Podcast
Questions and Answers
Where is the radial pulse located?
Where is the radial pulse located?
The size of the blood pressure cuff is important for obtaining accurate readings.
The size of the blood pressure cuff is important for obtaining accurate readings.
True
What are four situations in which you would not take a rectal temperature?
What are four situations in which you would not take a rectal temperature?
Patient has diarrhea, patient is newborn, patient has rectal surgery, patient is extremely uncomfortable.
Rapid, shallow breathing is called ____________________.
Rapid, shallow breathing is called ____________________.
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Match the types of breathing with their definitions:
Match the types of breathing with their definitions:
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Which of the following is NOT a character of the pulse?
Which of the following is NOT a character of the pulse?
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Stertorous respirations are characterized as rapid and shallow.
Stertorous respirations are characterized as rapid and shallow.
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What is the average pulse rate range for an adult female?
What is the average pulse rate range for an adult female?
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Hypertension is defined as __________.
Hypertension is defined as __________.
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What is the correct action when counting respirations?
What is the correct action when counting respirations?
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Match the pulse rates with the appropriate age group:
Match the pulse rates with the appropriate age group:
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Apnea refers to the absence of respiration.
Apnea refers to the absence of respiration.
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The blood pressure cuff should be applied __________ inches above the elbow.
The blood pressure cuff should be applied __________ inches above the elbow.
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Which is the correct procedure when weighing a patient on a wheelchair scale?
Which is the correct procedure when weighing a patient on a wheelchair scale?
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Body temperature normally varies 1 to 4 degrees during the course of the day.
Body temperature normally varies 1 to 4 degrees during the course of the day.
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What scale should be used to weigh an ambulatory patient with good balance?
What scale should be used to weigh an ambulatory patient with good balance?
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Match the types of thermometers with their characteristics:
Match the types of thermometers with their characteristics:
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Tachycardia is an unusually slow heart rate.
Tachycardia is an unusually slow heart rate.
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What unit of measurement should Mrs. Seriya's 5 feet, 2 inches height be recorded in?
What unit of measurement should Mrs. Seriya's 5 feet, 2 inches height be recorded in?
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When taking an axillary temperature, it is necessary to _____ the thermometer.
When taking an axillary temperature, it is necessary to _____ the thermometer.
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What is the average oral Fahrenheit temperature?
What is the average oral Fahrenheit temperature?
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A rectal temperature is lower than an oral temperature.
A rectal temperature is lower than an oral temperature.
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What color dot indicates a rectal thermometer?
What color dot indicates a rectal thermometer?
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Body temperature is most accurate when measured in the ______.
Body temperature is most accurate when measured in the ______.
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Which method would you select for taking the temperature of an unconscious patient?
Which method would you select for taking the temperature of an unconscious patient?
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Match the pulse type with its description:
Match the pulse type with its description:
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Which method of taking a temperature is the least accurate?
Which method of taking a temperature is the least accurate?
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What temperature does a normal rectal Fahrenheit temperature typically register at?
What temperature does a normal rectal Fahrenheit temperature typically register at?
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Study Notes
Body Temperature
- Average oral temperature is 98.6°F.
- Most accurate measurement site for temperature is the rectum.
- Rectal temperature is typically one degree higher than oral temperature.
- For an unconscious patient, the rectal method is selected for temperature measurement.
- Normal rectal temperature is 99.6°F, while normal axillary temperature is generally lower.
Pulse and Heart Rate
- Pulse measured by palpating an artery; reflects cardiovascular efficiency.
- Bradycardia refers to a slow pulse rate, while tachycardia indicates a fast pulse.
- Average pulse rates: infants 120-160 bpm; adult females 66-96 bpm; adult males 60-100 bpm.
- An apical pulse should be checked for one full minute, particularly in children and older patients.
Respiratory Rates
- Stertorous respirations describe snoring-like breathing sounds.
- Apnea is a condition of no respiration.
- Average respiratory rate for adults is 12-20 breaths per minute.
- When counting respirations, each inhalation and expiration are counted as one unit.
Blood Pressure Measurement
- Blood pressure is influenced by the force and rate of the heartbeat.
- Systolic pressure is the highest sound while measuring blood pressure, and hypertension is characterized as high blood pressure.
- Hypotension is defined as blood pressure below 100/60 mmHg.
- Blood pressure cuff should be applied about two inches above the elbow for accurate readings.
Height and Weight Measurement
- Height and weight are routinely measured upon patient admission for baseline data.
- When weighing an ambulatory patient, use an upright scale.
- Weight is recorded in pounds as "110 lb" for 110 pounds.
- Patient height is recorded as "5'2"" for 5 feet, 2 inches, and can be converted to inches for charting.
True/False Statements Summary
- Body temperature naturally fluctuates daily by 1 to 4 degrees.
- Children have less stable body temperature compared to adults.
- Axillary temperature is the least accurate along with not requiring gloves for groin temperature.
- Clean thermometers should be stored in a dry container; the ear canal should be straightened when using tympanic thermometers.
Completion and Short Answer
- Always apply lubricant to a rectal thermometer.
- Rapid, shallow breathing is termed tachypnea.
- Labored breathing is known as dyspnea.
- Biot's respirations feature cycles of dyspnea followed by apnea.
- Situations to avoid rectal temperature measurement include patients with anal injuries, certain heart conditions, severe diarrhea, or recent rectal surgery.
- To ensure accurate weight measurement, ensure a stable scale, have the patient void before weighing, and remove excess clothing or instruments.
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Description
Test your knowledge of vital signs, specifically focusing on pulse characteristics, norms for infants and adults, and assessment techniques. This quiz will cover key concepts crucial for nursing practice and patient care. Perfect for nursing students and professionals refreshing their skills.
