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CNA 2023

Chapter 27 Measuring Vital Signs

QuestionAnswer
The nurse asks you to take an apical-radial puse. Which I s correct? The apical and radial pulses are taken at the same time.
The amount of force exerted against the walls of an artery by the blood is the: blood pressure
The amount of heat in the body that is a balance between the amount of heat produced and the amount lost by the body is: body temperature
A heart rate less than 60 beats/min is: bradycardia
The heart muscle relaxes during: Diastole
The pressure in the arteries when the heart is at rest is: diastolic pressure
A systolic blood pressure that remains above 140 mm Hg and a diastolic pressure that remains above 90 mm Hg is: hypertension
A systolic blood pressure below 90 mm Hg or a diastolic pressure below 60 mm Hg is: hypotension
The beat of the heart felt at an artery as a wave of blood passes through the artery is the: pulse
The difference between the apical and radial pulses is the: pulse deficit
The number of pulses felt in 1 minute is the: pulse rate
The act of inhalation and exhalation is:: respiration
Which of the following is used to measure blood pressure? Sphygmomanometer
Which instrument is used to listen to sounds produced by the body? stethoscope
The period of heart muscle contraction is; Systole
The pressure in the arteries when the heart contracts is known as; systolic pressure
A heart rate over 100 beats/min is: tachycardia
Temperature, pulse, respirations, and blood pressure are: vital signs
Vital signs do which of the following? Detect changes in body function
A resident is 83 years old. You measure the person's vital signs: according to the person's care plan
Vital signs are normally taken with the person: sitting or lying down
Vital signs are immediately reported to the nurse at which of the following times? if there is a change from a pervious measurement
Body temperature is usually the lowest: in the morning
A female resident is 83 years old. Which of the following will affect her body temperature? Weather and exercise
Body temperature is measured at which of the following sites? the rectum
Body temperature is measured at which of the following sites? The tympanic membrane
A resident is 55 years old. The person needs rehabilitation after hip replacement surgery. You take the person's temperature orally. Which measurement is abnormal? 99.8 degrees Fahrenheit
A resident is 55 years old. The person needs rehabilitation after hip replacement surgery. You take the person's tympanic membrane temperature. Which measurement is normal? 98.6 degrees Fahrenheit
Taking temperatures is delegated to you. The nurse and care plan tell you which of the following? What site to use
A rectal thermometer is color-coded in: red
You are taking an oral temperature. How long do you request the person have nothing to eat or drink prior to you taking his or her temperature? 15 to 20 minutes
You are taking a temperature with a tympanic thermometer. How long do you leave the thermometer in place? 1 to 3 seconds
You are taking temperature using a temporal artery thermometer. How long would you anticipate this thermometer taking to obtain a temperature? 3 to 4 seconds
A person has a nasogastric tube. When measuring temperature, you cannot use the _____ site. oral
A person is receiving oxygen. When measuring temperature, you cannot use the ______ site. oral
A person is unconscious. When measuring temperature, you cannot use the _____ site. Oral
A person is paralyzed on the right side. When measuring temperature, you cannot use the _____ site. oral
A person has a convulsive disorder. When measuring temperature, you cannot use the _____ site. oral
A person has diarrhea. When measuring temperature, you will need to avoid the _____ site. rectal
A person has heart disease. When measuring temperature, you should avoid using the ____ site. rectal
For an accurate measurement, the axillary site needs to be: dry
To measure a temporal artery temperature, which is correct? Gently stroke the device gently into the ear
A resident smokes. The person just had a cigarette. How long do you need to wait before taking the person's temperature orally? 15 to 20 minutes
To take a rectal temperature, the person needs to be: in Sims' position
Before inserting a rectal thermometer, you need to: lubricate it.
The tympanic membrane thermometer is inserted: into the ear
A person has dementia. Which site should you use to measure temperature? Tympanic membrane
Temperature-sensitive tape is usually applied to the: forehead
Which is the most common site for taking a pulse? The radial site
The apical pulse is found: just below the left nipple
Which pulse site requires the use of a stethoscope? The apical site
What should you use to clean a stethoscope? Antiseptic wipes
Before placing the stethoscope on the person, you need to warm the diaphragm: in your hand
For an adult, which pulse rate is reported to the nurse at once? 50
For an adult which pulse rate is reported to the nurse at once? 110
You are taking a resident's pulse. The beats are not spaced evenly. How would you describe the person's pulse when reporting to the nurse? Irregular
Your center uses electronic blood pressure equipment. Why do you still need to feel pulses? The rate is given but not the rhythm or force.
A radial pulse Is counted for how many seconds? 30 or 60 seconds, depending on the facility policy
When taking a radial pulse, you need to use: your first 2 or 3 fingers
An apical pulse is usually counted for _____ seconds. 60
When taking an apical pulse, you need to use: a stethoscope
You are taking an apical pulse. Which statement is correct? The lub-dub is counted as one beat.
Which statement about apical-radial pulses is correct? The rates should be equal
How many staff members are needed to take an apical-radial pulse? 2
To obtain the pulse deficit, which is correct? Subtract the radial pulse rate from the apical pulse rate.
When taking an apical-radial pulse, the pulses are counted for _____ seconds 60
Respirations are usually counted after taking the pulse
The healthy adult has _____ respirations per minute. 12 to 20
You are counting a resident respirations. Which statement is correct? Both sides of the person's chest should rise and fall equally
You measured a resident's blood pressure. His diastolic pressure was 78 mm Hg. His systolic pressure was 144 mm Hg. How do you recored these measurements? 144/78 mm Hg
Which of the following factors tend to increase blood pressure? Pain
Which of the following factors tend to increase blood pressure? Being male
Which of the following factors tend to increase blood pressure? Alcohol
Which systolic pressure should you report at once? 138 (because it's higher than normal)
Which systolic pressure should you report at once? 80 (because it's below normal)
Which diastolic pressure should you report at once? 50 (because it's too low)
Which diastolic pressure should you report at once? 100 (because it's too high)
To measure blood pressure, you need a: sphygmomanometer
The blood pressure cuff is applied over the: brachial artery
A resident has a cast on his left wrist. Which statement is correct? Blood pressure is measured on the right arm.
Ten years ago a resident had breast surgery on her right side. Which statement is correct? Blood pressure is measured on the left arm
A resident has an IV in her left arm. Which statement is correct? Blood pressure is measured on the right arm.
A resident just finished his daily exercise program. You need to measure his blood pressure. How long does he need to rest before the measurement? 10 to 20 minutes
The blood pressure cuff is applied: to the bare arm
The diastolic pressure is the ______ sound you hear. Last
You cannot hear a person's blood pressure. What should you do? Tell the nurse at once
You are measuring blood pressure. How fast should you deflate the cuff? 2 to 4 millimeters per second
The systolic pressure is the _____ sound you hear. first
You are measuring blood pressure. How far should you inflate the cuff beyond the point where you last felt the person's pulse? 30 mm Hg
A glass thermometer is appropriate to use to obtain an oral temperature. False
Created by: Healthtrade
 

 



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