Chapter 6 Vital SIgns and Oxygen Administration - Test

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1

Which of the following are essential parts of the initial assessment of a patient who is in the diagnostic imaging department for an invasive procedure? Circle all that apply.

A) Taking a blood pressure
B) Taking a pulse
C) Listening for rales in the lungs
D) Taking a respiration rate
E) Doing blood gas assessment
F) Finding out the oxygen saturation level
G) Taking a temperature

A) Taking a blood pressure
B) Taking a pulse
D) Taking a respiration rate

2

Why is the initial assessment so important to perform?

To establish a baseline.

3

Systolic blood pressure can be defined as:

A) The lowest point to which the blood pressure drops during relaxation of the ventricles
B) The highest point reached during contraction of the left ventricle
C) The difference between the systolic and diastolic blood pressure
D) The pressure in the pulmonary vein

B) The highest point reached during contraction of the left ventricle

4

What range of breaths/min is the normal adult respiratory rate?

a) 8 to 10
b) 15 to 20
c) 20 to 30
d) 80 to 90

b) 15 to 20

5

An adult patient is considered to be hypertensive or to have hypertension if the systolic blood pres-sure and diastolic blood pressure are consistently greater than:

A) 100 systolic and 60 diastolic
B) 120 systolic and 80 diastolic
C) 130 systolic and 86 diastolic
D) 140 systolic and 90 diastolic

D) 140 systolic and 90 diastolic

6

Oxygen can be toxic to patients if it is incorrectly used. State 2 reasons why this is so.

...

7

A patient may be considered to have tachycardia if the pulse rate is higher than:

A) 60 beats/min
B) 80 beats/min
C) 90 beats/min
D) 100 beats/min

D) 100 beats/min

8

Which of the following items must be in the diagnostic imaging department and in working order? More than one may apply.

A) Catheterization sets
B) Suture removal sets
C) Oxygen delivery system
D) Blood pressure monitoring equipment

C) Oxygen delivery system
D) Blood pressure monitoring equipment

9

What is the normal oral body temperature of an adult?

98.6 degrees F

10

Point where the blood pressure is most often measured

A) Sphygmomanometer
B) Clinical thermometer
C) Stethoscope
D) Brachial artery
E) Radial artery

D) Brachial artery

11

Measures apical pulse

A) Sphygmomanometer
B) Clinical thermometer
C) Stethoscope
D) Brachial artery
E) Radial artery

C) Stethoscope

12

Measures body temperature

A) Sphygmomanometer
B) Clinical thermometer
C) Stethoscope
D) Brachial artery
E) Radial artery

B) Clinical thermometer

13

Measures blood pressure

A) Sphygmomanometer
B) Clinical thermometer
C) Stethoscope
D) Brachial artery
E) Radial artery

A) Sphygmomanometer

14

Point where the pulse is most often measured

A) Sphygmomanometer
B) Clinical thermometer
C) Stethoscope
D) Brachial artery
E) Radial artery

E) Radial artery

15

True or False?

A nasal cannula and face mask are the two most commonly used oxygen delivery systems.

True

16

True or False?

Oxygen administration can be hazardous because oxygen is highly combustible.

True

17

List the hazards of oxygen administration.

To high of an oxygen concentration may cause reversible tracheobronchitis

Oxygen is highly combustible

18

True or false

When blood pressure drops the heart speeds up in order to compensate for the drop in pressure. Therefore the pulse rate will be more rapid.

True

19

Ms. Gwen Knics has entered the radiography room for an intravenous urograph. After the injection of contrast, she begins to experience tightness of the chest and difficulty breathing.Which is the best response?

A) Immediately call a code blue.
B) Take the vital signs again to establish that she really is having trouble.
C) Assure her that she will be just fine.
D) Call for the radiography nurse.
E) Start the flow of oxygen at 2 LPM with a facemask.

D) Call for the radiography nurse.

20

A respiration of few then 10 breaths/min in an adult may result in what?

cyanosis

21

The blood pressure reading that occurs during the relaxation of the ventricles.

A) Tympanic
B) Korotkoff sounds
C) Diastolic
D) Systolic
E) volatile

C) Diastolic

22

Bell-like; resonance pertaining to the tympanum

A) Tympanic
B) Korotkoff sounds
C) Diastolic
D) Systolic
E) volatile

A) Tympanic

23

The blood pressure reading taken during the contraction of the ventricles while the blood is in the arteries.

A) Tympanic
B) Korotkoff sounds
C) Diastolic
D) Systolic
E) volatile

D) Systolic

24

Extraneous sounds heard during the taking of blood pressure; may be a tapping, knocking, or swishing sound.

A) Tympanic
B) Korotkoff sounds
C) Diastolic
D) Systolic
E) volatile

B) Korotkoff sounds

25

Easily vaporized or evaporated; unstable or explosive in nature

A) Tympanic
B) Korotkoff sounds
C) Diastolic
D) Systolic
E) volatile

E) volatile

26

When a patient is using more than the normal effort to breathe, he or she is said to have this disorder. Labored or difficult breathing resulting from insufficient airflow to the lungs.

A) cyanosis
B) Tachycardia
C) Bradycardia
D) Dyspnea
E) Chronic obstructive pulmonary disease

D) Dyspnea

27

A condition in which the blood does not supply enough oxygen to the body, causing a blueinsh tone. May be caused by respiration of less than 10 breaths/min.

A) cyanosis
B) Tachycardia
C) Bradycardia
D) Dyspnea
E) Chronic obstructive pulmonary disease

A) cyanosis

28

A disease of the lungs in which respiratory and expiratory lung capacity is diminished. Excessive oxygen in the blood of a patient with this disorder may depress the respiration drive and the patient may stop breathing.

A) cyanosis
B) Tachycardia
C) Bradycardia
D) Dyspnea
E) Chronic obstructive pulmonary disease

E) Chronic obstructive pulmonary disease

29

An abnormal condition in which the myocardium contracts at a rate greater than 100 beats/min. Abnormally fast heart rate

A) cyanosis
B) Tachycardia
C) Bradycardia
D) Dyspnea
E) Chronic obstructive pulmonary disease

B) Tachycardia

30

An abnormal circulatory condition in which the heart beats in a regular pattern but at a rate of less than 60 beats/min. Abnormally slow heart rate

A) cyanosis
B) Tachycardia
C) Bradycardia
D) Dyspnea
E) Chronic obstructive pulmonary disease

C) Bradycardia