1.
Vital signs include blood pressure, Pulse, Temp. Resp. Rate & Oxygen saturation. True or False?
Correct Answer
A. True
Explanation
Vital signs are essential indicators of a person's overall health and well-being. They provide important information about a person's cardiovascular function, respiratory function, and body temperature. Blood pressure, pulse, respiratory rate, and oxygen saturation are all considered vital signs because they help healthcare professionals assess a person's vital functions and detect any abnormalities or changes that may require medical attention. Therefore, the statement that vital signs include blood pressure, pulse, respiratory rate, and oxygen saturation is true.
2.
Where is temperature regulated?
Correct Answer
A. Hypothalamus
Explanation
The hypothalamus is responsible for regulating temperature in the body. It acts as the body's thermostat, receiving signals from the skin and internal organs to maintain a stable body temperature. It can initiate responses such as shivering or sweating to adjust the body's temperature as needed. The skin, heat and cold, and what a person wears can all influence temperature, but the ultimate regulation occurs in the hypothalamus.
3.
What is the normal range of temperature?
Correct Answer
A. 36.6-37.5 c
Explanation
The normal body temperature for a healthy adult typically falls between 36.6°C and 37.5°C. This range is an indicator of normal physiological processes and overall health. Variations outside this range may indicate fever, hypothermia, or other conditions that require medical attention. Temperature regulation is crucial as it affects metabolic functions and enzymatic activities within the body. Monitoring body temperature helps identify abnormalities and assists in diagnosing infections or other health issues.
4.
What is the normal pulse rate?
Correct Answer
C. 60-100 bpm
Explanation
The normal pulse rate refers to the average number of times the heart beats per minute. A pulse rate of 60-100 beats per minute is considered within the normal range for adults. This range indicates that the heart is functioning properly and delivering enough oxygenated blood to the body's organs and tissues.
5.
Which of the following is NOT considered a vital sign?
Correct Answer
D. Blood glucose level
Explanation
Vital signs provide a snapshot of essential bodily functions. Temperature indicates metabolic rate, pulse reflects heart function, respiration shows breathing efficiency, and blood pressure measures the force exerted on artery walls. These signs help assess overall health and identify potential issues.
6.
A patient has a pulse rate of 102, a respiration rate of 25, a B/P of 139/90 and a temperature of 103 F. As a nurse, which will you assess first?
Correct Answer
D. Temp. of 103 F
Explanation
As a nurse, the first thing you would assess is the patient's temperature of 103 F. A temperature of 103 F indicates a fever, which could be a sign of infection or another underlying medical condition. Fever can have serious consequences, so it is important to address it promptly. Assessing the temperature will help determine the severity of the fever and guide further interventions or treatments.
7.
What is the maximum of oxygen you can give a patient with COPD?
Correct Answer
A. 2 L/min
Explanation
The maximum amount of oxygen that can be given to a patient with COPD is 2 L/min. This is because patients with COPD have a decreased ability to exhale air, leading to air trapping in the lungs. Giving too much oxygen can cause a decrease in their respiratory drive and lead to respiratory failure. Therefore, it is important to carefully monitor and limit the amount of oxygen given to these patients.
8.
Blood pressure is the force against the arterial wall. True or False?
Correct Answer
A. True
Explanation
Blood pressure is the force exerted by the blood against the walls of the arteries as it is pumped by the heart. This force is necessary to ensure that oxygen and nutrients are delivered to the body's tissues. Therefore, the statement that blood pressure is the force against the arterial wall is true.
9.
A person that is dehydrated will experience a low B/P. True or False?
Correct Answer
A. True
Explanation
When a person is dehydrated, it means that their body lacks an adequate amount of water. This can lead to a decrease in blood volume, which in turn can cause a drop in blood pressure (B/P). When there is less fluid in the bloodstream, the heart has to work harder to pump blood throughout the body, resulting in a lower blood pressure reading. Therefore, it is true that a person who is dehydrated will experience a low B/P.
10.
What factor does not influence Respiration rate?
Correct Answer
B. Gender
Explanation
Respiration rate is primarily influenced by factors such as age, smoking, medication, and pain. However, gender is not a factor that directly influences respiration rate. While there may be slight differences in respiration rate between males and females due to physiological variations, it is not a significant factor compared to the others listed.
11.
COPD regulation is by hypoxemia via chemoreceptors in the brain. True or False?
Correct Answer
B. False
Explanation
The statement is false because the regulation of COPD (Chronic Obstructive Pulmonary Disease) is not solely controlled by hypoxemia via chemoreceptors in the brain. COPD is a chronic lung disease that is primarily caused by smoking and is characterized by airflow limitation. The regulation of COPD involves various factors including inflammation, airway remodeling, and oxidative stress, in addition to hypoxemia. Therefore, it is incorrect to state that COPD regulation is solely controlled by hypoxemia via chemoreceptors in the brain.
12.
Eupnea is another word for difficulty breathing. True or False?
Correct Answer
B. False
Explanation
Eupnea refers to normal, effortless breathing, which occurs without difficulty or abnormal effort. The term for difficulty breathing is dyspnea, a symptom often associated with respiratory or cardiovascular conditions. Misinterpreting these terms can lead to confusion in clinical communication. Recognizing and accurately describing breathing patterns is crucial for diagnosing and managing conditions affecting respiratory health.
13.
Pulse deficit is the difference between the apical and radial rate. True or False?
Correct Answer
A. True
Explanation
The statement is true because pulse deficit is indeed the difference between the apical (heart) rate and the radial (wrist) rate. The apical rate is the heart rate, which is typically measured by auscultating the heartbeat with a stethoscope. On the other hand, the radial rate is the pulse rate, which is measured by palpating the radial artery in the wrist. The pulse deficit is calculated by subtracting the radial rate from the apical rate, and it can be an indicator of irregular heart rhythms or poor peripheral circulation.
14.
A patient has a radial pulse of 65 & an apical rate of 66. What is the pulse deficit?
Correct Answer
B. 1
Explanation
The pulse deficit is calculated by subtracting the radial pulse rate from the apical pulse rate. In this case, the apical rate is 66 beats per minute, and the radial rate is 65 beats per minute. The difference between the two is 1. This slight variation can occur in healthy individuals or indicate a minor inefficiency in the heart’s pumping action. Regular monitoring helps detect more significant pulse deficits, which may suggest cardiac conditions.
15.
For a patient with a Temp. of 104 F and a damaged hypothalamus, will you give an antipyretic to lower the temperature?
Correct Answer
B. No
Explanation
The hypothalamus is responsible for regulating body temperature. If it is damaged, the body's ability to regulate temperature is compromised. In this case, giving an antipyretic, which is a medication used to lower fever, would not be effective as the damaged hypothalamus cannot respond to the medication. Therefore, the correct answer is false.