Quiz 1d

Question 1

5 vital signs

Answer 1

BP, HR, RR, temp, pain

Question 2

Where is BP highest?

Answer 2

Arteries

Question 3

Where is bp lower and lowest?

Answer 3

Capillaries; veins

Question 4

Bp: —/—

Answer 4

Systolic/diastolic

Question 5

6 influences on BP

Answer 5

1. Blood vol
2. Elasticity of arteries
3. Cardiac output
4. Age
5. Exercise
6. Valsalva

Question 6

Normal BP

Answer 6

<120/<80

Question 7

Prehypertension BP

Answer 7

120-139/80-89

Question 8

Hypertension stage 1

Answer 8

140-159/90-99

Question 9

Hypertension stage 2

Answer 9

> 160/>100

Question 10

What is pulse caused by?

Answer 10

A wave of blood in an artery created by contraction of LV

Question 11

3 things to observe from pulse

Answer 11

Rate, rhythm, volume

Question 12

6 factors that affect pulse

Answer 12

1. Age
2. Sex
3. Emotion
4. PA level
5. Body size
6. Systemic or local heat/cold

Question 13

How many liters circulate through body each min?

Answer 13

5-6

Question 14

3 reasons for positioning

Answer 14

1. Prevent contractures
2. Promote mobility
3. Prevent pressure on skin, circulatory and neuronal structures

Question 15

4 causes of pressure injuries

Answer 15

1. Decreased sensation
2. Increased moisture
3. Sheering
4. Ischemia

Question 16

6 head and trunk BP that cause pressure injuries in supine

Answer 16

1. Occ tuberosity
2. Spine of scap
3. Inf angle of scap
4. Vert processes
5. Sacrum
6. Post iliac crest

Question 17

5 head and trunk BP that cause pressure injuries in prone

Answer 17

1. Forehead
2. Lateral ear
3. Acromion
4. Sternum
5. ASIS

Question 18

3 head and trunk BP that cause pressure injuries in sitting

Answer 18

1. Ischial tub
2. Scapula
3. Vertebral prominence

Question 19

UE BP that causes pressure injury in supine, sidelying and sitting

Answer 19

Medial epicondyle of humerus

Question 20

UE BP that causes pressure injury in prone

Answer 20

Anterior head of humerus

Question 21

4 LE BP that cause pressure injuries in supine

Answer 21

1. Post calcaneus
2. Greater troch
3. Head of fib
4. Malleolus

Question 22

3 LE BP that cause pressure injuries in prone

Answer 22

1. Patella
2. Ridge of tibia
3. Dorsum of foot

Question 23

2 LE BPs that cause pressure injuries in side lying

Answer 23

1. Medial condyle of femur

2. Malleolus of tib

Question 24

LE BP that causes pressure injuries in sitting

Answer 24

Fib head

Question 25

4 common contracture sites

Answer 25

1. Hip flexion; external rotation
2. Knee flexion
3. Ankle plantar flexion
4. Shoulder adduction, internal rotation

Question 26

3 precautions for positioning

Answer 26

1. Avoid folds in linen
2. Observe skin color
3. Caution w bony prominences

Question 27

THR precautions (5)

Answer 27

1. No internal rotation
2. No adduction
3. No flexion at hip >90 degrees
4. Consider surgical approach
5. Scar area

Question 28

3 TKR precautions

Answer 28

1. No pillows under knee
2. CPM device (continuous passive motion)
3. Scar area