Ch 30 Test Review
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| True or False: When taking a patient's temperature, you must indicate in the chart the location that it was taken (o = orally, T = tympanic, A = axillary) | False
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| If a bed ridden patient has chills and shivering What would you expect the body temperature to be? | increased
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| True or False: The volume of the pulse refers to the length of time between each beat. | False
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| Where is the tympanic location for taking a temperature? | in the ear.
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| True or False: The risk of becomming hypertensive increases with the patient's age and weight. | True
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| What is the significance of the the tympanic membrane? | It shares the blood supply that reaches the hypothalamus, which is the brain's temperature regulator.
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| True or False: The pulse rate may vary with the respiratory rate in pediatric patients. | True
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| What does the hypothalamus do? | It is the brain's temperature regulator.
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| Why is the tympanic location the most accurate location for taking a person's temperature? | Because it record the temperature of the blood that is closest to the hypothalamus and therefore reflects a true measure of the core body temperature.
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| The ___________ is considered to be the most accurate location for taking a persons temperature. | tympanic temperature
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| The pulse should be counted for how long to get the most accurate count? | 1 min
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| Define Rales | abnormal or crackling breath sounds during inspiration.
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| True or False: Febrile refers to a decreased body temperature. | False
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| True or False: It is unusual for an infant to develop febrile illnesses during the first 3 months of life. | True
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| True or False: variation frm the patient's average body temperature range may be the first warning of an illness? | True
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| True or False: The pulse rate may vary with the respiratory rate in pediatric patients. | True
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| True or False: The volume of the pulse refers to the length of time between each beat | False
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| True or False: Rales indicate airway obstruction with thick secretions | False
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| True or False: Secondary hypertension may be caused by renal disease | True
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| True or False: Atherosclerotic plaques can lead to hypertension | True
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| True or False: The potential to development of hypertension increases with age and weight. | True
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| True or False: Syncope can occur if a patient has orthostatic hypotension. | True
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| True or False: A palpated blood pressure of 60/P indicates the diastolic reading is 60. | False
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| True or False: Caffeine may temporarily increase a patient’s blood pressure. | True
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| True or False: The rubber bladder in the blood pressure cuff does not have to be completely deflated between readings. | False
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| True or False: A patient weight of 150 lb is equivalent to 330 kg. | False
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| True or False: Patients with diabetes do not need to be weighed at every visit. | False
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| What would be considered normal pulse for an average-sized 37-year-old patient in good health? | 60 to 80
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| When taking the pulse, where should you position the artery to be measured in relation to the level of the heart? | below or at the same level
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| If a patient receives a diagnosis of secondary hypertension, this mean what? | that the hypertension is associated with another disease
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| How can you help patients feel comfortable about having their weight measured in the office? | place the scale in a private area of the office
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| When a blood pressure cuff is deflated, the first tapping sound is the _______pressure. | Systolic
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| Which of the following pulses is auscultated with a stethoscope? | Apical
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| Which of the following pulses is palpated on the wrist? | Radial
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| Which of the following pulses is palpated on either side of the eyes? | Temporal
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| Which of the following pulses is palpated behind the knee? | Popliteal
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| Which of the following pulses is palpated behind the ankle? | Posteria Tebia
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| Which of the following pulses is palpated on top of the foot? | Dorsalis Pedis
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| Which of the following pulses is palpated above the elbow? | Brachial
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| If a patient is anxious, the medical assistant would expect the pulse to be? | Increased
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| If a patient is a marathon runner, you expect the resting pulse to be? | Decreased
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| When a blood pressure cuff is deflated, the last tapping sound is the _____ pressure. | Diastolic
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| Aural temperatures are recommended when possible because? | The tympanic membrane shares the blood supply of the hypothalamus, the ear canal is a protected cavity, there is reduced risk of spreading communicable diseases, all of the above
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| A patient who is _____ has an elevated body temperature. | febrile
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| A patient with ____ has abnormal rumbling sounds on expiration that indicate airway obstruction with thick secretions or bronchospasms. | rhonchi
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| A newborn with periods of ____ actually stops breathing momentarily. | apnea
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| ____________ hypertension develops without a known cause. | Essential or primary
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| A patient with chronic obstructive pulmonary disease has difficulty breathing or ______ . | dyspnea
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| A patient with a blood pressure of less than 90/50 mm Hg has a diagnosis of ______ . | hypotension
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| A patient with _______ has regular but slow respirations. | bradypnea
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| _________ hypotension occurs when a patient has a sudden drop in blood pressure after rapidly changing positions from lying to standing. | Orthostatic
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| A ______________ us an instrument that measures the volume of inhaled and exhaled air | spirometer
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| The medical term for fainting is ___________? | syncope
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| An individual with chronic obstructive pulmonary disease who must sit up to breathe comfortably is said to have _____________. | orthopnea
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| An elderly patient who has a pulse that is scarcely perceptible is said to have a _________ pulse. | thready
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| The medical term for ear wax is ___________? | cerumen
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| A patient with an elevated blood pressure that is associated with alcoholism has a diagnosis of ______________ hypertension. | secondary
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| Discuss the OSHA guidelines for taking vital signs. | 1. Wash your hands before and after each exam2. Always use protective disposable sheaths on all forms of thermometers 3. Immediately disinfect any equipment that has become contaminated during the procedure
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| Discuss the OSHA guidelines for taking vital signs. | 4. Wear gloves if the potential exists for contracting any open areas or body fluids5. When caring for a patient with a known respiratory infectious disorder, such as TB, use protective clothing including a face shield or mask as indicated.
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| Discuss the OSHA guidelines for taking vital signs. | 6. Dispose of all contaminated material, including thermometer covers, gloves, and disinfectant swabs, in the proper biohazard waste containers.
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