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

What is the purpose of measuring respirations?

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

Which factor does not affect oxygen saturation?

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

What is the purpose of pulse oximetry?

<p>To monitor arterial oxyhemoglobin saturation (A)</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 (A)</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 (D)</p> Signup and view all the answers

What is the normal range of rectal temperature?

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

Which system decreases the heart rate via the vagus nerve?

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

What is the normal pulse rate range for adults?

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

What happens to the pulse rate across the lifespan?

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

What is the normal oral temperature range?

<p>35.9 - 37.5 °C (B)</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 (A)</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 (B)</p> Signup and view all the answers

What is the average duration for taking an oral temperature?

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

Which site is often used to estimate core body temperature?

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

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

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

Which of the following indicates positive results for orthostatic hypotension?

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

Which equipment is preferred for measuring blood pressure in adults?

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

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

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

What do automated blood pressure monitors determine by analyzing?

<p>Blood flow sounds (C)</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 (B)</p> Signup and view all the answers

Where is body temperature regulation primarily controlled?

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

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

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

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

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

Which method provides the core body temperature measurement?

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

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

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

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