Quiz #3 Flashcards

1
Q

Is there a difference between blood pressure taken in the right arm and left arm?

A

BP in the left arm and right arm usually differ by more than 15 mm Hg

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2
Q

Orthopnea

A

The need to sit or stand to breathe normally

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3
Q

The name of the tool used to measure ‘oxygen saturation’

A

Pulse oximeter

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4
Q

Adventitious sounds, such as ‘wheezes’ and ‘stridor’ can be heard in what pulmonary conditions?

Wheezes: ________ & _________
Stridor: ________& _________

A

Wheezes: Asthma & COPD
Stridor: Croup & epiglottitis

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5
Q

Know the following norms:

Ventilation rate for an adult \_\_\_\_\_\_\_\_
O2 (oxygen) sat reading \_\_\_\_\_\_\_
BP (blood pressure) reading \_\_\_\_\_\_\_
Temperature reading \_\_\_\_\_\_\_\_\_
Pulse rate \_\_\_\_\_\_\_\_
A
12-20 breathes/min
95-100%
120/80
37 degrees C (range 36-38 degrees C)
60-100 bpm
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6
Q

4 common sites for temperature measurement (medical terminology)

A
Ear(tympanic);
Mouth(oral) ;
Axilla(armpit) ;
Rectum;
Forehead;
Temporal artery
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7
Q

How is blood pressure recorded?

A

Systolic/diastolic

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8
Q

What is the ‘pulse oximetry’ used to measure?

A

Pulse and O2 sat

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9
Q

The medical term for ‘blood pressure cuff’? (watch spelling)

A

Sphygmomanometer

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10
Q

A sphincter is the name of the equipment used to measure BP.

True or False

A

False

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11
Q

Where are the common peripheral pulse sites?

A

Radial & carotid arteries

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12
Q

Can medication cause a change to VS?

A

Yes

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13
Q

Hypotension (and two common causes)

A

Less than 100/60; causes are hemorrhage and medications

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14
Q

Hypertension (and two common causes)

A

Greater than 140/90; causes are cholestetol and stress

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15
Q

What are we looking for when measuring respirations?

A

Rate, depth, and rhythm

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16
Q

The ‘hypothalamus’ in the brain is in the body’s thermostat.

True or False

A

True

17
Q

Abbreviations for:

1) Temperature, Pulse, Respirations
2) Blood pressure
3) Oxygen sats

A

1) TPR
2) BP
3) O2 sat

18
Q

Heat a byproduct of _____.

A

Metabolism

19
Q

Normal body temp. varies through the day.

True or False

A

True

20
Q

4 common signs and symptoms of respiratory dysfunction

A

Cough
dyspnea
sputum production &
chest pain/discomfort

21
Q

Ventilation is ________

A

The movement of gases in and out of the lungs

22
Q

A pt. Has been admitted with pneumonia.
VS are:
BP 112/64, HR 102, RR 26, T 37.9c.

Which VS requires immediate attention?

A

RR of 26

23
Q

A pt. Arrives at health clinic, c/o headache, BP right arm, 170/88, left arm 188/92, states ran out of BP meds.
What is Nurse’s priority?

A

Notify the physician

24
Q

Pt unable to keep oral thermometer in her mouth, what should the nurse do?

A

Obtain the temperature from another site

25
Q

You can delegate your VS to someone else and let go of the entire responsibility.
True or False

A

False (you can delegate to someone else but you are solely responsible to interpret the results)

26
Q

Cheyne-stokes respirations

A

Labored, with periods of apnea alternating with deep breaths, rate of 8 breaths per minute