rapid breathing (B)</p> Signup and view all the answers

    What is the correct formula for calculating the respiratory rate?

    <p>Count the number of breaths for 1 minute (A)</p> Signup and view all the answers

    What is the purpose of a sphygmomanometer in measuring blood pressure?

    <p>To listen to Korotkoff sounds (B)</p> Signup and view all the answers

    What is the correct procedure for measuring blood pressure?

    <p>Deflate the cuff at a rate of 2-3 mmHg per second (B)</p> Signup and view all the answers

    What is the systolic blood pressure?

    <p>The measurement of the first audible sound (A)</p> Signup and view all the answers

    What is the diastolic blood pressure?

    <p>The measurement of the last audible sound (A)</p> Signup and view all the answers

    What is considered high blood pressure?

    <p>Systolic reading consistently above 130 (C)</p> Signup and view all the answers

    Which of the following is NOT a method of charting?

    <p>Vital Signs charting (C)</p> Signup and view all the answers

    What is the purpose of the SBAR technique?

    <p>To improve nurse-physician communication (C)</p> Signup and view all the answers

    Which of the following is NOT a component of nursing documentation?

    <p>Medical treatments prescribed by the physician (A)</p> Signup and view all the answers

    What is the normal range for oxygen saturation?

    <p>96-100% (B)</p> Signup and view all the answers

    What does a CRT longer than 2 seconds suggest?

    <p>Poor perfusion due to peripheral vasoconstriction (C)</p> Signup and view all the answers

    What is the purpose of the Written Record?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the normal range for body temperature in Fahrenheit?

    <p>98.6-100.4°F (B)</p> Signup and view all the answers

    What is considered high blood pressure?

    <p>140/90 mm Hg (A)</p> Signup and view all the answers

    What is the difference between systolic and diastolic blood pressure readings?

    <p>Systolic pressure is the pressure in the arteries when the heart is contracting, while diastolic pressure is the pressure in the arteries when the heart is at rest. (A)</p> Signup and view all the answers

    Which of the following is a life-threatening breathing pattern characterized by alternating periods of apnea and deep rapid breathing?

    <p>Cheyne-Stokes (D)</p> Signup and view all the answers

    What is the normal range for blood pressure readings?

    <p>Systolic: 120-139 mmHg, Diastolic: 80-89 mmHg (B)</p> Signup and view all the answers

    What is the purpose of a sphygmomanometer in measuring blood pressure?

    <p>To listen to the Korotkoff sounds (B)</p> Signup and view all the answers

    What is the correct procedure for measuring blood pressure?

    <p>Deflate the cuff at a rate of 1-2 mmHg per second (B)</p> Signup and view all the answers

    What is the normal range for respiratory rate in ventilations per minute (rpm)?

    <p>12-20 rpm (B)</p> Signup and view all the answers

    What is the purpose of the Written Record?

    <p>To record medical history (D)</p> Signup and view all the answers

    Which pulse site is commonly used to measure blood pressure?

    <p>Brachial artery (A)</p> Signup and view all the answers

    Which of the following is NOT considered a vital sign?

    <p>Oxygen Saturation (D)</p> Signup and view all the answers

    What is the normal range for body temperature in Celsius?

    <p>36.0°C to 37.5°C (A)</p> Signup and view all the answers

    Which site is commonly used to measure body temperature?

    <p>Oral (D)</p> Signup and view all the answers

    What is the equivalent temperature range for rectal measurement in Fahrenheit?

    <p>99.5°F to 37.0°F (A)</p> Signup and view all the answers

    What is the most reliable method used to measure heart rate?

    <p>Listening to the apical pulse with a stethoscope (D)</p> Signup and view all the answers

    What is the correct formula for converting Fahrenheit to Celsius?

    <p>(°C = (°F - 32) \times \frac{5},{9}) (B)</p> Signup and view all the answers

    What is the normal range for oxygen saturation?

    <p>97.0% to 99.5% (A)</p> Signup and view all the answers

    Which of the following is NOT a commonly used route for measuring body temperature?

    <p>Axillary (A)</p> Signup and view all the answers

    What is the normal range for respiratory rate in ventilations per minute (rpm)?

    <p>12-20 rpm (B)</p> Signup and view all the answers

    Which of the following is NOT a factor to assess in respiratory rate?

    <p>Frequency (A)</p> Signup and view all the answers

    What is the normal range for heart rate in beats per minute (bpm)?

    <p>60-100 bpm (C)</p> Signup and view all the answers

    Which of the following is NOT a pulse site commonly used to measure heart rate?

    <p>Femoral (A)</p> Signup and view all the answers

    What is the correct formula for calculating pulse deficit?

    <p>Pulse deficit = Apical pulse - Radial pulse (D)</p> Signup and view all the answers

    What is the correct formula for converting Fahrenheit to Celsius?

    <p>C = (F - 32) / 1.8 (C)</p> Signup and view all the answers

    Which of the following is NOT a method of charting?

    <p>Cardex (C)</p> Signup and view all the answers

    What is the purpose of the SBAR technique?

    <p>To improve the effectiveness of communication through standardization (D)</p> Signup and view all the answers

    What is the normal range for oxygen saturation?

    <p>96-100% (C)</p> Signup and view all the answers

    What is the normal range for body temperature in Celsius?

    <p>35-37°C (A)</p> Signup and view all the answers

    What does a CRT longer than 2 seconds suggest?

    <p>Poor perfusion due to peripheral vasoconstriction (C)</p> Signup and view all the answers

    Which pulse site is commonly used to measure blood pressure?

    <p>Radial pulse (D)</p> Signup and view all the answers

    What is the purpose of the Written Record?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the equivalent temperature range for rectal measurement in Fahrenheit?

    <p>99-101°F (B)</p> Signup and view all the answers

    What is the equivalent temperature range for oral measurement in Fahrenheit?

    <p>97-99°F (D)</p> Signup and view all the answers

    Which of the following is NOT a method of charting?

    <p>Source-oriented records (D)</p> Signup and view all the answers

    What is the purpose of the SBAR technique?

    <p>To improve the effectiveness of communication through standardization of communication process (B)</p> Signup and view all the answers

    What is the normal range for heart rate in beats per minute (bpm)?

    <p>60-100 bpm (A)</p> Signup and view all the answers

    What is the normal range for oxygen saturation?

    <blockquote> <p>95% (D)</p> </blockquote> Signup and view all the answers

    What does a CRT longer than 2 seconds suggest?

    <p>Poor perfusion due to peripheral vasoconstriction (D)</p> Signup and view all the answers

    Which of the following is a method of charting that involves writing information about the client and client care in chronological order?

    <p>Narrative charting (D)</p> Signup and view all the answers

    What is the purpose of the SBAR technique?

    <p>All of the above (D)</p> Signup and view all the answers

    Which pulse site is commonly used during routine measurement of heart rate?

    <p>Radial (A)</p> Signup and view all the answers

    What does a CRT longer than 2 seconds suggest?

    <p>Poor perfusion due to peripheral vasoconstriction (C)</p> Signup and view all the answers

    Which of the following is a characteristic of Cheyne-Stokes respiration?

    <p>Life-threatening breathing pattern characterized by alternating periods of apnea and deep rapid breathing (C)</p> Signup and view all the answers

    What is the normal range for body temperature in Celsius?

    <p>36.5-37.5°C (B)</p> Signup and view all the answers

    What is the equivalent temperature range for rectal measurement in Fahrenheit?

    <p>98.6-100.4°F (C)</p> Signup and view all the answers

    What is the correct formula for calculating pulse deficit?

    <p>Pulse deficit = Apical pulse rate - Radial pulse rate (A)</p> Signup and view all the answers

    What does charting by exception involve?

    <p>Charting only abnormal assessment findings or care that deviates from a standard norm (B)</p> Signup and view all the answers

    What is a Kardex used for?

    <p>Quick reference for current information centrally at the nursing station (A)</p> Signup and view all the answers

    Flashcards

    Reliable heart rate measurement

    Auscultation is the most reliable method for measuring heart rate.

    Common pulse site (heart rate)

    Radial pulse is commonly used to measure heart rate.

    Normal respiratory rate

    The normal respiratory rate is 12-20 breaths per minute.

    Blood pressure pulse site

    Brachial pulse is used for blood pressure measurement.

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    Alternative pulse site

    Temporal pulse is used when radial pulse is not accessible.

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    Leg Circulation pulse site

    Femoral pulse is used to evaluate leg circulation.

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    Fever definition

    Fever indicates an elevated body temperature.

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    Vital sign (not)

    Oxygen saturation (SpO2) is not considered a vital sign.

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    Vital sign measurement frequency

    Vital signs should be measured as part of routine patient care as needed.

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    Normal oral body temperature (F)

    97.0°F to 99.5°F is the normal oral body temperature range.

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    Normal oral body temperature (C)

    36.0°C to 37.5°C is the normal oral body temperature range in Celsius.

    Signup and view all the flashcards

    Common body temperature measurement site

    Oral temperature measurement is a common clinical practice.

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    Axillary temperature (F)

    Axillary measurement is about 97.5°F.

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    Tympanic temperature (C)

    Tympanic measurement is about 36.4°C.

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    Hypotension characteristic

    Hypotension is characterized by a sudden drop of 20-30 mmHg from the baseline blood pressure.

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    Normal oxygen saturation

    Normal oxygen saturation range is 96-100%.

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    CRT > 2 seconds

    A capillary refill time (CRT) longer than 2 seconds suggests poor perfusion.

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    Cheyne-Stokes respiration

    Cheyne-Stokes is a life-threatening breathing pattern, alternating apnea and deep rapid breathing.

    Signup and view all the flashcards

    Pain scales used

    Numerical scale and Wong-Baker FACES pain rating scale are common pain scales.

    Signup and view all the flashcards

    Medical record purpose

    A medical record serves to document patient care and communicate with healthcare providers.

    Signup and view all the flashcards

    Respiratory rate calculation

    Calculate respiratory rate by counting breaths per minute.

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    Systolic vs Diastolic BP

    Systolic BP reflects ventricular contraction, diastolic BP reflects rest period.

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    SBAR technique purpose

    SBAR facilitates clear communication among healthcare providers.

    Signup and view all the flashcards

    Study Notes

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    Description

    Test your knowledge on breathing patterns and abnormal characteristics with this quiz. Learn about apnea, dyspnea, and orthopnea and their effects on the body. Discover the potential life-threatening consequences of apnea and the difficulties associated with dyspnea and orthopnea.

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