Deck 24: Clinical Measurement

Question 1

When taking a manual blood pressure which artery do you palpate?

A) brachial
B) radial
C) femoral
D) carotid

Answer 1

A

Question 2

Where do you measure Capillary Refill Time?

A) medial aspect of antecubital fossa
B) earlobe
C) upper part of the chest
D) nailbed
E) padded area fingertip

Answer 2

C, E

Question 3

Which temperature indicates a pyrexia?

A) 37.5-38.5°C
B) 36.0-37.5°C
C) 37.0-38.0°C
D) 38.0-39.0°C

Answer 3

A

Question 4

What is the best time of day to do a urinalysis sample?

A) mid-morning
B) before bed
C) after breakfast
D) first thing in the morning.

Question 5

As a student nurse if you record an abnormal clinical measurement would you?

A) document this in the patient's notes
B) call the doctor immediately
C) inform a health care assistant
D) inform a senior nurse or your mentor

Question 6

What does NOT affect pulse oximetry readings?

A) Dark nail varnish
B) High temperatures
C) Cardiac arrhythmias
D) SpO₂ readings below 80%

Question 7

In Blood Pressure monitoring what % of the arm circumference should the cuff bladder be?

A) 40%
B) 100%
C) 80%
D) 10%

Question 8

What skills are needed to complete a full set of clinical measurements?

Question 9

Why would you vary your approach to taking clinical measurements in different fields of nursing?

Question 10

When would gloves and aprons be worn to take clinical measurements?

Question 11

In a patient's home which clinical measurements would you be able to undertake without any equipment?

Question 12

Why are respiratory rates significant indicators of a patient's deteriorating physiological condition

Question 13

What else would you observe when taking a respiratory rate?

Question 14

Explain why a patient with a good pulsatile waveform on a pulse oximeter giving an accurate normal Sp0₂ recording may be acutely ill?

Question 15

Why do pulse rates need to be taken manually?

Question 16

What might be the cause of a weak, thready pulse?

Question 17

Why would you try to use the same ear for tympanic temperature measurements?

Question 18

If a patient is not catheterized how do you ensure that they are passing adequate volumes of urine?

Question 19

Why would you never squeeze the finger when taking a blood glucose sample?

Question 20

Why are early warning scoring systems used in hospitals and in some areas of pre hospital emergency care?