Respiratory Depth and Rhythm Assessment

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Questions and Answers

What is the primary site of heat loss in the human body?

  • Skin (correct)
  • Brain
  • Muscles
  • Lungs

Which process involves the dissemination of heat by motion between areas of unequal density?

  • Conduction
  • Evaporation
  • Radiation
  • Convection (correct)

What term refers to a body temperature equal to or greater than 41 °C (106°F), which is considered an emergency?

  • Hypothermia
  • Pyrexia
  • Hyperthermia
  • Hyperpyrexia (correct)

What is the term for the upward displacement of the thermoregulatory set point in the hypothalamus, causing an increase in body temperature?

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

What factor does NOT affect body temperature?

<p>State of health (C)</p> Signup and view all the answers

What is the normal range for rectal temperature?

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

What condition makes rectal temperature assessment contraindicated?

<p>Low platelet count (A)</p> Signup and view all the answers

Which nervous system decreases heart rate?

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

What is the normal pulse rate range for adults?

<p>60 – 100 bpm (B)</p> Signup and view all the answers

Which factor should be considered during the insertion of a rectal thermometer?

<p>Vagus nerve stimulation (C)</p> Signup and view all the answers

Which vital sign involves the balance between heat produced and lost?

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

What is the wave of blood traveling through arteries as a result of each heartbeat called?

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

What is the non-invasive measurement of arterial oxyhemoglobin saturation called?

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

Which vital sign provides the best indicators of cardiopulmonary arrest, unplanned ICU admission, and unexpected death?

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

Why are vital signs important in identifying normal patterns for patients, changes in patient status, and responses to various therapies?

<p>To identify patients at risk for deterioration and adverse events (C)</p> Signup and view all the answers

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

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

In which situations should a nurse assess vital signs?

<p>When there is a change in the client's condition (E)</p> Signup and view all the answers

What is the normal range for blood pressure in adults?

<p>$120/80 mmHg to 140/90 mmHg$ (A)</p> Signup and view all the answers

What is the main function of the hypothalamus in relation to body temperature regulation?

<p>Comparing messages received with a set point (B)</p> Signup and view all the answers

What are some conditions that require assessment of vital signs?

<p>Before and after ambulation or surgery (E)</p> Signup and view all the answers

Which of the following factors may lead to an increased respiratory rate known as tachypnea?

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

What is the term used for the decreased respiratory rate that may occur in some pathologic conditions?

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

In which condition does increased intracranial pressure (ICP) result in irregular or shallow breathing, or slow breathing, or both?

<p>Increased ICP (A)</p> Signup and view all the answers

What is the normal range of breaths per minute for adults?

<p>12 - 20 breaths/min (A)</p> Signup and view all the answers

Which of the following may cause an increase in rate and depth of respirations known as hyperventilation?

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

What term describes difficulty breathing with shallow rapid respirations?

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

What term refers to the difference between systolic and diastolic blood pressure?

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

Which hormone, when stimulated by decreased blood pressure and volume, causes vasoconstriction to increase blood pressure?

<p>Vasopressin (antidiuretic hormone) (A)</p> Signup and view all the answers

What determines both systolic and diastolic blood pressure?

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

Which term describes no breaths, with brain damage and death occurring if it lasts more than 4-6 minutes?

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

What is the term for an abnormally low blood pressure?

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

Which factor does NOT affect blood pressure?

<p>Respiratory rate (A)</p> Signup and view all the answers

What is the typical range for normal blood pressure according to the American Heart Association?

<p>120/80 (D)</p> Signup and view all the answers

What is the term for an abnormally high blood pressure?

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

Which factor is NOT mentioned as affecting blood pressure?

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

What occurs when systolic blood pressure exceeds 130 mmHg or diastolic exceeds 80 mmHg?

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

What is the term for a drop of 20 – 30 mmHg in a person’s blood pressure?

<p>Orthostatic hypotension (A)</p> Signup and view all the answers

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