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Exam 2 Fundamentals of Nursing (Chps 21,22,4,5,6) Galen E1 Tests and Answers.

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What are the 5 vital signs? - Answer temperature, pulse, respiration, blood pressure, and pain level Normal pulse rate? - Answer 60-100 (BPM) Betas per minute What is the respiration rate for an elderly patient? - Answer 16-20 respiration for a healthy adult? - Answer 12-20 normal blood pressure - Answer 120/80 Prehypertension - Answer 130-139/80-89 Stage 1 hypertension - Answer 140-159/90-99 Stage 2 hypertension - Answer Systolic 160 Diastolic 100 Orthostatic Hypertension - Answer drop in blood pressure occurring with change from supine to standing or from sitting to standing position Oral Temperature - Answer Rectal Temperature - Answer 1 degree higher than oral Axillary Temperature - Answer 1 degree lower than oral Glass Thermometer - Answer should be held and remain in the sublingual pocket for about 3-5 minutes to accurately reflect the body's temperature. Normal body temperature - Answer 97.5-99.5

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Exam 2 Fundamentals of Nursing
(Chps 21,22,4,5,6) Galen E1 Tests and
Answers.
What are the 5 vital signs? - Answer temperature, pulse, respiration, blood pressure, and
pain level



Normal pulse rate? - Answer 60-100 (BPM) Betas per minute



What is the respiration rate for an elderly patient? - Answer 16-20



respiration for a healthy adult? - Answer 12-20



normal blood pressure - Answer 120/80



Prehypertension - Answer 130-139/80-89



Stage 1 hypertension - Answer 140-159/90-99



Stage 2 hypertension - Answer Systolic > 160 Diastolic >100



Orthostatic Hypertension - Answer drop in blood pressure occurring with change from
supine to standing or from sitting to standing position



Oral Temperature - Answer



Rectal Temperature - Answer 1 degree higher than oral



Axillary Temperature - Answer 1 degree lower than oral



Glass Thermometer - Answer should be held and remain in the sublingual pocket for about
3-5 minutes to accurately reflect the body's temperature.



Normal body temperature - Answer 97.5-99.5

, average temperature in the older adult - Answer 96.5-97.5



circadian rhythm (Time of day) - Answer The body temperature on awakening is generally in
the low-normal range because of inactivity of the muscles. conversely, the body temperature
may be high normal owing to the body's metabolic processes, the patient's activity, and the
temperature of the atmosphere.



Pyrexia - Answer (fever) occurs when normal regulation mechanisms cannot keep up with
heat produced by the body



When does pyrexia occur? - Answer Temperature higher than 100.2° F



Hypothermia - Answer Body temperature lower than 94° F



Tachycardia - Answer Pulse greater than 100 bpm



Bradycardia - Answer Slow pulse, fewer than 60 bpm



Where do you find the apical pulse? - Answer Left, mid clavicle, fifth intercostal space



How long do you listen for an apical pulse - Answer count the number of beats for 1 minute



Weak and regular - Answer even beats with poor force or 1+



Strong and regular - Answer even beats with moderate force or 2+



Full and bounding - Answer even beats with strong force or 3+



Feeble - Answer barely palpable



Irregular - Answer both strong and weak beats occurring within 1 minute



Thready - Answer generally indicates that it is weak and may be irregular



Absent - Answer no pulse palpable or heard on auscultation

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