問題一覧
1
In most persons, the radial and brachial pulse will be equal
false
2
Two or three ______ __________ should be taken
serial measurements
3
Difficult to palpate; slightly stronger than thready, can be obliterated with light pressure
weak
4
Measures the level of blood oxygen saturation, monitors pulse rate and calculates HR
pulse ox
5
Pulse: when access to radial site is restricted
temporal, carotid
6
Body temperature usually ______ slightly with physical activity but ___________ as the person becomes better conditioned
increases, reaches a plateau
7
Movement of blood in an artery, which can be palpated at various sites of the body or measured through auscultation over the apex of the heart with a stethoscope
pulse
8
Easy to palpate; requires moderate pressure to obliterate
normal
9
Most common and convenient location to measure a person’s temp
oral
10
SELECT ALL THAT APPLY FOR EAR THERMOMETER PROCEDURE
do not attempt to take a temp with an ear thermometer in an ear where an earache is suspected, pull up and back on the ear for person older than 1 yr
11
External conditions such as ______,________,_______ can affect the readings of pulse ox
lighting, altitude, temperature
12
Compact units that usually operate with a single button
finger ox
13
No perceptible pulse even with maximum pressure
absent
14
Anterior and adjacent to ear
temporal
15
Useful for infants, toddlers and older persons for whom it is difficult to use an oral thermometer
ear thermometer
16
At the wrist on the volar forearm medial to the stylus process of the radius
radial
17
Hyperpyrexic
>106, >41.1
18
Pyrexic
>100, >38
19
Recurrent fever
relapsing
20
A patient whose body temperature becomes _______ than normal DURING treatment may also be demonstrating an abnormal response to treatment
lower
21
Body temperature _________ during stressful or emotional periods
increases
22
A person whose body temperature is elevated before treatment can continue with the exercise
false
23
Body temp may fluctuate slightly but is constantly elevated above normal
constant
24
Most generally accepted single value
37, 98.6
25
Pulse rate after exercise should revert to the person’s resting pulse rate within ________ mins after cessation of exercise
3-5
26
Normal blood oxygen saturation
95-100%
27
Elevated body temp that fluctuates more than 3.6f(2c) within 24 hr period but remains above normal
remittent
28
Normal adult pulse
60-100 bpm
29
Hospitals, in addition to patient monitoring devices, and has an alarm system that sounds when abnormal valves are reached
stationary digital pulse ox
30
Peripheral sites are inaccessible or difficult to palpate
apical
31
Newborn normal pulse
100-130 bpm
32
If the temperature of the ear canal is not permitted to acclimate, a falsely high reading may occur
true
33
Body temperature _________ with a major or systemic infectious process
increases
34
>100 bpm
tachycardia
35
For unconscious patients or for patients who are unable to maintain the thermometer in the mouth
rectal, ear canal
36
Most common sites for pulse
radial, carotid
37
Body temperature measurement may be inaccurate if measured orally within ____________ mins of ingestioj of warm or cold substances
14-30
38
An exception to light pressure when checking pulse is the popliteal artery
true
39
Assess LE pulse
inguinal, popliteal, tibial, pedal
40
Inferior to the mandible and anterior to the SCM
carotid
41
Most accurate measurement of body temp
rectal
42
Body temperature is usually _____ in the early morning and _______ in the afternoon
lower, higher
43
Human rectal temperature
97.8 to 100.3, 36.6 to 38.1
44
Barely perceptible; easily obliterated with slight pressure; fades in fades out
thready
45
High BP =
low pulse
46
Aoical and radial pulse may differ in pts with cardiac disease or peripheraal arterial disease
true
47
Periods of fever are interspersed with normal temperatures
relapsing
48
Pulse: when measuring own pulse
carotid, radial
49
Response to activity
confusion, fatigue, lethargy, slow reactions, decreased response to verbal and tactile , nausea, syncope or vertigo, diaphoresis, pallor or erythema, LOC, decreased bp, pupil size change
50
Medial to the biceps im the antecubital fossa or on the medial aspect of the mid shaft of humerus
brachial
51
Least desirable sites because air currents may reduce the accuracy of the measurement
axilla, inguinal
52
Body temp alternates at regular intervals between periods of fever and periods of normal temperatures
intermittent
53
Pulse rate tend to increase with a major infectious process
true
54
SELECT ALL THAT APPLIES FOR ORAL THERMOMETER PROCEDURE
instruct the patient to open his or her mouth, position the probe under the tongue, breathe through the nose
55
Sometimes include a large memory bank that stores data or data can be downloaded onto computer
handheld ox
56
Select the best answer
apical>radial
57
Two persons should monitor the two pulses simultaneously
true
58
Even beats with a poor force to each beat
weak and regular
59
Aged 1-7 yrs old normal pulse
80-120 bpm
60
Body temperature tends to ________ slightly with agr and is _______ slightly in the very young
decrease; increase
61
noninvasive examination
pulse ox
62
Has a probe connected to a unit containing battery that measures a person’s temp and provides digital reading
oral thermometer
63
<60 bpm
bradycardia
64
Even beats with a good force to each beat
strong and regular
65
Temperature value is obtained from a liquid crystal display in a window on one side of the thermometer
ear thermometer
66
Require batteries as the power source and disposable lens filters are used
ear thermometer
67
In general, oximeters accurately measure oxygen saturation between 70-90% regardless of the type of oximeter used
false
68
Indicators of the body’s physiological status and response to physical activity, environmental conditions and emotional stressors
vital signs
69
Midline of post knee crease between the tendons of hamstrings
popliteal
70
Body temperature is slightly higher at the time of _______, and a pregnant woman’s body temp tends to be slightly ______ than usual
ovulation, higher
71
Along the midline or slightly medial on the dorsum of the foot
dorsal pedal
72
Very strong; hyperactive; is not obliterated with moderate pressure
bounding
73
Used for infants or young children who are unable to maintain the thermometer under the tongue or safely hold it between the lips
rectal, ear canal, temporal lobe
74
When a person has been lying on his or her ear, that should not be used for measurement until it has been exposed to the air for _________ so the ear canal temp can become stable
2-3 mins
75
Body temperature may _____ slightly in a hot environment and ______ slightly in a cold environment
increase; decrease
76
Femoral triangle slightly lateral and anterior to the inguinal crease
femoral
77
A person whose body temperature is lower than normal BEFORE treatment should be _______ to be certain the treatment is tolerated and to determine whether the temperature changes during or at the conclusion of the activity
monitored
78
Men pulse rates are usually slightly higher than female
false
79
Measures body temp on the basis of HEAT generated by the ear canal and its sureounding tissue
ear thermometer
80
Body temperature values are slightly higher if measured in the _____ and slightly lower if measured in the ______ when compared with _______ values
rectum, axilla, oral
81
Before applying pulse oximeter, make sure the patient is not wearing fingernail polish
true
82
Human oral core or body temperature
96.8 to 99.3, 36 to 37.3
83
Temperatures in both ears are the same, so both both ears can be measured alternately
false
84
Any difference in apical and radial pylse =
pulse deficit
85
The normal resting pulse can be established for each patient by repeated measurement of the pulse at the same site and under different conditions
false
86
Both strong and weak beats occur during the period of measurement
irregular
87
Fingertip prove and a handheld base unit that displays the results
hand held ox
88
Why take VS
diagnostic label, prognosis and POC, evaluate progress through reexamination, evaluate effectiveness, determine the need for referral
89
Fever
>98.6, >37
90
Factors of vital signs
level of physical activity, env temp, age, emotional status, physiologic status
91
Each last at least one day
relapsing
92
Ear thermometer: the ______ _______ should be cleaned thoroughly or discarded after each use to prevent cross contamination or false reading of the unit
lens filter
93
Indirect measure of the contraction of the left ventricle of the heart and indicates the rate at which the heart is beating
pulse
94
On the medial aspect of the foot inferior to the medial malleolus
post tibial
95
Vital signs establish baseline values for
elderly, very young, debilitated, pts limited aerobic activities for wks or mos, pts with cardiovascular problems, pts recovering from recent trauma or disease that affects cardiopulmonary system
96
Weak force to each beat and irregular beats
thready
97
Hypoxemia
<90%