Quiz #3

Question 1

Is there a difference between blood pressure taken in the right arm and left arm?

Answer 1

BP in the left arm and right arm usually differ by more than 15 mm Hg

Question 2

Orthopnea

Answer 2

The need to sit or stand to breathe normally

Question 3

The name of the tool used to measure ‘oxygen saturation’

Answer 3

Pulse oximeter

Question 4

Adventitious sounds, such as ‘wheezes’ and ‘stridor’ can be heard in what pulmonary conditions?

Wheezes: ________ & _________
Stridor: ________& _________

Answer 4

Wheezes: Asthma & COPD
Stridor: Croup & epiglottitis

Question 5

Know the following norms:

Ventilation rate for an adult \_\_\_\_\_\_\_\_
O2 (oxygen) sat reading \_\_\_\_\_\_\_
BP (blood pressure) reading \_\_\_\_\_\_\_
Temperature reading \_\_\_\_\_\_\_\_\_
Pulse rate \_\_\_\_\_\_\_\_

Answer 5

12-20 breathes/min
95-100%
120/80
37 degrees C (range 36-38 degrees C)
60-100 bpm

Question 6

4 common sites for temperature measurement (medical terminology)

Answer 6

Ear(tympanic);
Mouth(oral) ;
Axilla(armpit) ;
Rectum;
Forehead;
Temporal artery

Question 7

How is blood pressure recorded?

Answer 7

Systolic/diastolic

Question 8

What is the ‘pulse oximetry’ used to measure?

Answer 8

Pulse and O2 sat

Question 9

The medical term for ‘blood pressure cuff’? (watch spelling)

Answer 9

Sphygmomanometer

Question 10

A sphincter is the name of the equipment used to measure BP.

True or False

Answer 10

False

Question 11

Where are the common peripheral pulse sites?

Answer 11

Radial & carotid arteries

Question 12

Can medication cause a change to VS?

Answer 12

Yes

Question 13

Hypotension (and two common causes)

Answer 13

Less than 100/60; causes are hemorrhage and medications

Question 14

Hypertension (and two common causes)

Answer 14

Greater than 140/90; causes are cholestetol and stress

Question 15

What are we looking for when measuring respirations?

Answer 15

Rate, depth, and rhythm

Question 16

The ‘hypothalamus’ in the brain is in the body’s thermostat.

True or False

Answer 16

True

Question 17

Abbreviations for:

1) Temperature, Pulse, Respirations
2) Blood pressure
3) Oxygen sats

Answer 17

1) TPR
2) BP
3) O2 sat

Question 18

Heat a byproduct of _____.

Answer 18

Metabolism

Question 19

Normal body temp. varies through the day.

True or False

Answer 19

True

Question 20

4 common signs and symptoms of respiratory dysfunction

Answer 20

Cough
dyspnea
sputum production &
chest pain/discomfort

Question 21

Ventilation is ________

Answer 21

The movement of gases in and out of the lungs

Question 22

A pt. Has been admitted with pneumonia.
VS are:
BP 112/64, HR 102, RR 26, T 37.9c.

Which VS requires immediate attention?

Answer 22

RR of 26

Question 23

A pt. Arrives at health clinic, c/o headache, BP right arm, 170/88, left arm 188/92, states ran out of BP meds.
What is Nurse’s priority?

Answer 23

Notify the physician

Question 24

Pt unable to keep oral thermometer in her mouth, what should the nurse do?

Answer 24

Obtain the temperature from another site

Question 25

You can delegate your VS to someone else and let go of the entire responsibility.
True or False

Answer 25

False (you can delegate to someone else but you are solely responsible to interpret the results)

Question 26

Cheyne-stokes respirations

Answer 26

Labored, with periods of apnea alternating with deep breaths, rate of 8 breaths per minute