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CNA Chapter 28 Nutrition > Chapter 31 > Flashcards

Chapter 31 Flashcards

1
Q

Vital signs of the body function are?

A
  1. Temperature
  2. Pulse
  3. Respiration
  4. Blood Pressure
  5. Pulse Oximetry
  6. Pain
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2
Q

What are the 4 “As” that affect vital signs?

A
  1. Activity
  2. Age
  3. Anger
  4. Anxiety, fear
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3
Q

T/F: Bio. Sex, drugs, eating, and illness don’t affect vital signs

A

FASE: All do

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4
Q

What are the 2 “Ws” affecting vital signs?

A

Weather and weight

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5
Q

T/F: Pain, sleep, stress, smoking affect vital signs

A

True

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6
Q

T/F: A patient under the 4 or 5 years of age can receive oral temp.

A

FALSE: Anyone under 4 or 5 years of age are not taken

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6
Q

A person who is unconscious, receiving oxygen, and had surgery or injury to the face, neck, nose, or mouth cannot have _______ temperature taken

A

Oral

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7
Q

A person who breathes through the mouth, has a sore mouth, or has a convulsive disorder, cannot have _______ temperature taken

A

Oral

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7
Q

Persons who are paralyzed on 1 side of the body, has a naso-gastric tube, or may be confused, restless, or disoriented, cannot have their _______ temperature taken

A

Oral

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8
Q

Rectal sites is used for _______ and children under _____ years old

A
  • Infant
  • 3 years old
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9
Q

A patient who is confused or agitated, and has a heart disease cannot have their _______ temperature taken

A

rectal

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10
Q

T/F: You can take the axillary temperature after bathing

A

FALSE

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11
Q

What is the baseline temperature for oral and rectal?

A
  • Oral: 98.6 F (37.0C)
  • Rectal: 99.6 F (37.5C)
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12
Q

What is the basline temperature for Axillary and Tympanic membrane

A
  • Axillary 97.6F (36.5C)
  • Tympanic membrane 98.6F (37.0C)
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13
Q

What is the temporal artery basline and normal range?

A

99.6 F (37.5C) for both

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14
Q

What is the normal range for oral temperature?

A

97.6F to 99.6F

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15
Q

What is the normal range for rectal temperature?

A

98.6 F to 100.6 F

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16
Q

What is the normal range for axillary temperature?

A

96.6F to 98.6F

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17
Q

Rectal probes are what color?

A

Red

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18
Q

Oral and axillary probes or stems are what color?

A

Blue

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19
Q

For a glass thermometer, the ______ part is held. The _____ is inserted at the measurement site

A
  • Stem
  • Tip
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19
Q

How long does it take to measure oral temperature with a glass thermometer?

A

2 to 3 minutes

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20
Q

How long does it take to measure rectal temperature with a glass thermometer?

A

2 minutes

21
Q

How long does it take to measure axillary temperature with a glass thermometer?

A

5 to 10 minutes

21
Q

When taking a tympanic membrane temperature, what part of the body should you touch?

A

Pull up and back on the adult’s ear to straighten ear canal

22
Q

The _____ pulse is used most often

A

radial

23
Q

The ______ pulse is over the tip of the heart

A

apical

24
Q

_______ is a rapid heart rate.

A

Tachycardia

25
Q

______ is when the heart rate is more than 100 beats per minute

A

Tachycardia

26
Q

_____ is the beat of the heart felt at an artery as a wave of blood passes through the artery

A

Pulse

27
Q

______ is a slow heart rate

A

Brachycardia

28
Q

______ is when the heart rate is less than 60 beats per minute

A

Brachycardia

29
Q

The ____ pulse is used for routine vital signs

A

radial

30
Q

The apical pulse is located where?

A

2 to 3 inches left of the sternum

31
Q

______ means breathing air into and out of the lungs

A

respiration

32
Q

Healthy adult has __ to __ respirations per minute

A

12 to 20 respirations

33
Q

_________ is the amount of force exerted against the walls of an artery by the blood

A

Blood pressure

33
Q

______ pressure is the pressure in the arteries when the heart contracts

A

Systolic pressure

34
Q

_______ pressure is the pressure in the arteries when the heart is at rest

A

Diastolic pressure

34
Q

How is BP measured?

A

Millimeters (mm) of mercury (Hg)

35
Q

What is the normal range for systolic pressure?

A

90 mm Hg or higher but lower than 120 mm Hg

36
Q

What is the normal range for diastolic pressure?

A
  • 60 mm Hg or higher but lower than 80 mm Hg
  • (60-80 mm Hg)
37
Q

What is hypotension?

A

low blood pressure

38
Q

What is hypertension?

A

high blood pressure

39
Q

What is the normal range for blood pressure?

A

120 over 80 mm Hg

40
Q

If the systolic pressure is below 90 mm Hg and the diastolic pressure is below 60 mm Hg, this is considered?

A

Hypotension

41
Q

Let the person sit __ to __ minutes before measuring BP

A

10 to 20 minutes

42
Q

Inflate the cuff ____ mm Hg to ___ mm Hg

A

180 mm Hg to 200 mm Hg

43
Q

Deflate the cuff at an even rate of __ to __ millimeters per second

A

2 to 4

44
Q

What is pulse oximetry?

A

Measures the oxygen level in the blood

45
Q

_______ _______ is often measured with temperature, pulse, respiration, and blood pressure

A

Pulse oximetry

46
Q

_______ and _______ are measured on admission to the agency

A

Height & weight

47
Q

Have the person void before being ______

A

Weighed

48
Q

What should you place on the scale platform, other than the patient?

A

Paper towel

49
Q
  • Report pulse rate if it’s less than ____ mm Hg.
  • What is this called?
A
  • 60 mm Hg
  • Brachycardia
50
Q
  • Report pulse rate if it’s more than _____ mm Hg.
  • What is this called?
A
  • 100
  • Tachycardia
51
Q

What is the normal range for tympanic membrane?

A

98.6 F

CNA Chapter 28 Nutrition (6 decks)

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