unit 2 test retake

Question 1

trendelenburg position

Answer 1

feet above head on back

Question 2

lateral position

Answer 2

on the stomach, legs crossed

Question 3

child heart rate and respirations

Answer 3

70-100, 18-30

Question 4

child 3-5 heart rate and respirations

Answer 4

80-120, 22-34

Question 5

toddler heart rate and respirations

Answer 5

80-130, 24-40

Question 6

infant heart rate and respirations

Answer 6

80-140, 30-50

Question 7

newborn heart rate and respirations

Answer 7

120-160, 30-50

Question 8

what is considered an elevated bp

Answer 8

120 AND greater than 80

Question 9

what is considered hypertensive

Answer 9

130 OR 80

Question 10

what is considered a hypertensive crisis

Answer 10

over 180 OR over 120

Question 11

what is considered hypotensive

Answer 11

less than 90 OR less than 60

Question 12

when assessing pain you need to know

Answer 12

where, when it started/cause, what makes better/worse, description, rating, spread

Question 13

what do you need to add to the medical record with pulse oximetry

Answer 13

O2 amount if the patient is on a cannula or nonrebreather

Question 14

what is the rule for pulse oximetry and automatic bp cuffs

Answer 14

use different arms when assessing

Question 15

what might make it difficult to get an accurate o2 sat

Answer 15

nail polish, poor circulation, cold

Question 16

where can you place a pulse oximetry sensor

Answer 16

toe, ear, finger

Question 17

what happens to pulse rate as children age

Answer 17

decreases

Question 18

what happens to bp as children age

Answer 18

increases

Question 19

what happens to resp rate as children age

Answer 19

decreases

Question 20

what can cause hypertension

Answer 20

stress, pain, smoking, kidney disease

Question 21

when is it important to notify someone of hypotension in a patient

Answer 21

bleeding, weakness, dizziness, tachycardia, n/v

Question 22

what can cause hypotension

Answer 22

normal finding, dehydration, excessive bleeding or shock

Question 23

when should you avoid taking bp on an extremity

Answer 23

mastectomy, stroke, dialysis shunt, iv

Question 24

how must a patient be positioned to take bp

Answer 24

seated or lying down with arm supported at the heart level

Question 25

what can make bp readings higher than normal

Answer 25

crossed legs, talking, stress, full bladder, cuff too small or over clothing, back/feet unsupported, smoking

Question 26

what will happen if you use a cuff that is too big

Answer 26

bp reading will be lower than it actually is

Question 27

uncontrolled hypertension can lead to

Answer 27

strokes, kidney disease, heart attacks

Question 28

symptoms of hypertension, if they occur at all, include

Answer 28

headache, bloody nose, dizziness, blurred vision, fatigue, nausea

Question 29

how do people usually breathe if they know you’re watching

Answer 29

faster

Question 30

what are cheyne stokes respirations

Answer 30

rapid dyspnea, followed by seconds of no breathing, followed by dyspnea again

Question 31

what indicates labored breathing

Answer 31

muscle pulling, sounds/noisy breathing

Question 32

what is the most common point to check pulse? what is the most common point to check pulse in an adult emergency and in an infant emergency

Answer 32

radial, carotid, brachial

Question 33

where should you place a stethoscope to hear the apical pulse

Answer 33

left 5th intercostal space

Question 34

the palpated and apical pulse should be

Answer 34

the same

Question 35

when wouldnt you take temperature in the ear

Answer 35

younger than 6 months, excessive wax, ear infection

Question 36

which method of temperature is least accurate versus most accurate

Answer 36

axillary, rectal

Question 37

which patients should you avoid taking temporal temp on

Answer 37

those younger than 3 months

Question 38

what is the normal temp reading for temporal

Answer 38

97.2-100.1/36.2-37.8

Question 39

what would hot and dry skin be significant for

Answer 39

if not hot and dry patient could be having a heart attack or in shock

Question 40

what is diaphoresis significant for

Answer 40

cyanosis, pallor, flushing

Question 41

what is pallor significant for and what is cyanosis significant for

Answer 41

decreased circulation, decreased oxygen

Question 42

what is fever significant for

Answer 42

fever, pain, hot environment

Question 43

what might cause temperature to vary

Answer 43

environment, age, sleeping, exercise, infection

Question 44

what are the most common sites for temperature

Answer 44

oral, temporal

Question 45

when would you not take temperature orally

Answer 45

uncooperative or unconscious, under 5 years old, recent eating/drinking/smoking, mouth pain, cough

Question 46

what is the normal temperature range for oral temps

Answer 46

97.6-99.6/36.5-37.5