Question

2 Measuring Vital Signs 193 11. Biot creased intracranial ized by (363) 1. increasing rapidity of breathing followed by slowing of the rate. 2 excessively slow, deep respirations fol- lowed by a period of apnea 3. increase-decrease of rate and depth of res- piration 4. two or three shallow breaths followed by a period of apnea. occur in patients with in- pressure and are character- 15. When performing an assessment on a 1-year- old patient, you should 358) 1. use the radial artery for the pulse measure ment. 2 use the stethoscope to count the apical pulse. 3. check peripheral pulses on the dominant side of the body only deck the radial and dorsals pedis pulses. 12. As an infant grows, the heart rate slows. A heart rate within normal limits for a 6-month- old infant is the blank) (360, Table 21.3) 16. Your patient's blood pressure measures 15 higher than on her last visit. She has no y of hypertension. Which actions would be appropriate? (Select all that apply) 366-369) 1. Wait 15 minutes and take the pressure again. 2. Tell her to return for a recheck in one week 3. Ask if something upeetting has happened. 4 Inquire when the last meal was eaten. 5. Lower the arm below the right atrium and recheck blood pressure. bpm. (Fill in 13. The respiratory rate varies from infancy to adulthood. A normal respiratory rate in the 10-year-old child will be adult's. (Fill in the blank)363) than an 14. If a patient's blood pressure measures 146/92 on the left arm and 138/84 on the right arm, what would you do? (368) 1. Retake the pressure on both arms. 2. Retake the pressure on the left arm. 3. Interference with accurate measurement of 17. body temperature occurs if the patient (348) 1. has been chewing gum. 2 just came in from the cold. 3. rushed getting to the office. 4. has been speaking before the temperature is measured. Record both pressures in the medical re- cord Wait 30 minutes and take the pressures again. 4. CRITICAL THINKING ACTIVITIES 1. Take the respiratory rate of a healthy individual and a patient with a lower respiratory infection. List the possible physiologic reasons for the difference in the respiratory rates. 361-362, 364) 2. Explain the mechanisms by which the body elevates temperature to combat a pyrogen. 345, 349) 3. Why do you think that taking a major class examination might raise your pulse rate? 360) MEETING CLINICAL OBJECTIVES Directions: The following suggested activities will help you meet the stated clinical practice objectives for the chapter Review your school's clinical objectives for the week and outline a plan of activities that will help you meet them. If you are unsure houw to meet them, consult with your instructor at the beginning of the clinical day Practice taking the temperature by the various routes and with a tympanic thermometer and an elec- tronic thermometer 1. Practice taking blood pressure on as many patients as possible. Have an experienced nurse check your readings on a few people to be certain you are accurate. 2. 3. Try to correlate each vital sign with what is happening in the patient's body to explain changes in vital signs.

Answer 1

ANSWERS :

11. Biot respirations occur in the patient's with increased intracranial pressure and are characterized by two or three shallow breaths followed by a period of apnea. The answer is 4

12. As an infant grows, the heart rate slows. A heart rate within normal limits for a 6 month old infant is 120-160 bpm.

13. The respiratory rate varies from infancy to adulthood. A normal respiratory rate in the 10 year old child will be higher than an adults.

14. The answer is 3- Record both pressures in the medical record