ATI fundamentals Vital Signs Questions & Answers (all correct) 2022.
ATI fundamentals Vital Signs Questions & Answers (all correct) Having recently moved into the area, a 56-year-old female is having her initial visit with the primary care provider she selected. The patient denies any chronic or acute illnesses. You measure & record her vital sign data, whats next? The primary reason for assessing this patient's vital signs is to Which of the following accurately describes body temperature? Which of the following temperatures is within the normal range for adults and is documented correctly? A. T = 98.6º F B. T = 99.6º F (O) C. T = 101.0º F (O) Which of the following is true regarding assessing a patient's pulse? A. The human pulse is the palpable bounding of the blood flow in a peripheral artery. B. The normal pulse range for a resting adult is 50 to 110 beats/mi C. Three components that the nurse should include when documenting pulse (P) are the rate, rhythm, and depth. D. To calculate the pulse of a patient whose rhythm is irregular, the nurse should count the pulse rate for 30 seconds and multiply by two. Will your assessment of respiration provide information about your patient's ability to intake carbon dioxide and to expel oxygen? You got it right. Respiration is the mechanism a person uses to introduce oxygen into the body while expelling carbon dioxide into the atmosphere. Which of the following is true regarding assessing a patient's respiration? A. It is best to inform the patient that you are assessing her respiration. B. "R = 14/min, normal, regular" is an appropriate documentation of a patient's respiration. C. Occurrence or periods of apnea in an older adult is a normal respiratory finding. D. Anxiety and acute pain are two factors that should not affect a patient's respiratory rate. Which of the following describes systolic pressure? A. The force blood exerts on the wall of a blood vessel during both the contraction and relaxation phases of the heart B. The pressure exerted by the blood during the heart's contraction phase C. The pressure exerted by the blood during the heart's relaxation phase You recorded your patient's blood pressure as 166/88. Is this within the normal range for an adult? Your patient's blood pressure exceeds the upper limit of the normal range for an adult, so you measure it again. Which of the following questions would be appropriate to ask your patient before you reassess her blood pressure? select all that apply A. What is your usual blood-pressure reading? B. Have you eaten anything within the last hour C. Did you drink any tea, coffee, or soda within the last half hour? D. Are you currently experiencing any emotional stress such as fear or anxiety? E. Have you smoked within the last 15 to 30 minutes? How long would you wait before reassessing your patient's blood pressure on the same arm? A. 2 to 3 minutes B. 10 to 15 minutes Your patient is seated comfortably. You measure her blood pressure in her right arm and obtain a reading of 160/90. You ask her to return to have her blood pressure reassessed in 2 weeks, since this reading indicates a blood pressure above the normal adult range. The most appropriate way for you to document this patient's blood pressure is A. blood pressure is 160/90 B. BP = 160/90; right arm, sitting C hypertensive at 160/90 A 56-year-old female had her initial visit with a primary care provider (PCP) 2 weeks ago. At that appointment, her blood-pressure (BP) reading was above normal (160/90), so she returned today to have her BP evaluated. You escort the patient to an examination room and prepare to measure her vital signs, including temperature, pulse, respiration, and BP. You determine that the patient has not smoked or ingested any caffeine within the last 30 minutes. She is comfortably seated on the examining table. You prepare to check the patient's temperature using a tympanic thermometer. She denies any ear pain or drainage. You then inspect her ear canal for A. symmetry. B. sensitivity. C. cerumen. - To facilitate straightening the natural curvature of the adult ear canal, you gently pull the patient's pinna (top of the ear) A. back, up, and out. B. forward, up, and out. C. back, down, and out. When using a tympanic membrane thermometer, correctly position the speculum probe with respect to the ear canal to ensure A. an appropriate seal is created to prevent the ear canal from being exposed to ambient temperature. B. that the risk of transmission of micro-organisms is reduced. You prepare to assess the patient's pulse and respiratory rate. You support her arm and palpate her wrist to locate the radial pulse along a groove located A. on the lateral aspect of the wrist. B. down the center of the wrist. C. on the thumb side of the wrist. To assess the patient's pulse accurately, you compress the radial artery with A. the pads of your fingers. B. the tips of your fingers. C. the pad of your thumb. The patient's pulse rhythm is regular. You count her pulse A. for 15 seconds then multiply by 4. B. for 20 seconds then multiply by 3. C. for 30 seconds then multiply by 2 After assessing the patient's pulse, you begin to observe her breathing pattern immediately without changing the position of your hand. You do this primarily to A. keep the patient from altering the rate, rhythm, or depth of her respiration. B. use a time-conserving method of evaluating both respiration and pulse rate. C. offer the reassurance of physical touch while evaluating respiration You determine that the patient's arm seems "average" and decide to use a standard blood-pressure cuff. You check that her pulse is of equal strength in both wrists, so, after she removes her outer long-sleeved sweater, you position the lower edge of the BP cuff approximately 1 inch above the antecubital space of her right arm. You support her arm at approximately the level of her heart. Selecting a BP cuff that is too small for the patient's arm will result in A. a falsely high reading. B. a falsely low reading. The reason for removing the outer sweater is to select all that apply: A. ensure proper cuff application. B. prevent falsely high readings. C. make the patient more comfortable. D. allow for proper inflation of the cuff's bladder. E. eliminate any muffling of the Korotkoff sounds You place the lower edge of the cuff at least 1 inch above the antecubital space to A. allow for proper placement of the stethoscope over the brachial artery. B. facilitate the proper flexing of the patient's arm at the elbow. C. ensure appropriate application of pressure to the brachial artery. Positioning and supporting the patient's arm at heart level is important because Select all that apply A. an unsupported arm can cause a falsely high reading. B. an arm positioned below heart level can cause a falsely high reading. C. an arm positioned above heart level can cause a falsely low reading. D. it ensures a good blood flow conducive to an accurate reading. A 56-year-old female had her initial visit with a primary care provider (PCP) 2½ months ago. At that appointment, her blood-pressure (BP) was elevated. Her BP was reassessed in 2 weeks and remained above normal limits for an adult her age. The PCP prescribed an antihypertensive medication and encouraged her to implement several lifestyle changes directed at lowering her BP. She made a 2-month follow-up appointment for re-evaluation of her response to the treatment plan. The patient has been taking the prescribed antihypertensive medication for 2 months. You prepare to assess her BP. After you interview her to determine when she last smoked, ingested caffeine, and exercised, you make sure she is seated comfortably with her arm supported at the level of her heart. You position a standard adult blood-pressure cuff snugly on her bare arm about 1 inch above the anticubital space. To ensure an accurate reading with the aneroid sphygmomanometer you are using, you position yourself A. within 3 feet of the manometer. B. at eye level with the BP gauge. C. standing at the patient's side. D. however you feel most comfortable. You have reviewed the patient's records to determine her baseline BP, but if that had not been possible it would be appropriate for you to select all that apply A. measure her BP on one arm, remove the cuff, wait at least 2 minutes, measure it on the other arm, and average the two values. B. measure her BP, reinflate the cuff promptly, measure it again, and average the two values. C. inflate the cuff to 30 mm Hg above the point of the previously palpated systolic pressure. D. ask the patient what her BP usually is and inflate the cuff to 30 mm Hg above that point By previously determining the point of palpated systolic pressure, you minimize the possibility of an auscultatory gap (the absence of sounds after the first sounds appear and the reappearance of sound at a lower pressure level) causing a falsely low reading A. rapid inflation followed by rapid deflation. B. slow inflation followed by slow deflation. C. rapid inflation followed by slow deflation. D. slow inflation followed by rapid deflation. When listening to Korotkoff sounds, you would use your stethoscope's select all that apply A. bell. B. diaphragm. You inflate the cuff to 30 mm Hg higher than the patient's last recorded BP (taken at her last appointment). You note the point on the manometer where select all that apply A. you first hear Korotkoff sounds. B. the swishing sounds begin. C. you hear the loudest sounds. D. the sound becomes muffled. E. the sound disappears. when taking an adults temp rectally it is important to: a. rotate the probe gently if you encounter any resistance b. insert probe so that you are aiming at pelvic area c. dip the probe into an inch to an inch and half lubricant d. insert the probe about an inch and half into anus you are assessing the vital signs of a newly admitted patient, to establish an accurate baseline of patient respiration you when assessing the patients respiration it is recommended that the patient - you have assessed a 45 year old patients vital signs. which of these require immediate attention? a. an oral temp of 100 degrees F b. blood pressure of 148/88 mm Hg c. a respiratory rate of 30/ min d. a radial pulse of 45 beats/30 sec a. observe the degree of chest-wall movement during inspiration and expiration b. count how many breathing cycles you observe per minute c. notice whether or not expiration takes longer than inspiration d. measure the precise amount of air the patient takes in and breathes out You are preparing to use a tympanic thermometer. Which of the following steps has the highest priority in the accurate use of this piece of equipment for measuring body temperature? a. attaching disposable probe cover b. assessing external ear for redness c. gently pulling the pinna backward and upward d. replacing thermometer in its charger when preparing to measure the vital signs of a patient, you should recognize that which of the following will affect the methods you use (select all that apply) a. the patient is 60 lbs overweight b. patient has been nauseated for two days c. patient is reporting stuffy nose d. patient has been fasting for blood tests e. patient is taking digoxin (Lanoxin) f. patient had a mastectomy two years ago. you are measuring a patients temperature orally you place the covered probe when auscultating a patients apical pulse, you listen until you hear the patients s1 and s2 sounds regularly, S2 is produced when the difference between a patients systolic and diastolic blood pressures is called to auscultate a patients apical pulse accurately you position the bell or diaphragm of the stethoscope over the point of maximal impulse which is located when taking a patients blood pressure, why is it important to notice the pressure on the manometer when you hear the fourth Karotkoff sound or phase? the most important factor in measuring a blood pressure accurately you are assessing a patients vital signs, the patient has temp of 102 degrees F; which of the following do you expect to find? a. elevated pulse rate b. decreased blood pressure c. an elevated blood pressure d. a decreased pulse rate Temperature Pulse Respiration Blood pressure Systolic Blood pressure occurs when Diastolic blood pressure occurs when Neurological & cardiovascular systems work together to regulate body temperature Disease or trauma of this __________ or the ________ will alter temperature contro What are the core temperature measurement sites? What are the surface temperature measurement sites? Expected temperature range for healthy adult Rectal temps are usually higher or lower than oral & tympanic temps? Axillary temps are usually higher or lower than oral and tympanic? Temporal temps are close to rectal? What serves as a baseline for clients temp? heat loss occurs from body by
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ati fundamentals vital signs
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ati fundamentals vital signs quiz
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ati fundamentals vital signs exam 2022
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having recently moved into the area
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a 56 year old female is having her initial visit with the pri
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