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Measuring Vital Signs

Subjects : health-sciences, emergency-medicine

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. Low oxygen
1) ventilation - Which is the movement of air in and out of the lung. 2) dispersion of air throughout the bronchial tree of the lungs; 3) diffusion of oxygen and carbon dioxide molecules across the alveolar membranes; 4) perfusion - the movement of b
hypoxia
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
Stertor

2. Fever above 100.2 F
1) ventilation - Which is the movement of air in and out of the lung. 2) dispersion of air throughout the bronchial tree of the lungs; 3) diffusion of oxygen and carbon dioxide molecules across the alveolar membranes; 4) perfusion - the movement of b
pyrexia
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
temperature - pulse - respiration - blood pressure - and pain level.

3. Taking a rectal temperature
Brachial
bradycardia
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
Biot's

4. Head injury or any increased intracranial pressure will depress the respiratory center and result in?
shallow or slow breathing
20-30
Sinoatrial node (SA NODE)
It uses large muscles in the body - which create body heat by burning up the glucose and fat in the tissues - muscle action generates heat and core temperature rises.

5. Rectal temperature are
thready
Systolic pressure
about 1 degree lower than oral temperatures
about 1 degree higher than oral temperatures

6. Top of left foot
Dorsalis pedis
^160/^100
20-30
The emotions increase hormone secretion - and the body activities required for this increase heat production.

7. How do drugs affect pulse?
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
It uses large muscles in the body - which create body heat by burning up the glucose and fat in the tissues - muscle action generates heat and core temperature rises.
Kussmaul's respiration
Stimulants increase the pulse rate. Depressants decrease the pulse rate.

8. Breathing is an involuntary automatic function controlled by the respiratory center located where?
Pons and Medulla of the brainstem
It will also fall
left Sims position
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients

9. Elevated temperature
Kussmaul's respiration
fever
hypoxemia
Relapsing

10. Signs and symptoms of shock
^160/^100
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
males have higher bp - until menopause then they are the same
Respiration

11. What affects does aging do to the heart rate?

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12. 2nd stage of fever is?
BMR
+1
Febrile stage - the body temperature rises to a new set point established by the hypothalamus and remains there until there is a resolution to the cause of fever.
popliteal

13. Side of wrist
wheeze
dehydration - delirium - and convulsons may occur. Dehydration will occur because of lost with perspiration and more rapid breathing. Delirium and convulsions may occur because neurologic function is affected when the temperature in the brain rises.
Pedal pulse
Radial

14. While measuring the BP certain sounds may be heard that relate to the effect of the blood pressure cuff on the arterial wall.
120/80
remittent
Korotkoff sounds
men - African Americans - under a lot of stress - obese

15. Feel
Hyperventilation
palpate
oximeter
Respiration

16. Abrupt decline in fever
Korotkoff sounds
Crisis
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
Tachypnea

17. Prehypertension
120-139/80-89
raises BP.
palpate
1) ventilation - Which is the movement of air in and out of the lung. 2) dispersion of air throughout the bronchial tree of the lungs; 3) diffusion of oxygen and carbon dioxide molecules across the alveolar membranes; 4) perfusion - the movement of b

18. Gradual return to a normal temperature
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
Cardiac Output
lysis
Nursing interventions to reduce fever

19. respirations become faster and deeper - then slower and shallower wit a period of apnea - called the death rattle.
males have higher bp - until menopause then they are the same
Temporal
Cheyenne-Stokes
Korotkoff sounds

20. 3 yr old
Feeble
thready
20-30
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.

21. How does disease increase the body's temperature?
blood pressure is lowest in the morning. and higher in the afternoone
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
hypotension

22. What affects does aging do to the blood pressure?
20-30
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
the lungs
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.

23. Drop in blood pressure when arising to a standing position.
thready
orthostatic hypertension
the blood pressure will rise in order to push the blood along.
raises BP.

24. Both strong and weak beats occur within 1 minute
Irregular
from drug therapy - a neurologic problem or dehydration.
dyspnea
Nursing interventions to reduce fever

25. Stage 2 hypertension
Respiration
^160/^100
Femoral
postoperative patients wo have been cooled during surgery - newborn infants whose skin is exposed to cool room temperatures - elderly or debiliated patients - and those exposed to cold temperatures for prolonged periods.

26. Irregular pulse - a period of normal rhythm broken by periods of irregularity or skipped beats.
Biot's
+2
arrhythmia
when it is difficult to find or to count the radial pulse - or for patients with heart conditions for one full minute by placing stethoscope on the heart to count for a full minute.

27. How should respirations be counted?
Biot's
+3
120/80
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.

28. What pulse is checked to determine whether there is any blockage of circulation in the artery up to that point - especially in patients who have had cardiac catherization using the femoral artery for the insertion of the catheter or those who had sur
Acute anxiety stimulate the nervous system - raising the pulse.
Pedal pulse
Pulse
Pons and Medulla of the brainstem

29. Heart
Cardiac Output
Biot's
Apical
+1

30. How does external respiration occur?
1) ventilation - Which is the movement of air in and out of the lung. 2) dispersion of air throughout the bronchial tree of the lungs; 3) diffusion of oxygen and carbon dioxide molecules across the alveolar membranes; 4) perfusion - the movement of b
Conduction
ausculatation
the lungs

31. Average blood pressure should be
120/70
males have higher bp - until menopause then they are the same
1) ventilation - Which is the movement of air in and out of the lung. 2) dispersion of air throughout the bronchial tree of the lungs; 3) diffusion of oxygen and carbon dioxide molecules across the alveolar membranes; 4) perfusion - the movement of b
dyspnea

32. Korotkoff sounds Ausculatatory gap:
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
Cardiac Output
Tachypnea
men - African Americans - under a lot of stress - obese

33. Encourage a large fluid intake - lower room temperature - increase air circulation - remove items of clothes - control or reduce the amount of body activity - carry out physicians orders
Nursing interventions to reduce fever
120/70
hypoxia
Stroke volume

34. Macine that measures oxygen in the blood by determining the percentage of hemoglobin that is bound with oxygen.
120/70
oximeter
the blood pressure will rise in order to push the blood along.
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.

35. Pulse lower than 60 beats per minute
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
Acute anxiety stimulate the nervous system - raising the pulse.
bradycardia
the rate - the rhythm - and volume

36. Side of forehead
place the thermometer in the center of the patients dry axilla. Ask patient to hold the arm tightly against the chest. Leave in place 3-8 minutes.
Tall - slender people mayy ave a slower pulse rate than short - stout persons
Temporal
12-20

37. Stress & emotions. BP?
higher
popliteal
apnea
temperature - pulse - respiration - blood pressure - and pain level.

38. Subnormal body temperature the regulating center in the hypothalamus is greatly impaired when the temperature of the body falls below 94 degrees - at that point? sleepiness and coma are apt to develop.
from drug therapy - a neurologic problem or dehydration.
about 1 degree higher than oral temperatures
popliteal
Hypothermia

39. The average temperature in the older adult
the lungs
cardiac patients or patients who have had rectal surgery.
96.5 to 97.5
pyrogens

40. How does menstrual cycle and pregnancy raise the body's temperature?
hypoxia
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
Core Temperature
Korotkoff sounds Phase II Swishing

41. How does the time of day (circadian rhythm) affect the body's temperature?

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42. Head injury BP?
raises BP.
140-159/90-99
Korotkoff sounds Phase IV: Muffling
Tachypnea

43. Snoring sound produced when patients are unable to cough up secretions from the trachea or bronchi
Stertor
Crisis
Femoral
Eupnea

44. How does size affect pulse?
hypoxia
Increases as body tries to remove excess heat
Tall - slender people mayy ave a slower pulse rate than short - stout persons
dehydration - delirium - and convulsons may occur. Dehydration will occur because of lost with perspiration and more rapid breathing. Delirium and convulsions may occur because neurologic function is affected when the temperature in the brain rises.

45. What characteristics should be noted when checking the pulse?
the rate - the rhythm - and volume
bradycardia
Hyperthermia related to infection or excessive heat exposure
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients

46. Obtaining the correct size for a cuff for BP?
ausculatation
The pulse rate gradually diminishes from birth to adulthood
Increases as body tries to remove excess heat
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.

47. No pulse palpable or heard on ausculation
about 1 degree higher than oral temperatures
absent
arrhythmia
constant

48. What affects does aging do to the respiratory rate?
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
The emotions increase hormone secretion - and the body activities required for this increase heat production.
dehydration - delirium - and convulsons may occur. Dehydration will occur because of lost with perspiration and more rapid breathing. Delirium and convulsions may occur because neurologic function is affected when the temperature in the brain rises.
It may rise slightly as decreases in vital capacity and respiratory reserve occur.

49. A normal - relaxed breathing pattern
1) ventilation - Which is the movement of air in and out of the lung. 2) dispersion of air throughout the bronchial tree of the lungs; 3) diffusion of oxygen and carbon dioxide molecules across the alveolar membranes; 4) perfusion - the movement of b
systolic pressure indicated by faint - clear sound that gradually grow louder.
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
Eupnea

50. The maximum pressure exerted on the artery during left ventricular contraction.
Systolic pressure
+1
Apical
cardiac patients or patients who have had rectal surgery.