Exam 5: Vital Signs

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After applying the sphygmomanometer to the patient's upper arm,the nurse inflates the cuff to the proper level,and then,using a stethoscope,listens for the __________________ sounds.

Free

(Short Answer)

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(81)

Question 1

Correct Answer:

Verified

Korotkoff
The most common technique used for measuring blood pressure is auscultation with a sphygmomanometer and stethoscope.As the sphygmomanometer cuff is deflated,the five different sounds heard over an artery are called Korotkoff phases.The sound in each phase has unique characteristics .Blood pressure is recorded with the systolic reading (first Korotkoff sound)before the diastolic reading (beginning of the fifth Korotkoff sound).

Which of the following processes are involved in respiration? (Select all that apply.)

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(Multiple Choice)

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Question 2

Correct Answer:

Verified

A,B,D

The patient has an order to be off the floor for 15 minutes every 2 hours to smoke a cigarette.The patient has just returned from his "cigarette break." The nurse is about to take the patient's radial pulse and should:

Free

(Multiple Choice)

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Question 3

Correct Answer:

Verified

An irregular heartbeat,often found in children,that speeds up with inspiration and slows down with expiration is known as a sinus ___________.

(Short Answer)

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Question 4

When inserting a rectal thermometer,the nurse encounters resistance.The nurse should:

(Multiple Choice)

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Question 5

To conduct an assessment of a possible pulse deficit:

(Multiple Choice)

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Question 6

The nurse is about to take vital signs on a newborn patient in the nursery.She should:

(Multiple Choice)

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Question 7

When evaluating the patient's temperature levels,the nurse expects the patient's temperature to be lower:

(Multiple Choice)

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Question 8

The gold standard for assessing a patient's core temperature is:

(Multiple Choice)

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Question 9

When the proper size blood pressure cuff is determined,the width of the cuff should be ________% of the circumference of the limb being assessed.

(Short Answer)

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Question 10

The patient is admitted with abdominal pain but also has a history of chronic obstructive pulmonary disease (COPD).His temperature is 37º C with a pulse rate of 88 beats per minute,a respiratory rate of 26,and a blood pressure of 144/92.His O₂ saturation,however,is 87%.The nurse should:

(Multiple Choice)

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Question 11

A person's core temperature is considered the most accurate since it is:

(Multiple Choice)

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Question 12

The patient is brought to the Emergency Department complaining of severe shortness of breath.She is cyanotic and her extremities are cold.In an attempt to quickly assess the patient's respiratory status,the nurse should:

(Multiple Choice)

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(78)

Question 13

The nurse is working on the general surgical unit and is caring for a patient who has a right total mastectomy.To take the patient's vital signs and to accurately assess the patient's blood pressure,it will be necessary to:

(Multiple Choice)

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Question 14

The nurse is preparing to take the patient's temperature.Which of the following may cause the temperature to fluctuate? (Select all that apply.)

(Multiple Choice)

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(76)

Question 15

When heat loss mechanisms are unable to keep pace with heat production,____________ is the result.

(Short Answer)

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Question 16

___________ is the sound of the tricuspid and mitral valves closing at the end of ventricular filling.

(Short Answer)

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Question 17

_________ is the sound of the pulmonic and aortic valves closing at the end of the systolic contraction.

(Short Answer)

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Question 18

The nurse is caring for an infant in the NICU.While taking vital signs,the nurse finds that the baby's heart rate is 195.The nurse calls the physician,knowing that the normal heart rate should be:

(Multiple Choice)

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(83)

Question 19

The nurse chooses a sphygmomanometer that has a circular gauge and a needle that registers the millimeter calibrations.This type of device is known as a(n):

(Multiple Choice)

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(80)

Question 20

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Exam 5: Vital Signs

After applying the sphygmomanometer to the patient's upper arm,the nurse inflates the cuff to the proper level,and then,using a stethoscope,listens for the __________________ sounds.

Which of the following processes are involved in respiration? (Select all that apply.)

The patient has an order to be off the floor for 15 minutes every 2 hours to smoke a cigarette.The patient has just returned from his "cigarette break." The nurse is about to take the patient's radial pulse and should:

An irregular heartbeat,often found in children,that speeds up with inspiration and slows down with expiration is known as a sinus ___________.

When inserting a rectal thermometer,the nurse encounters resistance.The nurse should:

To conduct an assessment of a possible pulse deficit:

The nurse is about to take vital signs on a newborn patient in the nursery.She should:

When evaluating the patient's temperature levels,the nurse expects the patient's temperature to be lower:

The gold standard for assessing a patient's core temperature is:

When the proper size blood pressure cuff is determined,the width of the cuff should be ________% of the circumference of the limb being assessed.

The patient is admitted with abdominal pain but also has a history of chronic obstructive pulmonary disease (COPD).His temperature is 37º C with a pulse rate of 88 beats per minute,a respiratory rate of 26,and a blood pressure of 144/92.His O2 saturation,however,is 87%.The nurse should:

A person's core temperature is considered the most accurate since it is:

The patient is brought to the Emergency Department complaining of severe shortness of breath.She is cyanotic and her extremities are cold.In an attempt to quickly assess the patient's respiratory status,the nurse should:

The nurse is working on the general surgical unit and is caring for a patient who has a right total mastectomy.To take the patient's vital signs and to accurately assess the patient's blood pressure,it will be necessary to:

The nurse is preparing to take the patient's temperature.Which of the following may cause the temperature to fluctuate? (Select all that apply.)

When heat loss mechanisms are unable to keep pace with heat production,____________ is the result.

___________ is the sound of the tricuspid and mitral valves closing at the end of ventricular filling.

_________ is the sound of the pulmonic and aortic valves closing at the end of the systolic contraction.

The nurse is caring for an infant in the NICU.While taking vital signs,the nurse finds that the baby's heart rate is 195.The nurse calls the physician,knowing that the normal heart rate should be:

The nurse chooses a sphygmomanometer that has a circular gauge and a needle that registers the millimeter calibrations.This type of device is known as a(n):

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The patient is admitted with abdominal pain but also has a history of chronic obstructive pulmonary disease (COPD).His temperature is 37º C with a pulse rate of 88 beats per minute,a respiratory rate of 26,and a blood pressure of 144/92.His O₂ saturation,however,is 87%.The nurse should: