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Vital Signs-Documentation UNITEK QUIZ 3 with 100% correct Answers
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What are the nursing priorities for legal documentation? - Answer -Do not erase or apply correction fluid,record all entries legibly in black ink,chart only for yourself,each entry must have time and end with your signature What is the normal range of vital signs? - Answer -May differ from standard range What does ADL refer to? - Answer -Activities of daily living What is l&O? - Answer -Intake and output What is DNR? - Answer -Do not resuscitate If BP is above 140/90 mmHg, it's considered as? - Answer -Hypertension Body temperature that remains relatively constant is the? - Answer -Core Temperature Arteries for checking pulse? - Answer -Radial,Popliteal,Brachial,Carotid artery When assessing apical pulse, count the pulse for how long? - Answer -60 Seconds What is tachycardia? - Answer -Pulse rate <120 bpm What is bradycardia? - Answer -Pulse rate <60 bpm What is bradypnea? - Answer -Abnormally slow breathing rate <12 breaths/min Correct placement of stethoscope for BP? - Answer -Over brachial artery What is NPO? - Answer -Nothing by Mouth When taking oral temperature, pt has drank something cold. How long to wait? - Answer -30 Minutes When using tympanic thermometer for child, tug ear pinna? - Answer -Downward and back
Who is legal owner of pt's medical record? - Answer -Facility or institution Nursing process that requires nurse to establish interventions and care for the pt? - Answer -Planning Developing care plan for newly admitted pt. What should nurse start with? - Answer - Assessment What is the normal heart rate in adults? - Answer -60-100 bpm What is the normal BP in adults? - Answer -Less than 120/80 mmHg What is hypertension? - Answer -HBP;>140/90 mmHg What is the normal respiration rate in adults? - Answer -12-20 breaths/min Constant - Answer -Remains elevated consistently Intermittent - Answer -Rises and falls Remittent - Answer -Fluctuating fever that remains elevated; it does not return to baseline temperature Signs/Symptoms of Elevated Body Temperature - Answer - Thirst,Anorexia,Flushed,warm skin,Irritability,Glassy eyes/photophobia,headache What is considered the least accurate method? - Answer -Axillary temperature Rectual Readings - Answer -1 F higher than oral Axillary Reading - Answer -1 F lower than oral Factors Affecting Pulse Rates - Answer -Medications,Hemorrhage,Postural changes,Metabolism,Pulmonary conditions Factors Influencing Respiration - Answer -Body position,medications,exercise,acute pain,smoking,brain stem injury Orthostatic Hypotension - Answer -A drop of 25 mm Hg in systolic pressure and a drop of 10 mm Hg in diastolic pressure when moving from lying to sitting or sitting to standing Factors Influencing Blood Pressure - Answer -Age,Anxiety,fear,pain,emotional stress,medications,hormones,Diurnal(happening daily) Race,Gender