Ch. 6 Vitals and Oxygen Administration

Question 1

Vitals or Cardinal Signs-
1.
2.
3.
4.

Answer 1

1) BP
2) Pulse
3) Temp
4) Resp

Question 2

Assess/record baseline vitals prior to injection of iodine contrast in case of –1–; before and after the receive –2–; any time condition suddenly –3–; if they report they feel
‘–4–’ or don’t feel well. –5– says to assess before, during, and after injection of contrast media.

Answer 2

1) Anaphylactic Reaction
2) Meds
3) Changes
4) Different
5) ARRT

Question 3

Brain CANNOT function for longer than –1– without oxygen,

Answer 3

4-5 minutes

Question 4

Physician’s order is –1– needed to take vitals.

Answer 4

NOT

Question 5

–1– in the brain is body’s thermostat.

Answer 5

Hypothalamus

Question 6

Elevated body temp:
1.
2.
3.
Below normal temp:
4.

Answer 6

1) Fever
2) Febrile
3) Pyrexia
4) Hypothermia

Question 7

Temp affected by:
1.
2.
3.
4.
5.

Answer 7

1) Environment
2) Time of day
3) Age
4) Weight
5) Hormone levels

Question 8

Very high fevers for prolonged periods can cause irreparable –1– damage.

Answer 8

CNS

Question 9

Average adult temps (document site where recorded Ex; O, Ax, R, T):
A. Axillaryl-
B. Tympanic/Aural-
C. Oral-
D. Rectal-

Answer 9

A) A- 97.6-98 F (36.4- 36.7 C)
B) T/A- 97.6-98 F (36.4–36.7 C)
C) O- 98.6 F (37 C)
D) R- 99.6 F (37.5 C)

Question 10

–1– is most reliable- measures “–2–” temp; should NOT be taken if pt has –3–. –4–= rectal thermometer. Place pt in –5– position for insertion.

Answer 10

1) Rectal
2) Core
3) Hemorrhoids
4) Red Tip
5) Sim’s

Question 11

–1– = throb or pulse as blood is pumped through arteries.

Answer 11

Pulse

Question 12

Places to assess pulse:

1, 2, 3, 4-9

Answer 12

1) Apical (steth over apex)
2) Radial (wrist; most, used, convenient and accessible)
3) Carotid ( neck)
4) Femoral (groin)
5) Popliteal (behind knee)
6) Temporal ( side of forehead)
7) Pedal (top of foot)
8) Posterior Tibia (inner ankle)
9) Brachial (bend of elbow)

Question 13

Do not use your –1– to assess pulse because it has its own pulse. Typically assess –2– for –3–.

Answer 13

1) Thumb
2) Radial
3) 15 sec. x 4

Question 14

Ave. infant= –1–
Ave. 4-10 yr old= –2–
Ave. adult pulse= –3–

Answer 14

1) 120 BPM
2) 90-100 BPM
3) 60-90 Beats/Min. (BPM)

Question 15

–1–= abnormally HIGH pulse rate (100+)

Answer 15

Tachycardia

Question 16

–1–= abnormally LOW pulse rate (Below 60 BPM)

Answer 16

Bradycardia

Question 17

Ave. Adult Resp= –1–

Ave. Infant Resp= –2–

Answer 17

1) 15-20 breaths/min

2) 30-60 breaths/min

Question 18

–1–= blueish discoloration when breathing less than –2–.

Answer 18

1) Cyanosis

2) 10 times/min.

Question 19

–1–= difficult breathing, shortness of breath.

Answer 19

Dyspnea

Question 20

DOE= –1–

Answer 20

Dyspnea On Exertion

Question 21

Do NOT tell them you are assessing –1– or they may alter their breathing pattern. Just pretend you are assessing their –2–.

Answer 21

1) Resp

2) Pulse

Question 22

Blood Pressure= –1–.

Answer 22

Blood Flow x Resistence

Question 23

• -1–= ventricular contraction (top number)

- -2–= ventricular relaxation (bottom number)

Answer 23

1) Systole

2) Diastole

Question 24

–1–= used to measure BP; read in –2–. Two type: –3–.

Answer 24

1) Sphygmomanometer
2) Millimeters of Mercury (mm. Hg)
3) Mercury and Aneroid

Question 25

Taking BP compresses the --1--.

Answer 25

Brachial Artery

Question 26

Normal adult SYSTOLE Range= --1-- | Normal adult DIASTOLE Range= --2--

Answer 26

1) 90-120 mm. Hg. | 2) 50-70 mm. Hg.

Question 27

Always wash hands and clean --1-- with alcohol before and after use.

Answer 27

Stethoscope

Question 28

Normal O2 saturation on room air= --1--. Less than --2-- typically needs oxygen support. Can be monitored by a --3-- on fingertip or earlobe.

Answer 28

1) 97% 2) 85% 3) Pulse Oximeter

Question 29

Arterial bold gases typically drawn from --1-- by a Respiratory Therapist.

Answer 29

Radial Artery

Question 30

--1--= when O2 level in arterial blood becomes inadequate to meet pt's needs.

Answer 30

Hypoxemia

Question 31

--1--= when CO2 is retained in arterial blood (ex. COPD/EMPHESEMA= decrease in technique).

Answer 31

Hypercapnia

Question 32

Always set O2 rate --1-- then place on pt's face.

Answer 32

FIRST

Question 33

Smoking is --1-- around O2= combustible and --2--. | Do NOT drop the tank!

Answer 33

1) PROHIBITED | 2) Volatile

Question 34

--1--= most commonly used; flow rate --2--, which is average for most pt's. Start --3-- and increase as needed.

Answer 34

1) Nasal Cannula 2) 1-4 liters per minute (LPM) 3) Low

Question 35

--1--= wear only for short periods at NO LESS than --2-- to flush out CO2.

Answer 35

1) Face Mask | 2) 5 LPM

Question 36

--1--= supplies 100% of O2 due to reservoir bag and one-way valve.

Answer 36

Non-Rebreathing Mask

Question 37

--1--= provides higher concentration of O2 and humidity; typically used for children.

Answer 37

Oxygen Tent

Question 38

Check O2 tanks --1-- in department. USA= --2-- International= --3-- MRI= --4--

Answer 38

1) Daily 2) GREEN 3) WHITE 4) SILVER (Aluminum= non-ferrous/non magnetic)

Question 39

Home O2 delivery systems provided via --1--, --2--, or --3--.

Answer 39

1) compressed gas 2) liquid 3) O2 concentrator

Question 40

--1--= partially or totally controls pt's breathing. | Have to "ween" off slowly so that resp system doesn't --2--.

Answer 40

1) Mechanical Ventilator/Respirator | 2) Shut Down