100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
6. Vital Signs and Pain Assessment $7.99   Add to cart

Exam (elaborations)

6. Vital Signs and Pain Assessment

 8 views  0 purchase

6. Vital Signs and Pain Assessment

Preview 2 out of 5  pages

  • August 15, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
All documents for this subject (42)
avatar-seller
Sirih
Chapter 06: Vital Signs and Pain Assessment


MULTIPLE CHOICE

1. The pyrexia response is triggered by the production and release of:
a. prostaglandins.
b. endogenous pyrogens.
c. hypothalamic enzymes.
d. thyroid hormones.



ANS: A
When microorganisms invade the body, pyrogens are released and travel to the hypothalamus. The
pyrexia response is then triggered by the production and release of prostaglandins.

DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation

2. During expiration, the internal intercostals:
a. increase the force of muscular contraction.
b. decrease the lateral diameter during expiration.
c. decrease the intrathoracic space.
d. increase elastic recoil during expiration.



ANS: B
The diaphragm is the dominant muscle during respiration. It contracts and pushes downward during
inspiration to increase the intrathoracic space. The external intercostal muscles increase the AP
diameter during inspiration and the internal intercostals decrease the lateral diameter
during expiration.

DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation

3. The fifth vital sign is:
a. pain.
b. orientation.
c. waist-to-hip ratio.
d. body mass index (BMI).



ANS: A
Pain, the universal distress signal, is now recognized as the fifth vital sign.

DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation

4. The Joint Commission (TJC) requires that:
a. pain be assessed on all discharges.
b. repeated assessment of pain be limited to those patients who complain of pain.

, c. repeated intensity documentation be made of the course of pain relief for all patients.
d. pain be assessed on surgical patients.



ANS: C

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Sirih. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $7.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67096 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$7.99
  • (0)
  Add to cart