Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

skills exams > skills exam 2 > Flashcards

skills exam 2 Flashcards

1
Q

What is the normal range for temperature?

A

96.8F-100.4F (36C-38C)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the normal range for heart rate?

A

60-100 BPM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the normal range for respirations?

A

12-20 breaths per min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the normal range for blood pressure?

A

> 90/60-<120/80

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the normal findings for SpO2?

A

≥94%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the six vital signs?

A 
Heart rate
Temperature
Respirations
Blood pressure
Oxygen saturation
Pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What controls temperature in the body?

A

The hypothalamus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the medical term for fever?

A

Pyrexia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the most common temperature measurement sites?

A 
Oral
Temporal
Tympanic (ear)
Rectal
Axillary (armpit)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When are vital signs taken?

A
  • On admission to a healthcare facility
  • During home care visits
  • Before a provider examines the patient and after any invasive procedures
  • In a hospital on a routine schedule according to standards of practice or provider’s order
  • Before, during, and after blood transfusion
  • Before, during, and after surgery or invasive diagnostic/treatment procedure
  • Before, during, and after administrating medication/therapies that can affect vitals
  • When a patient’s condition changes
  • Before, during, and after nursing interventions
  • When a patient reports nonspecific symptoms of physical distress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is tachycardia?

A

Elevated HR (>100 bpm)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is bradycardia?

A

Slow HR (<60 bpm)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What do you do if the pulse is irregular?

A

Auscultate the apical pulse for 1 minute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How do you find the apical pulse?

A
  1. Have the patient sit or lay down
  2. Find the sternal notch, located in between the clavicles
  3. Find the angle of louis, right below the sternal notch
  4. Move your hand slightly to their left side, and begin to count intercostal spaces (begin at space #2)
  5. Once you find the fifth intercostal space, move your hand so that it is midclavicle
  6. Place the diaphragm of your stethoscope in this location, place firmly and securely on chest
  7. Each “lub-dub” is one beat, count for 60 seconds to determine accurate heart rate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What can cause an oral temperature to be inaccurate?

A
  • If the patient consumes food/fluid

- If the patient is receiving oxygen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is diaphoresis?

A

Visible perspiration

17
Q

What is blood pressure measured in?`

A

mm Hg (millimeters of mercury)

18
Q

What is systolic pressure?

A

The top number, force of contraction, the first sound you hear

19
Q

What is diastolic pressure?

A

The bottom number, the relaxation/filling phase of heart cycle, the last sound you hear

20
Q

How much will the systolic reading change for a lower extremity?

A

10 mmHg or more (because of gravity)

21
Q

When should you avoid using an extremity to take blood pressure?

A

If dressing, cast, peripheral IV, or fistula is present

22
Q

When is pain considered chronic?

A

Pain that lasts longer than 3 to 6 months

23
Q

What are six descriptors for pain?

A

Dull, aching, throbbing, sharp, stabbing, burning

24
Q

What is the maximum 24 hour dose for Tylenol?

A

4 grams per 24 h in a healthy individual, 3 grams in an older adult or a patient with liver disease

25
Q

What is the generic name for Tylenol?

A

Acetaminophen

26
Q

What are three NSAIDS?

A

Aspirin, ibuprofen, and naproxen

27
Q

What does NSAIDS mean?

A

Non-steroidal anti-inflammatory drugs

28
Q

What are two risks with NSAIDS?

A

Increases gastrointestinal irritation
Can reduce blood flow to the kidneys and cause kidney related issues, avoid giving NSAIDS to older adults (they already have decreased kidney function)

29
Q

What is a risk with Tylenol?

A

Can cause hepatotoxicity (liver toxicity)

30
Q

What does a nurse need to assess before and after administering opioids?

A

Vital signs before and after: HR, BP, RR, O2
Pain level
Mental status

skills exams (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions