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</p> Signup and view all the answers

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

    <p>Temporal</p> Signup and view all the answers

    Which pulse site determines leg circulation?

    <p>Femoral</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</p> Signup and view all the answers

    Which of the following is NOT considered a vital sign?

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

    When should vital signs be measured?

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

    What is the normal range for body temperature in Fahrenheit?

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

    What is the normal range for body temperature in Celsius?

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

    Which site is commonly used to measure body temperature?

    <p>Oral</p> Signup and view all the answers

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

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

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

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

    What is the normal range for oxygen saturation?

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

    What does a CRT longer than 2 seconds suggest?

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

    What are two widely used pain scales?

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

    What is the purpose of a medical record?

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

    What is the purpose of the SBAR technique?

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

    What does SOAP charting stand for?

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

    Where should the cuff be placed when measuring blood pressure?

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

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

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

    Which pulse site is commonly used to measure blood pressure?

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

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

    <p>Auscultation</p> Signup and view all the answers

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

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

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

    <p>Temperature</p> Signup and view all the answers

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

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

    What is the correct formula for calculating pulse deficit?

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

    Which of the following is NOT considered a vital sign?

    <p>Temperature</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</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</p> Signup and view all the answers

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

    <p>Radial</p> Signup and view all the answers

    What is the purpose of a medical record?

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

    What does a CRT longer than 2 seconds suggest?

    <p>Dehydration</p> Signup and view all the answers

    What is the correct formula for converting Fahrenheit to Celsius?

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

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

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

    What is the systolic blood pressure?

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

    What is the diastolic blood pressure?

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

    What is considered high blood pressure?

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

    Which of the following is NOT a method of charting?

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

    What is the purpose of the SBAR technique?

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

    What is the normal range for oxygen saturation?

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

    What does a CRT longer than 2 seconds suggest?

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

    What is the purpose of the Written Record?

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

    What is the normal range for body temperature in Fahrenheit?

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

    What is considered high blood pressure?

    <p>140/90 mm Hg</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.</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</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</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</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</p> Signup and view all the answers

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

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

    What is the purpose of the Written Record?

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

    Which pulse site is commonly used to measure blood pressure?

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

    Which of the following is NOT considered a vital sign?

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

    Which site is commonly used to measure body temperature?

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

    What is the normal range for oxygen saturation?

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

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

    <p>Axillary</p> Signup and view all the answers

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

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

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

    <p>Frequency</p> Signup and view all the answers

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

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

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

    <p>Femoral</p> Signup and view all the answers

    What is the correct formula for calculating pulse deficit?

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

    What is the correct formula for converting Fahrenheit to Celsius?

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

    Which of the following is NOT a method of charting?

    <p>Cardex</p> Signup and view all the answers

    What is the purpose of the SBAR technique?

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

    What is the normal range for oxygen saturation?

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

    What is the normal range for body temperature in Celsius?

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

    What does a CRT longer than 2 seconds suggest?

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

    Which pulse site is commonly used to measure blood pressure?

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

    What is the purpose of the Written Record?

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

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

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

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

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

    Which of the following is NOT a method of charting?

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

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

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

    What is the normal range for oxygen saturation?

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

    What does a CRT longer than 2 seconds suggest?

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

    What is the purpose of the SBAR technique?

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

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

    <p>Radial</p> Signup and view all the answers

    What does a CRT longer than 2 seconds suggest?

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

    What is the normal range for body temperature in Celsius?

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

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

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

    What is a Kardex used for?

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

    Study Notes

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    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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