with Correct Answers New
Update
(24) What can prevent blood-borne pathogen exposures and protect nurses from
potentially life-threatening injuries? - Answer-Knowledge of safe practices, safety
devices, and isolation precautions
(25) What are 4 main vital signs? - Answer-temperature, pulse, respiration, and blood
pressure
(25) Vital signs that also may be included during assessment - Answer-Pain and pulse
oximetry
(25) What do vital signs indicate? - Answer-possible change in health
(25) What is the frequency of assessment based on? - Answer-institutional policies,
medical orders, the patient's medical diagnosis, comorbidities, types of treatments
received, and the patient's level of acuity.
(25) What is the normal body temperature range (depending on route)? - Answer-96.7-
100.5
(25) What factors play a role in individual variations of temperature? - Answer-physical
activity, age, biological sex, time of day, and state of health.
(25) How does a nurse accurately assess body temperature? - Answer-the nurse must
know what equipment to use, which site to choose, and what method is appropriate
(25) Most common sites to assess body temperature - Answer-oral (sublingual),
tympanic, temporal artery, rectal, and axillary
(25) Peripheral pulse - Answer-throbbing sensation that can be palpated over a
peripheral artery
, (25) Characteristics of the peripheral pulse - Answer-rate, quality, and rhythm.
(25) Apical pulse - Answer-auscultated over the apex of the heart as the heart beats
(25) What is pulse rate? - Answer-number of pulsations felt over a peripheral artery or
heard over the apex of the heart in 1 minute
(25) Normal pulse rate for adolescents and adults - Answer-60-100 bpm
(25) What do respirations measure? - Answer-rate of ventilation, breathing in (inhaling)
and out (exhaling)
(25) Respiration range for adults - Answer-12-20 breaths per min
(25) Blood pressure - Answer-force of the moving blood against arterial walls.
(25) Systolic pressure - Answer-ventricles contract
(25) Diastolic pressure - Answer-heart relaxes
(25) Optimal blood pressure for adults - Answer-120/80
(25) Significant Range of blood pressure changes - Answer-Rise or Fall of 20-30 mm
Hg
(26) What does a health assessment involve? - Answer-gathering information about the
health status of the patient
(26) After a nurse gathers information about a patient during a health assessment, what
should they do next? - Answer-evaluate and synthesize the data
(26) After the nurse evaluates and synthesizes the patient's data they collected during a
health assessment, what should the nurse do next? - Answer-plan appropriate nursing
interventions and evaluate patient care outcomes to deliver the best possible care for
each patient
(26) What does a health assessment include? - Answer-health history and physical
assessment (may be head-to-toe or focused on area of more concern)
(26) What is a health history? - Answer-collection of subjective information that provides
information about the patient's health status
(24) Which of the following is the most significant and commonly found infection-causing
agent in health care? - Answer-Bacteria