PCM Exam 2 Flashcards
An SpO2 measurement of 88% would be considered:
A) Hypoxemia
B) Normal Blood Oxygen
C) Hyperoxemia
A) Hypoxemia
Blood pressure measurement at the time of contraction of left ventricular contraction is a measure of:
A) Diastolic
B) Systolic
B) Systolic
Age impacts our vital signs: Patients with 65 and older generally present with:
A) Lower pulse rate
B) Lower systolic mmHG reading
C) Higher diastolic mmHG reading
D) Lower respiratory rate
A) Lower pulse rate
Exercise impacts our vitals: An Abnormal response for BP may include:
A) Diastolic increases less than 5-10 mmHG during exercise
B) Systolic increases at rapid rate with decreased intensity
C) Diastolic increases more than 10-15 mmHG during exercise
D) Systolic declines gradually to resting level at end of exercise
C) Diastolic increases more than 10-15 mmHG during exercise
A report of deep, dull nagging pain is most indicative of pain initiating from:
A) Nerve root
B) Bone
C) Vasculature
B) Bone
Which of the following is a primary aspect of Title 1 of the Americans with Disabilities Act (ADA)?
A) Accessibility to public accommodations
B) Prohibition of employment discrimination for individuals with disabilities
C) Telecommunication accessibility
D) Requirements for reasonable modifications in public services
B) Prohibition of employment discrimination for individuals with disabilities
Which provision of the ADA addresses accessibility to public accommodations and commercial facilities?
A) Title I
B) Title II
C) Title III
D) Title IV
C) Title III
Which of the following is NOT an example of a reasonable accommodation?
A) Requiring extensive education for a position
B) Providing additional seated rest breaks for an employee
C) Providing wheelchair to an employee
A) Requiring extensive education for a position
Who is considered a qualified individual with a disability under the ADA?
A) Any person with a medical condition
B) Any person who requires accommodation
C) Any person who meets job-related requirements with or without accommodations
D) Any person with a physical or mental impairment
C) Any person who meets job-related requirements with or without accommodations
How far above the floor should electrical outlets be installed in a wheelchair accessible home?
A) 12 inches
B) 18 inches
C) 24 inches
D) 30 inches
B) 18 inches
What is the maximum recommended threshold height for doorways in a wheelchair-accessible home?
A) 0.5 inch
B) 1 inch
C) 1.5 inch
D) 2 inches
A) 0.5 inch
What is the optimal turning radius for a wheelchair-accessible kitchen?
A) 2 feet
B) 3 feet
C) 4 feet
D) 5 feet
D) 5 feet
What type of allergic reactions is seen after an organ transplant when the body rejects donor organ?
A) Type I
B) Type II
C) Type III
D) Type IV
B) Type II
What are the common signs and symptoms of shock?
A) Red, dry skin and slow breathing
B) Warm clammy skin and strong pulse
C) Pale, moist skin and shallow breathing
D) Blue lips and slow heart rate
C) Pale, moist skin and shallow breathing
Which of the following statements is true regarding heat-related illnesses?
A) Heat strokes is less threatening that heat exhaustion
B) Both heat exhaustion and heat stroke can result from cold environments
C) Dehydration and vigorous physical activity are potential causes
D) Muscle cramps are not associated with heat-related illnesses
C) Dehydration and vigorous physical activity are potential causes
What is the acceptable range for human oral or body temperature?
96F to 99.3F
(98.6F is average)
How does time of day affect Body temperature?
Body temperature is usually lower in the early morning and higher in the afternoon.
How does age affect body temperature?
Body temp. tends to decrease slightly with age and is increased slightly in the very young.
How does environmental temp. affect body temp.?
Body temp. will be increases slightly in hot environment and it will be decreased slightly in cold environment.
How can infection affect body temp.?
Body temp. increases with a major or systemic infectious process
How can physical activity affect body temp.?
Body temp. usually increases slightly with physical activity but reaches plateau as the person becomes better conditioned.
How can emotional statues affect body temp.?
Body temp. increases slightly during stressful or emotional periods.
How can the site of measurement affect body temp.?
Body temp are slightly higher if measured rectally, and slightly lower if measured in the axilla compared to oral values.
How can menstrual cycle affect body temp.?
Body temp. is slightly higher at the time of ovulation, and pregnant women tend to be slightly higher than usual.
How can the oral cavity temp. affect the body temp.?
Body temp. measurement may be inaccurate if measured orally within 14-30 minutes of ingestion of warm or cold substances or smoking; the body core temp. is not affected by these factors.
If a person has normal body temp. before treatment they can be monitored during or after treatment. If excessive temp. is observed or measured what should you do?
Give the patient adequate rest to allow the body temp. to become stabilized at the normative value.
What are the sites to asses body temp.?
-Oral cavity
-Rectum
-Ear canal
-Forehead
-Temporal lobe
-Inguinal fold (occasionally)
-Axilla
What area is the most accurate to asses body temp.?
Rectum
What area is the most common and convenient to asses body temp.?
Oral cavity
What is the accepted normative range for the resting HR (pulse) in adults?
60-100 beats/min
What is the resting HR for well-conditioned athletes?
40-60 beats/min
How can age affect pulse?
Adults age 65 and older may exhibit a decreased pulse, while adolescents and younger usually exhibit increased pulse.
How can sex affect pulse?
Male pulse rates are usually slightly lower than female rates.
How can environmental temperatures affect pulse?
Pulse rates tend to increase with high temps. and decrease with low temps.
How can infection affect pulse?
Pulse rate tend to increase with a major infectious process
How can physical activity affect pulse?
Normally the pulse rate should increase rapidly in response to vigorous exercise, plateau or stabilize as the intensity plateaus and then declines as the intensity declines.
How can emotional statues affect pulse?
Pulse rate increases during episodes of high stress, anxiety, or emotion and may decrease when the person is asleep or in a state of extreme calm.
How can medications affect pulse rate?
Various medications may cause pulse rate to increase or decrease depending of the effect on the cardiovascular system.
How can cardiopulmonary disease affect pulse?
Conditions of both heart and peripheral vascular system and their ability to function normally affect the pulse rate.
-(Hypertension may exhibit slower pulse rate)
-(Hypotension may exhibit faster pulse rate)
How can physical conditioning affect pulse?
A person with frequent or sustained aerobic exercise exhibit a lower than normal pulse rate.
What are the pulse measurement sites?
-Temporal
-Carotid
-Brachial
-Radial
-Femoral
-Popliteal
-Dorsal pedal
-Posterior tibial
What are the most common pulse measurement sites?
Radial and carotid
A strong and regular pulse indicates?
Even beats with a good force to each beat
A weak and regular pulse indicates?
Even beats with a poor force to each beat
A irregular pulse indicates?
Both weak and strong beats occurring during the period of measurement
A thready pulse indicates?
A weak force to each beat and irregular beat
What is tachycardia?
Rapid HR (>100 beats/min)
What is bradycadia?
Slow HR (<60 beats/min)
If you measure the pulse rate of a patient for 10 seconds, what is the margin of error?
If you measure the rate for 10 seconds and multiply by 6, the margin of error is +/- 6 beats/min.
If you measure the pulse rate of a patient for 15 seconds, what is the margin of error?
If you measure the rate for 15 seconds and multiply by 4, the margin of error is +/- 4 beats/min
If you measure the pulse rate of a patient for 30 seconds, what is the margin of error?
If you measure the rate for 30 seconds and multiply by 2, the margin of error is +/- 2 beats/min
What is the normative systolic/diastolic value for Blood Pressure?
120/80
What are the prehypertension rate for adults?
120-139 / 80-89
What are the stage 1 hypertension ranges for adults?
140-159 / 90-99
What are the stage 2 hypertension ranges for adults?
160-179 / 100-109
What are the hypertension ranges for hypertension crisis?
> 180/>110
Which artery is the most common site for BP?
Brachial Artery
How can age affect BP?
Young patients may have lower systolic and diastolic values.
Older adults (>65) may have higher systolic and lower diastolic values
How can physical activity affect BP?
Systolic should gradually increase as intensity increases, plateaus as exercise plateaus, decrease as exercise decreases.
Diastolic should not change throughout exercise.
How can emotional stress affect BP?
BP increases during episodes of high stress, anxiety, or emotion
How can Medications affect BP?
Various medications may cause increase or decrease depending on the meds. effect on the cardiovascular system
(Meds to control hypertension may result in a temporary state of hypotension in some patients)
How can Size and condition of arteries affect BP?
Arteries that have reduced lumen have higher BP values
Arteries that have decreased elasticity produce an increased systolic and decreased diastolic value.
How can arm position affect BP?
BP may lower when that arm is lowered or raised from the level of the fourth intercostal space and elbow extended.
How can a muscle contraction affect BP?
May increase BP
How can blood volume affect BP?
BP decreases when blood loss occurs and increases with increase in blood volume
How can dehydration affect BP?
Significant decrease of body fluids may cause low BP
How can cardiac output affect BP?
Systolic increases with increase cardiac output and decreases with decreased cardiac output
How do the sites of measurement affect BP?
BP values are normally higher in the upper left than in the upper right extremity; if the thigh is used for measurement, systolic is typically higher.
In the assessment of respiration, how might a patient appear if they are an upper-chest breather?
The thorax elevates and expands during inspiration and the abdomen is motionless.
In the assessment of respiration, how might a patient appear if they are an abdominal breather?
Expansion of the abdomen, thorax is motionless.