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Nursing Fundamentals: Vital Signs Quiz
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Nursing Fundamentals: Vital Signs Quiz

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Questions and Answers

Where is the radial pulse located?

  • On the back of the hand
  • On the pinky side of the wrist
  • On the thumb side of the wrist (correct)
  • On the forearm
  • 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?

    Patient has diarrhea, patient is newborn, patient has rectal surgery, patient is extremely uncomfortable.

    Rapid, shallow breathing is called ____________________.

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

    Match the types of breathing with their definitions:

    <p>Tachypnea = Rapid, shallow breathing Bradypnea = Slow breathing Dyspnea = Difficult or labored breathing Apnea = Temporary cessation of breathing</p> Signup and view all the answers

    Which of the following is NOT a character of the pulse?

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

    Stertorous respirations are characterized as rapid and shallow.

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

    What is the average pulse rate range for an adult female?

    <p>66 to 96 beats per minute</p> Signup and view all the answers

    Hypertension is defined as __________.

    <p>high blood pressure</p> Signup and view all the answers

    What is the correct action when counting respirations?

    <p>Count one inhalation and one expiration as one respiration</p> Signup and view all the answers

    Match the pulse rates with the appropriate age group:

    <p>Infants = 120 to 160 beats per minute Adults = 66 to 96 beats per minute Children (12 or younger) = 140 to 180 beats per minute Elderly (over age 65) = 60 to 100 beats per minute</p> Signup and view all the answers

    Apnea refers to the absence of respiration.

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

    The blood pressure cuff should be applied __________ inches above the elbow.

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

    Which is the correct procedure when weighing a patient on a wheelchair scale?

    <p>Lock the ramp in the closed position when weighing the patient.</p> Signup and view all the answers

    Body temperature normally varies 1 to 4 degrees during the course of the day.

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

    What scale should be used to weigh an ambulatory patient with good balance?

    <p>Upright scale</p> Signup and view all the answers

    Match the types of thermometers with their characteristics:

    <p>Tympanic = Measures temperature in the ear Axillary = Least accurate temperature method Oral = Common method for adults Rectal = Most accurate temperature method</p> Signup and view all the answers

    Tachycardia is an unusually slow heart rate.

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

    What unit of measurement should Mrs. Seriya's 5 feet, 2 inches height be recorded in?

    <p>52 inches</p> Signup and view all the answers

    When taking an axillary temperature, it is necessary to _____ the thermometer.

    <p>Hold it in place</p> Signup and view all the answers

    What is the average oral Fahrenheit temperature?

    <p>98.6 degrees</p> Signup and view all the answers

    A rectal temperature is lower than an oral temperature.

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

    What color dot indicates a rectal thermometer?

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

    Body temperature is most accurate when measured in the ______.

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

    Which method would you select for taking the temperature of an unconscious patient?

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

    Match the pulse type with its description:

    <p>Bradycardia = A slow pulse Tachycardia = A fast pulse Normal pulse rate = A typical resting heart rate Irregular heart rate = An inconsistent pulse rhythm</p> Signup and view all the answers

    Which method of taking a temperature is the least accurate?

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

    What temperature does a normal rectal Fahrenheit temperature typically register at?

    <p>99.6 degrees</p> Signup and view all the answers

    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.

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