2024/2025 WITH
CORRECT/ACCURATE ANSWERS
when documenting subjective data for the cardiovascular system
the nurse would include which of the following?
a vital signs
b peripheral pulses
c chest pain
d heart sounds
chest pain
what are some additional tests for patients with aphasia?
- word comprehension (point to objects)
- reading (read print material)
- writing (make up and write a sentence)
what are some barriers to treatment?
- poverty
- discrimination
- legal status
- lack of access to culturally appropriate care
When do you check vital signs?
- before and after administering medications
- when LOC or orientation changes
- before and after surgery/operations
- around an event
,what regulates a humans temperature in the brain?
hypothalamus feedback system
what is temperature influenced by?
exercise, time, age, menstration
oral temperature characteristics
- accurate, convenient
- insert probe into sublingual pocket
- instruct pt to keep lips closed
- consider intake always
rectal temperature characteristics
- will be around 0.5 celsius higher than oral
- use only when indicated
- 2 to 3 cm angled toward umbilicus
- lubricate always
- do not force ever
Pulse characteristics
- palpable flow felt into periphery sites
- pressure wave generation from stroke volume
- provides data on local artery condition
- indicates rate and rhythm of heart
- common reason to be out of range
blood pressure characteristics
- Force exerted against vessel walls
- 1 in 3 adults have HTN- 54% have controlled HTN
- Being diagnosed at younger ages
- Increase RF heart disease and CVA
- Measured in mmHg- Use appropriately sized cuff
- Position patient
, - Align arrow with artery
- Place bell over artery
- Listen to Kortkoff phases
systolic
ventricular contraction
diastolic
elastic recoil
orthostatic blood pressure characteristics
- Supine 3 minutes
- Sit up
- Stand
- Stand 3 minutes
- Change indicates orthostatic
>20 mm Hg systolic
> 10 mm Hg diastolic
what is a normal oral temperature range?
35.8 - 37.3° C
96.4 - 99.1° F
what is a normal rectal temperature?
+ 0.4 - 0.5°C
0.7 - 1° F
what is bradypnea?
slow breathing
what is tachypnea?
rapid breathing
What is bradycardia?