Test your basic knowledge |

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. How should baby's temperature be taken?
Diastolic pressure
Axillary.
Core Temperature
Tachypnea

2. Increased rate and depth with panting and long grunting exhalation. Often seen with patients with acidosis and renal failure.

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

3. What happens when vasodilation occurs?
Cardiac Output
Increases as body tries to remove excess heat
Vascular resistance drops and the blood pressure decreases
Nursing interventions to reduce fever

4. Those at risk for hypothermia include
thready
the blood pressure will rise in order to push the blood along.
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.
Kussmaul's respiration

5. What patients should not use a glass thermometer orally?
uncooperative patient - children - combative patients - dementia
fever
pyrexia
Radial

6. Fever above 100.2 F
Stroke volume
12-20
hypoxia
pyrexia

7. 2nd stage of fever is?
arrhythmia
Dorsalis pedis
by placing the flat part of the first fingers against the tendon - or cord - on the thumb inside of the inner wrist and ten rolling the fingers slightly outward into the little trough on the thumb inside the wrist.
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.

8. Barely palpable
12-20
temperature - pulse - respiration - blood pressure - and pain level.
Feeble
Blood pressure increases because there is more volume of blood in the vascular system.

9. What will happen in febrile stage if temperature is very high or temperature stays for a long amount of time?
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.
When an accurate temperature cant be obtained orally and a tympanic or temporal artery thermometer are not available. It may be used when there is nasal congestion or there has been nasal or oral surgery - the patient is unable to keep their mouth cl
Hypothermia
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.

10. Pulse lower than 60 beats per minute
bradycardia
hyperoxia
The pulse rate gradually diminishes from birth to adulthood
higher

11. How do you measure the apical pulse?
Stertor
determine if the patient has a known heart arrhythmia - perform hand hygiene - expose the left chest - warm the stethoscope in hand for a min or 2 - locate the apex of the heart by palpating for the 5th intercostal space at the midclavicular line. li
16-20
Brachial

12. Risk for prolonged hypertension
Korotkoff sounds Phase IV: Muffling
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
the palpation method is used. put cuff over arm - feel the radial point to get the systolic pressure you cant get the diastolic this way.

13. Bend of knee
140-159/90-99
^160/^100
remittent
popliteal

14. Rectal temperature are
Hyperventilation
20-30
about 1 degree higher than oral temperatures
Nursing interventions to reduce fever

15. How does physical exercise raise the body's temperature?
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
constant
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.
Apical

16. An example of nursing planning
Hyperthermia related to infection or excessive heat exposure
72 bpm
Temperature will remain below 102 degrees with use of hypothermia blanket
The pulse rate increases at the rate of 7-10 beats for each degree of temperature

17. BP at or lower 90/60.
tachycardia
hypotension
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
remittent

18. When should rectal temperatures be used?
remittent
Irregular
When an accurate temperature cant be obtained orally and a tympanic or temporal artery thermometer are not available. It may be used when there is nasal congestion or there has been nasal or oral surgery - the patient is unable to keep their mouth cl
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.

19. right arm vs. left arm/ arm vs. leg BP?
Relapsing
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.
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
Pulse pressure

20. Disappearance of sound. (marks diastolic pressure in adults)
Korotkoff sounds Phase V: Silence
ausculatation
Convection
120/80

21. Blood pressure for any adult should be no higher than
120/80
120/70
tachycardia
Relapsing

22. The volume of blood pushed into the aorta per heartbeat.
Stroke volume
30-80
Diaphoresis
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.

23. Continuous dry - rattling sounds heard on ausculation of the lungs caused by partial obstruction.
Rhonchi
the rate - the rhythm - and volume
wheeze
cardiac patients or patients who have had rectal surgery.

24. What characteristics should be noted when checking the pulse?
97.5 to 99.5
Tachypnea
96.5 to 97.5
the rate - the rhythm - and volume

25. This affects the character of the pulse.
carotid
Pulse
constant
Stroke Volume

26. Are infants blood pressure low or high?
low
Evaporation
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
Acute anxiety stimulate the nervous system - raising the pulse.

27. How does external respiration occur?
left Sims position
intermittent
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
low BP

28. When the heart contracts How many mLs of blood is propelled into the aorta?
60 to 70 mL
Core Temperature
Cheyenne-Stokes
20-30

29. A normal - relaxed breathing pattern
Eupnea
Kussmaul's respiration
30-80
Korotkoff sounds Phase IV: Muffling

30. What are the 5 vital signs?
men - African Americans - under a lot of stress - obese
temperature - pulse - respiration - blood pressure - and pain level.
Pulse pressure
Eupnea

31. High BP
Onset - which may occur gradually or suddenly. the body responds to a pyrogen by trying to conserve and manufacture heat to raise the set point for core temperature. The person will feel cold - and will add clothes or covers - curl up in a ball - and
hypertension
hypoxia
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.

32. 3rd stage of fever?
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Korotkoff sounds
uncooperative patient - children - combative patients - dementia
temperature - pulse - respiration - blood pressure - and pain level.

33. Full and bounding (even beats wit strong force)
Stroke volume
men - African Americans - under a lot of stress - obese
temperature - pulse - respiration - blood pressure - and pain level.
+3

34. Sex BP?
Kussmaul's respiration
males have higher bp - until menopause then they are the same
+3
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.

35. Prehypertension
Korotkoff sounds Phase III: Knocking
120-139/80-89
intermittent
Stimulants increase the pulse rate. Depressants decrease the pulse rate.

36. What affects does aging do to the blood pressure?
men - African Americans - under a lot of stress - obese
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
constant

37. Normal body temperature ranges?
97.5 to 99.5
the blood pressure will rise in order to push the blood along.
When an accurate temperature cant be obtained orally and a tympanic or temporal artery thermometer are not available. It may be used when there is nasal congestion or there has been nasal or oral surgery - the patient is unable to keep their mouth cl
stridor

38. Macine that measures oxygen in the blood by determining the percentage of hemoglobin that is bound with oxygen.
oximeter
hypoxemia
Systolic pressure
Biot's respirations

39. How cardiac contractions are normally initiated by the electrical impules emerging from what?
Sinoatrial node (SA NODE)
Korotkoff sounds Phase III: Knocking
Temperature will remain below 102 degrees with use of hypothermia blanket
16-20

40. How should respirations be counted?
Apical
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.
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
+1

41. The average temperature in the older adult
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
Convection
96.5 to 97.5
males have higher bp - until menopause then they are the same

42. Stage 2 hypertension
^160/^100
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
Onset - which may occur gradually or suddenly. the body responds to a pyrogen by trying to conserve and manufacture heat to raise the set point for core temperature. The person will feel cold - and will add clothes or covers - curl up in a ball - and
+1

43. Slow and shallow breathing - leads to hypoxemia.
wheeze
120/70
bradypnea
Pons and Medulla of the brainstem

44. Inside ankle
Radial
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
Pons and Medulla of the brainstem
Posterior tibial

45. Low oxygen
Cheyenne-Stokes
Korotkoff sounds Phase IV: Muffling
hypoxia
apnea

46. The pressure wave causing te arterial walls in the vascular system each time the heart contracts to force blood into an already full aorta.
Pulse
left Sims position
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
Hypothermia

47. Side of wrist
Tall - slender people mayy ave a slower pulse rate than short - stout persons
Radial
16-20
Diaphoresis

48. Obtaining the correct size for a cuff for BP?
temperature - pulse - respiration - blood pressure - and pain level.
Korotkoff sounds Phase V: Silence
Cardiac Output
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.

49. Newborn
30-80
Korotkoff sounds
shallow or slow breathing
the lungs

50. Fast - deep respirations with abrupt pauses

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183