Week 5

Question 0

What does S.M.A.R.T stand for?

Answer 0

S-Specific
M-Measurable
A-Attainable
R-Realistic
T-Time limited

Question 1

What are the steps of the Nursing Process?

Answer 1

1. Assessment
2. Nursing Diagnosis
3. Planning/Goal Setting
4. Intervention
5. Evaluation

Question 2

Vital signs include the following:

Answer 2

TPR- temperature, pulse, and respirations.
B/P- Blood Pressure
O2 (oxygen) saturation

Question 3

Why do we measure Vital Signs?

Answer 3

Vital signs reflect change in function that might otherwise not be observed.

Question 4

What is the average body temperature?

Answer 4

37 degrees C

Question 5

What is the normal range for body temperature?

Answer 5

36-38 degrees C

Question 6

What are the common sites for Temperature Assessment?

Answer 6

Oral, Axillary, Tympanic membrane, and Rectal

Question 7

What is the normal range for adults when taking the pulse?

Answer 7

60-100 beats/min

Question 8

What is a pulse?

Answer 8

Palpable bounding of blood flow noted at various points on the body.

Question 9

Where do we take pulses?

Answer 9

Temporal, Cartoid, Apical, Brachial, Radial, Ulnar, Femoral, Popliteal, Posterior tibial, Dorsalis pedis.

Question 10

What is bradycardia?

Answer 10

rate < 60

Question 11

What is Tachycardia?

Answer 11

rate >100

Question 12

What is the normal range for adults when taking respiration?

Answer 12

12-20 breaths/min.

Question 13

1 respiration is equal to what?

Answer 13

1 inspiration and 1 expiration (inhaling and exhaling)

Question 14

What is the normal range if you use the pulse oximetery (SpO2)?

Answer 14

95-100% in room air.

Question 15

What are the sites to avoid when taking a B/P?

Answer 15

Arm with an IV, PICC line (peripherally inserted central catheter), Dialysis port, Mastectomy (if bilateral use thigh cuff), Surgery, and Amputation.

Question 16

What is vasodilation?

Answer 16

Blood vessels are widening.

Question 17

What is vasoconstriction?

Answer 17

Blood vessels are narrowing.

Question 18

How do we lose heat?

Answer 18

Through radiation, conduction, convection, evaporation, diaphoresis.

Question 19

Skin regulates body temperature through:?

Answer 19

Insulation, Temperature sensation, Vasoconstriction & Vasodilation.

Question 20

What are the factors affecting body temperature?

Answer 20

Age, Exercise, Hormones, Circadian Rhythm, Stress, Environment, and Temperature Alterations.

Question 21

There are three phases of a fever (Pyrexia). What are they?

Answer 21

Phase 1- The Chill Phase
Phase 2- The Plateau
Phase 3- Resolution

Question 22

What are the factors that influence B/P?

Answer 22

Age, Stress, Ethnicity, Gender, Daily variations, Medications, and Activity, Weight, and Smoking.