ATI Vital Signs Latest 2022 Rated A+

ATI Vital Signs Latest 2022 Rated A+ antipyretic ✔✔a substance or procedure that reduces fever apnea ✔✔temporary or transient cessation of breathing auscultatory gap ✔✔temporary disappearance of sounds usually heard o ...

ATI Vital Signs Latest 2022 Rated A+ antipyretic ✔✔a substance or procedure that reduces fever apnea ✔✔temporary or transient cessation of breathing auscultatory gap ✔✔temporary disappearance of sounds usually heard over the brachial artery, occurring when the cuff pressure is high and is gradually reduced, with the sounds again heard at a lower level of pressure (usually occurring in patients who have hypertension) axillary ✔✔pertaining to the axilla, the cavity beneath the junction of a forelimb and the body; also called the armpit or the underarm brachial pulse ✔✔beating or throbbing felt over the brachial artery, usually palpated in the antecubital space bradycardia ✔✔an abnormally slow pulse rate, usually fewer than 60 beats per minutes in an adult bradypnea ✔✔an abnormally slow respiratory rate, usually fewer than 12 breaths per minutes in an adult cardiac output ✔✔the amount of blood pumped into the arteries by the heart during one minute; the product of the heart rate and the stroke volume Celsius ✔✔relating to the international thermometric scale on which 0° is the freezing point and 100° is the boiling point; centigrade centigrade ✔✔relating to the international thermometric scale on which 0° is the freezing point and 100° is the boiling point; Celsius core temperature ✔✔the amount of heat in the deep tissues and structures of the body, such as the liver diastolic pressure ✔✔the force exerted when the heart is at rest in between each beat; the lowest pressure exerted against the arterial walls at all times dyspnea ✔✔the sensation of difficult or labored breathing eupnea ✔✔normal respiration febrile ✔✔feverish; pertaining to a fever fever ✔✔an elevated body temperature Korotkoff sounds ✔✔a series of five sounds (four sounds followed by an absence of sound) heard during the auscultatory determination of blood pressure and produced by sudden distention of the artery because of the proximally placed pneumatic cuff orthopnea ✔✔ability to breathe without difficulty only when in an upright position (sitting upright or standing) orthostatic hypotension ✔✔a sudden drop in blood pressure resulting from a change in position, usually when standing up from a sitting or reclining position and often causing dizziness oximetry ✔✔determination of the oxygen saturation of arterial blood using a photoelectric device called an oximeter oxygen saturation ✔✔a clinical measurement of the percentage of hemoglobin that is bound with oxygen in the blood palpation ✔✔the application of the fingers with light pressure to the surface of the body to determine the condition of the underlying parts pulse deficit ✔✔the difference between the apical and the radial pulse rates. This condition may indicate a lack of peripheral perfusion for some of the heart contractions. pulse pressure ✔✔the difference between the systolic and the diastolic blood pressures radial pulse ✔✔beating or throbbing felt over the radial artery, usually palpated over the groove along the thumb side of the inner wrist S1 ✔✔the first heart sound, heard when the atrioventricular (mitral and tricuspid) valves close S2 ✔✔the second heart sound, heard when the semilunar (aortic and pulmonic) valves close Sims' positions ✔✔a side-lying position with the lowermost arm behind the body and the uppermost leg flexed stethoscope ✔✔a device used to convey sounds produced in the body to the listener's ears stroke volume ✔✔the amount of blood entering the aorta with each ventricular contraction systolic pressure ✔✔the amount of force exerted within the arteries while the heart is actively pumping or contracting; the maximum pressure exerted against the arterial walls tachycardia ✔✔an abnormally fast pulse rate, usually above 100 beats per minutes in an adult tachypnea ✔✔an abnormally fast respiratory rate, usually more than 20 breaths per minutes in an adult tympanic ✔✔pertaining to the ear canal or eardrum (tympanic membrane) vital signs ✔✔measurements of physiological functioning, specifically temperature, pulse, respirations, and blood pressure, but may also include pain and pulse oximetry The primary reason for assessing this patient's vital signs is to: ✔✔establish a baseline when the patient reports no specific health-related problem. (Vital signs are assessed for various reasons that include determining the patient's response to medical and nursing therapy as well as identifying clinical problems. However, the primary reason for such assessment at an initial visit of an apparently well patient is to document baseline data. This information will be useful for comparison with vital-sign data obtained at subsequent visits.) What can accurately describes body temperature? ✔✔The difference between heat produced by and lost from the body (Normal body temperature is the healthy balance between the amounts of heat the body produces as a byproduct of metabolism, muscle activity, thyroxine output, and sympathetic stimulation and the heat lost as a result of radiation, conduction, convection, and evaporation.) Which of the following temperatures is within the normal range for adults and is documented correctly? A. 98.6 F B. 99.6 F (O) C. 101.0 F (O) ✔✔B. 98.6 F (O) (Normal temperatures range from 96.8° F to 100.4° F. Appropriate documentation of temperature (T) includes degrees, scale (F), and assessment site: oral (O), tympanic (T), axillary (A), or rectal (R).) 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/min. 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. ✔✔A. The human pulse is the palpable bounding of the blood flow in a peripheral artery Will your assessment of respiration provide information about your patient's ability to intake carbon dioxide and to expel oxygen? (Yes or No) ✔✔No. 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. ✔✔B. "R = 14/min, normal, regular" is an appropriate documentation of a patient's respiration. 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 ✔✔B. The pressure exerted by the blood during the heart's contraction phase You recorded your patient's blood pressure as 166/88. Is this within the normal range for an adult? (Yes or No) ✔✔No. While 120/80 mm Hg is considered a normal blood pressure for an adult, older adults may experience a rise as a result of decreased elasticity of the vessels; 140/90 is considered hypertension while a systolic pressure of 90 mm Hg or less is considered hypotension. In any case, 166/88 exceeds the normal range. Which of the following questions would be appropriate to ask your patient before you reassess her blood pressure? 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? ✔✔A, C, D, E How long would you wait before reassessing your patient's blood pressure on the same arm? ✔✔2- 3 minutes The most appropriate way for you to document a patient's blood pressure is: A. blood pressure is 160/90 B. BP = 160/90; right arm, sitting C. BP = hypertensive at 160/90 ✔✔B. BP = 160/90; right arm, sitting (Appropriate documentation of blood pressure includes the abbreviation for blood pressure (BP), the systolic pressure separated from the diastolic pressure by a slash mark, plus the assessed limb and general position of the patient.) To facilitate straightening the natural curvature of the adult ear canal, how should you pull the patient's pinna (top of the ear)? ✔✔back, up, and out. 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 ✔✔C. for 30 seconds then multiply by 2 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 ✔✔A. a falsely high reading Positioning and supporting the patient's arm at heart level is important because: 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 and C When listening to Korotkoff sounds, you would use your stethoscope's: A. bell B. diaphragm ✔✔Both A and B 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: A. you first hear Korotkoff sounds. B. the swishing sounds begin C. you hear the loudest sounds. D. the sounds become muffled E. the sound disappears ✔✔A and E Items to include when documenting temperature ✔✔-The temperature reading -The route you used to measure the temperature -Any signs or symptoms of temperature alterations -Your nursing interventions ("antipyretic given") -The patient's response to care Items to include when documenting pulse ✔✔-The rate, rhythm, and strength of the pulse -The site you used to palpate the pulse -Any signs or symptoms of pulse alterations -The pulse deficit (if applicable) -Your nursing interventions -The patient's response to care Items to include when documenting respirations ✔✔-The rate, rhythm, and depth of respirations -Any signs or symptoms of respiratory alterations -Abnormal respiratory sounds -The type of oxygen therapy (nasal cannula, mask) and flow rate -Respiratory status after a specific treatment (nebulizer therapy) -Any specimens and cultures obtained and sent to the lab -Your nursing interventions -The patient's response to care Items to include when documenting blood pressure ✔✔-The blood pressure reading -The site where you measured the blood pressure -Any signs or symptoms of blood-pressure alterations -Your nursing interventions -The patient's response to care Items to include when documenting pain ✔✔-The location, intensity, quality, duration, and pattern of the pain -Any signs or symptoms of pain -The patient's vital signs -Your nursing interventions -The patient's response to care Items to include when documenting oxygen saturation ✔✔-The patient's oxygen saturation -The site where you measured oxygen saturation -Any signs or symptoms of abnormal oxygen saturation -Type of oxygen therapy (nasal cannula, mask) and flow rate -Oxygen saturation after a specific treatment (nebulizer therapy) -Your nursing interventions -The patient's response to care