Measuring Blood Pressure and Pulse Assessment
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Measuring Blood Pressure and Pulse Assessment

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Questions and Answers

Which factor can decrease pulse rate due to decreased ventricular filling time?

  • Stress
  • Tachycardia (correct)
  • Fever
  • Exercise

    • What describes the strength of left ventricular contraction and is graded on a scale from 0 to +3?

  • Pulse quality
  • Pulse amplitude (correct)
  • Pulse rhythm
  • Tachycardia

    • Which method is preferred for assessing pulses in infants and children under 2 years?

  • Using stethoscope
  • Assessing apical pulse (correct)
  • Assessing peripheral pulses
  • Using Doppler ultrasound

    • What does an irregular pulse pattern with beats and pauses occurring at unequal intervals indicate?

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

    When is a Doppler ultrasound used for pulse assessment?

    <p>When peripheral pulses are difficult to palpate or auscultate</p> Signup and view all the answers

    Where should you use a stethoscope to listen for 1 minute to assess the apical pulse?

    <p>Between the 5th and 6th rib in the midclavicular line</p> Signup and view all the answers

    What does a difference between the apical pulse rate and radial pulse rate indicate?

    <p>Pulse deficit due to weak heart thrust or peripheral disease</p> Signup and view all the answers

    What is the primary function of diffusion in the respiratory system?

    <p>Exchange of O2 and CO2 between alveoli and circulating blood</p> Signup and view all the answers

    What controls respiration and serves as a vital sign for ventilation?

    <p>Activation of respiratory centers in the brain and chemoreceptors</p> Signup and view all the answers

    What is the purpose of measuring respirations?

    <p>To establish a baseline of respiratory function</p> Signup and view all the answers

    What is the main advantage of using the popliteal artery for blood pressure assessment?

    <p>It is less affected by the conical shape of an obese arm</p> Signup and view all the answers

    Which factor does not affect oxygen saturation?

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

    What is the purpose of pulse oximetry?

    <p>To monitor arterial oxyhemoglobin saturation</p> Signup and view all the answers

    What can cause falsely high assessments of blood pressure?

    <p>Using a cuff that is too small or too narrow</p> Signup and view all the answers

    Why is the systolic blood pressure usually 10-40 mmHg higher when assessed using the popliteal artery?

    <p>The popliteal artery is closer to the heart than the brachial artery</p> Signup and view all the answers

    What is the normal range of rectal temperature?

    <p>36.3 - 38.1 °C</p> Signup and view all the answers

    How does insertion of a rectal thermometer affect the heart rate?

    <p>It stimulates the vagus nerve and causes a decrease in heart rate</p> Signup and view all the answers

    Which system decreases the heart rate via the vagus nerve?

    <p>Parasympathetic Nervous System</p> Signup and view all the answers

    What is the normal pulse rate range for adults?

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

    What happens to the pulse rate across the lifespan?

    <p>It gradually diminishes across the lifespan</p> Signup and view all the answers

    What is the normal oral temperature range?

    <p>35.9 - 37.5 °C</p> Signup and view all the answers

    Why should a nurse wait 15-30 minutes before taking an oral temperature if the client has been consuming hot or cold foods or liquids, or smoking?

    <p>To prevent inaccurate temperature readings</p> Signup and view all the answers

    In what scenario should an oral temperature not be taken?

    <p>If the patient has a broken jaw that is wired closed</p> Signup and view all the answers

    What is the average duration for taking an oral temperature?

    <p>1 minute</p> Signup and view all the answers

    Which site is often used to estimate core body temperature?

    <p>Tympanic membrane</p> Signup and view all the answers

    What is the preferred method to measure blood pressure in adults?

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

    Which of the following indicates positive results for orthostatic hypotension?

    <p>SBP decrease of more than 20mmHg</p> Signup and view all the answers

    Which equipment is preferred for measuring blood pressure in adults?

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

    What is the recommended site for accurate assessment of blood pressure in clients?

    <p>Upper arm</p> Signup and view all the answers

    What do automated blood pressure monitors determine by analyzing?

    <p>Blood flow sounds</p> Signup and view all the answers

    What is the primary source of heat produced in the body?

    <p>Hormones such as epinephrine and norepinephrine</p> Signup and view all the answers

    Where is body temperature regulation primarily controlled?

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

    Which part of the body has a higher temperature than surface temperature?

    <p>Intracranial area</p> Signup and view all the answers

    What does the release of thyroid hormone contribute to in terms of body temperature regulation?

    <p>Heat production</p> Signup and view all the answers

    Which factor reduces the surface area of skin available for heat loss?

    <p>Piloerection (goose bumps)</p> Signup and view all the answers

    Which method provides the core body temperature measurement?

    <p>Rectal measurement</p> Signup and view all the answers

    Which location has a lower temperature compared to core body temperature?

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

    What defines the term 'pulse' in relation to cardiovascular assessment?

    <p>(Heart rate) Beat or thrust felt with each contraction of the heart</p> Signup and view all the answers

    Which factor affects blood pressure regulation by increasing or decreasing heat loss?

    <p>(Body temperature) Difference between heat produced by the body and heat lost to the environment</p> Signup and view all the answers

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