Client Status Flashcards

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1
Q
In addition to height and weight, taking infant body measurements includes which of the following?
 Length of arms and legs
 Chest diameter
 Head circumference
 Height in the sitting position
A

Head circumference

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2
Q

What are the four main vital signs?
Temperature, pain, pulse, and blood pressure
Temperature, pulse, respirations, and blood pressure
Consciousness, temperature, pulse, and respirations
Temperature, pulse, size of pupils, and respirations

A

Temperature, pulse, respirations, and blood pressure

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3
Q

Which of the following describes correct technique for measuring height and weight?
Infants are buckled onto infant scales to prevent falls
Raise the scale’s height bar while the patient is standing on the scale platform.
Keep your hand on the patient’s shoulder while recording the weight.
Read the weight when the balance bar is centered between the upper and lower guides.

A

Read the weight when the balance bar is centered between the upper and lower guides.

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4
Q

Your patient is considerably overweight. As you measure the patient’s body weight, what should you do?
Attempt to put the patient at-ease by saying something like, “I never would have guessed that!”
Tell the patient that they have gained weight since their last appointment and suggest diet and exercise.
Tell the patient the weight measurement, despite being in a busy area of the office.
Record the patient’s weight in the chart and allow the physician to discuss it with the patient.

A

Record the patient’s weight in the chart and allow the physician to discuss it with the patient.

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5
Q

Which of the following is true of vital signs?
Vital signs are the only indicators of a patient’s health.
It is critical you know how to measure vital signs accurately.
You will rarely need to measure a patient’s vital signs
Measurement of pain isn’t necessary if you have already measured the patient’s vital signs.

A

It is critical you know how to measure vital signs accurately.

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6
Q
Which of the following measurements can be used to record height?
 Inches
 Feet
 Centimeters
 All of the above
A

Inches
Feet
Centimeters
(All of the above)

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7
Q

Which of the following is the most important indicator of health of the body?
Color of the skin and size of the pupils
Level of consciousness
Pain and the patient’s reaction to stimuli
Vital signs

A

Vital signs

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8
Q

Which of the following is true of height and weight measurements?
There is one height-weight chart for both males and females
Abnormalities are not a reliable indicator of disease.
They can be used to monitor growth, dose medication, and order lab tests.
An infant growth chart is used to document only infant weight.

A

They can be used to monitor growth, dose medication, and order lab tests.

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9
Q

Your patient has an oral temperature reading of 92.8°F. What should you do?
Alert the physician immediately.
Assume the patient has not been eating or is sleeping a lot lately.
Record the reading and wait for the physician to address the measurement.
All of the above

A

Alert the physician immediately.

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10
Q
Which of the following methods is NOT used to take a temperature?
 In the rectum
 On the hand
 In the ear or mouth
 Under the arm
A

On the hand

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11
Q

Which of the following shows a temperature measurement documented correctly?
2/15/XX, 1600, 101.2, Gloria Jackson, MA
5/2/XX, 99.8 O, Tina, MA
Today at 0920, 100.1
10/09, I took the patient’s oral temperature at 1140 and it was 98.6. Jenn Thompson, MA

A

2/15/XX, 1600, 101.2, Gloria Jackson, MA

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12
Q

Where should the thermometer be located in the patient’s mouth for an oral reading?
Over the tongue, toward the side of the mouth
Under the tongue, toward the front of the mouth
Under the tongue, toward the side of the mouth
Over the tongue, toward the back of the mouth

A

Under the tongue, toward the side of the mouth

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13
Q

Which of the following describes the correct use of a tympanic thermometer?
Place just the tip of the thermometer inside the ear canal.
Sterilize the thermometer in disinfectant after each use.
Read the temperature after 60 seconds.
Use plastic covers to prevent the spread of infection.

A

Use plastic covers to prevent the spread of infection.

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14
Q
Which of the following rectal temperatures indicates hyperthermia?
 93°F
 99°F
 100°F
 105°F
A

105°F

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15
Q

What does temperature measure?
The amount of heat gained by the body fighting an illness
The amount of heat destroyed by the body
The severity of an infection
The balance between heat produced and heat lost

A

The balance between heat produced and heat lost

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16
Q

You just dropped and broke a glass/mercury thermometer. What should you do?
Clean it up later, you are already running behind.
Immediately get someone with experience and a Hazardous Materials kit to clean it up.
Get a dustpan and brush, sweep up the mess, and throw it in the trash can.
All of the above

A

Immediately get someone with experience and a Hazardous Materials kit to clean it up.

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17
Q
Which of the following temperatures is considered febrile and would likely prompt a physician to administer fever-reducing medications?
 A rectal temperature of 100.3°F
 An axillary temperature of 97°F
 An oral temperature of 100.5°F
 A tympanic temperature of 100.1°F
A

An oral temperature of 100.5°F

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18
Q

Which of the following shows a tympanic measurement?

  1. 3 O
  2. 3 E
  3. 3
  4. 3 T
A

102.3 T

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19
Q

Which of the following is true of temperature?
Abnormal temperature is a sign of homeostasis.
Measurements can be affected by infection, activity, eating, and metabolism.
Thermometers are either electronic, plastic or tympanic.
There are three methods of measuring temperature.

A

Measurements can be affected by infection, activity, eating, and metabolism.

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20
Q

Which of the following is true about pulse?
Privacy is required when taking a patient’s radial pulse.
Apical pulse is palpated, or felt with the hands.
Use your thumb to measure radial pulse.
Apical pulse should be counted for one full minute.

A

Apical pulse should be counted for one full minute.

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21
Q
Where is the carotid pulse site?
 Near the patient’s groin
 Above the patient’s ear
 On the patient’s wrist
 On the side of the patient’s neck
A

On the side of the patient’s neck

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22
Q
Which range is the average pulse rate for infants?
 100 to 160
 60 to 70
 65 to 80
 80 to 110
A

100 to 160

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23
Q
Which of these items INCREASES a person's pulse rate?
 Depressant drugs
 Fever
 Sleep
 Coma
A

Fever

24
Q

Which is an acceptable way to measure radial pulse?
Count pulse for one full minute
Count pulse for 30 seconds and then multiply the number by 2
Count for 15 seconds and then multiply by 4
All of the above

A

Count pulse for one full minute
Count pulse for 30 seconds and then multiply the number by 2
Count for 15 seconds and then multiply by 4
(All of the above)

25
Q

What is pulse deficit?
When the apical pulse and radial pulse are the same
The radial pulse is higher than the apical pulse, which means too much blood is being pumped by the heart
When a patient’s arrhythmia creates a dangerously abnormal pulse
Fewer pulses than heartbeats means that the heart is either too weak or is beating too fast

A

Fewer pulses than heartbeats means that the heart is either too weak or is beating too fast

26
Q
Which method involves examination by listening to the sounds of the body?
 Palpation
 Auscultation
 Examination
 Bradycardia
A

Auscultation

27
Q
While counting pulse, what must you also be aware of?
 The volume and rhythm of the pulse
 The patient’s skin temperature
 The size of the patient’s pupils
 The color of the patient’s skin
A

The volume and rhythm of the pulse

28
Q
Which range is the average pulse rate for adult females?
 60 to 70
 65 to 80
 70 to 90
 80 to 110
A

65 to 80

29
Q
A pulse rate of fewer than 60 beats per minute is described as which of the following?
 Pulse deficit
 Tachycardia
 Bradycardia
 Auscultation
A

Bradycardia

30
Q
Which example is the correct way to record apical pulse?
 68 AP strong and regular
 AP 68 strong and regular
 68 A strong and regular
 A 68 strong and regular
A

AP 68 strong and regular

31
Q

Which pulse assessment can be described as strong, weak, thready, or bounding?
Pulse rhythm
Pulse rate
Pulse volume

A

Pulse volume

32
Q

Which of the following is a definition of pulse?
The pressure of blood pushing against an artery as the heart beats.
The amount of blood being circulated in the body.
The amount of oxygen being transported to body organs.
Synapses in the patient’s brain that keep blood flowing in the body.

A

The pressure of blood pushing against an artery as the heart beats.

33
Q

Mr. Dennis states that he has an arrhythmia. What do you now know about the patient?
The patient may have an abnormal pulse rhythm.
The patient will have a pulse over 70 beats per minute.
The patient’s heartbeats are equally spaced.
The patient will have a bounding and full pulse.

A

The patient may have an abnormal pulse rhythm.

34
Q
Which range is the average pulse rate for adult males?
 80 to 110
 70 to 90
 60 to 70
 65 to 80
A

60 to 70

35
Q
Which is the correct way to record pulse data?
 Strong and regular P 68
 68 P strong and regular
 P 68 strong and regular
 All of the above
A

P 68 strong and regular

36
Q
Where is radial pulse measured?
 Behind the patient’s knee
 On the top of the patient’s foot
 In the crook of the patient’s arm
 On the underside of the patient’s wrist
A

On the underside of the patient’s wrist

37
Q
At which location is apical pulse taken?
 Dorsalis Pedis
 Radial
 Apex of the heart
 Femoral
A

Apex of the heart

38
Q

How is respiration measured?
The seconds it takes for one inhalation
The number of breaths per minute
The combined number of inhalations and exhalations per minute

A

The number of breaths per minute

39
Q

Which of the following is a sign of cyanosis?
Respiration is only easy when the patient is sitting straight up.
Skin and lips turn bluish in color
A pattern of short, shallow breaths followed by deeper breaths
Respiration above 25 breaths per minute

A

Skin and lips turn bluish in color

40
Q
Which of the following respiration rates is considered normal for a three-month-old boy?
 40
 60
 80
 100
A

40

41
Q
Which of the following respiration rates is normal for a six-year-old girl?
 Five
 10
 20
 35
A

20

42
Q
Your patient is having difficulty breathing and has a respiration rate of 5 breaths per minute. Which of the following describes your patient?
 Orthopnea
 Tachypnea
 Bradypnea
 Apnea
A

Bradypnea

43
Q
Which respiration assessment is typically described as normal, shallow, deep, or labored?
 Rate
 Character
 Rhythm
 All of the above
A

Character

44
Q
Which of the following respiration rates is considered normal for an adult male?
 18
 22
 27
 30
A

18

45
Q

Which of the following is true of respirations?
Dyspnea is the temporary absence of respirations.
Apnea is difficult or labored breathing.
Respiration should be counted while your fingers are still in the position used to measure pulse.
Patient’s should be told when their respirations are being assessed.

A

Respiration should be counted while your fingers are still in the position used to measure pulse.

46
Q
Which respiration assessment is typically described as regular or irregular?
 Rate
 Character
 Rhythm
 All of the above
Read
A

Rhythm

47
Q
Which of the following factors can affect blood pressure?
 Patient positioning
 Volume of blood in the arteries
 Force of the heartbeat
 Elasticity of the arteries
 All of the above
A
Patient positioning
 Volume of blood in the arteries
 Force of the heartbeat
 Elasticity of the arteries
(All of the above)
48
Q

Which term is used to describe high blood pressure?
Hypertension
Hypotension
All of the above

A

Hypertension

49
Q

Which of the following is NOT true of blood pressure?
Pulse pressure is the difference between the systolic and diastolic pressure
A sphygmomanometer is the only piece of equipment needed to measure blood pressure.
Abnormal blood pressure for the patient should be immediately reported to your supervisor.
When taking blood pressure and the sound heard through the stethoscope changes to become very faint or stops, the reading on the sphygmomanometer is the diastolic pressure.

A

A sphygmomanometer is the only piece of equipment needed to measure blood pressure.

50
Q
How high above palpatory systolic pressure should the sphygmomanometer cuff be inflated?
 60 mm Hg
 30 mm Hg
 15 mm Hg
 40 mm Hg
A

30 mm Hg

51
Q

What is blood pressure?
The time it takes for the ventricles of the heart to relax after contraction
Measurement of the volume of blood being pumped by the heart
The difference between the patient’s pulse and heartbeats
The force of blood against the artery walls

A

The force of blood against the artery walls

52
Q

Your adult patient’s blood pressure reading is 175 mm Hg systolic and 99 mm Hg diastolic. What should you do next?
Ask the patient about stress or their diet to determine what might cause such a high reading.
Gasp and exclaim to the patient that the reading is really high.
Write it on the patient’s chart and let the physician interpret the measurement.
Quickly but calmly, report the reading to your supervisor.

A

Quickly but calmly, report the reading to your supervisor.

53
Q
A normal range of 100-120 mm Hg is the standard for which blood pressure measurement?
 Systolic
 Diastolic
 Pulse pressure
 All of the above
A

Systolic

54
Q

When taking blood pressure, how should the patient’s arm be positioned?
At heart level, supported, with palm facing up
Across the body with the patient’s hand facing down
Out to the side, not touching any surface
Down along the side of the body with the wrist supported by the patient’s lap

A

At heart level, supported, with palm facing up

55
Q
A normal range of 60-80 mm Hg is the standard for which blood pressure measurement?
 Systolic
 Diastolic
 Pulse pressure
 All of the above
A

Diastolic

56
Q
Which term is used to describe a blood pressure of 90 mm Hg systolic and 50 mm Hg diastolic?
 Hypertension
 Hypotension
 Prehypertension
 Orthostatic hypotension
A

Hypotension