Guaranteed Success
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 d
you are assessing the vital signs of a newly admitted patient, to establish an accurate baseline
of patient respiration you d observe patients chest movement while appearing to assess his
pulse
when assessing the patients respiration it is recommended that the patient have the head of
the bed elevated 45 to 60 degrees
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 C
the best way to determine the depth of a patients respiration is to
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 observe the
degree of chest-wall movement during inspiration and expiration
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 c
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. a, c, e, f
you are measuring a patients temperature orally you place the covered probe in the
posterior lingual pocket lateral to the midline
when auscultating a patients apical pulse, you listen until you hear the patients s1 and s2
sounds regularly, S2 is produced when semilunar valves close