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Test your basic knowledge |
Measuring Vital Signs
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Subjects
:
health-sciences
,
emergency-medicine
Instructions:
Answer 50 questions in 15 minutes.
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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. Hearing
Pons and Medulla of the brainstem
Blood pressure increases because there is more volume of blood in the vascular system.
16-20
ausculatation
2. An example of a nursing diagnoses
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
blood pressure is lowest in the morning. and higher in the afternoone
Hyperthermia related to infection or excessive heat exposure
3. Axillary temperature are
16-20
bradypnea
constant
about 1 degree lower than oral temperatures
4. Pulse above 100 beats per minute
hypoxia
males have higher bp - until menopause then they are the same
tachycardia
Dorsalis pedis
5. Taking a rectal temperature
crackles
+1
72 bpm
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
6. What will happen in febrile stage if temperature is very high or temperature stays for a long amount of time?
Systolic pressure
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.
Pulse pressure
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
7. right arm vs. left arm/ arm vs. leg BP?
96.5 to 97.5
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
systolic pressure indicated by faint - clear sound that gradually grow louder.
shallow or slow breathing
8. Snoring sound produced when patients are unable to cough up secretions from the trachea or bronchi
Convection
Stertor
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.
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.
9. How does physical exercise raise the body's temperature?
120/70
140-159/90-99
30-80
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.
10. High oxygen
Acute anxiety stimulate the nervous system - raising the pulse.
hyperoxia
the effectiveness of the heart contractions - the amount of blood in the system - and the presence of any obstruction or interference of blood to the blood vessels
hypotension
11. Strong and regular ( even beats wit moderate force)
+2
96.5 to 97.5
It increases to push the blood through more rigid pathways.
palpate
12. What affects does aging do to the blood pressure?
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
from drug therapy - a neurologic problem or dehydration.
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
Rhonchi
13. Enviromental temperature BP?
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
carotid
from drug therapy - a neurologic problem or dehydration.
14. State of insufficient oxygen
Korotkoff sounds Phase III: Knocking
the rate - the rhythm - and volume
hypoxia
Biot's
15. Are infants blood pressure low or high?
low
fever
Diastolic pressure
Apical
16. How cardiac contractions are normally initiated by the electrical impules emerging from what?
Hyperthermia related to infection or excessive heat exposure
Sinoatrial node (SA NODE)
the lungs
Korotkoff sounds Phase II Swishing
17. Substances tat cause fever
Tachypnea
remittent
oximeter
pyrogens
18. The rate at which heat is produced when the body is at rest.
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
BMR
constant
Systolic pressure
19. By measuring the blood pressure you obtain vital info about what?
the blood pressure will rise in order to push the blood along.
the rate - the rhythm - and volume
the effectiveness of the heart contractions - the amount of blood in the system - and the presence of any obstruction or interference of blood to the blood vessels
Diaphoresis
20. Sex BP?
97.5 to 99.5
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
lysis
males have higher bp - until menopause then they are the same
21. What happens when vasodilation occurs?
thready
Hyperventilation
low BP
Vascular resistance drops and the blood pressure decreases
22. Abrupt decline in fever
constant
Crisis
hypoxia
Feeble
23. Blood pressure for any adult should be no higher than
systolic pressure indicated by faint - clear sound that gradually grow louder.
120/70
120/80
Pulse pressure
24. The pressure wave causing te arterial walls in the vascular system each time the heart contracts to force blood into an already full aorta.
Evaporation
popliteal
Pulse
temperature - pulse - respiration - blood pressure - and pain level.
25. Low oxygen
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
hypoxia
wheeze
16-20
26. Slow and shallow breathing - leads to hypoxemia.
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
Evaporation
hypoxia
bradypnea
27. Korotkoff sounds Ausculatatory gap:
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
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
Cardiac Output
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
28. What are the 5 vital signs?
Rhonchi
hypoxia
hypoxemia
temperature - pulse - respiration - blood pressure - and pain level.
29. Shallow for two or three breaths with a period of variable apnea. occur in patients with increased intracranial pressure.
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30. Breathing is an involuntary automatic function controlled by the respiratory center located where?
Core Temperature
Pons and Medulla of the brainstem
Diastolic pressure
Feeble
31. Diurnal variation BP?
dyspnea
blood pressure is lowest in the morning. and higher in the afternoone
It will also fall
hypoxia
32. Macine that measures oxygen in the blood by determining the percentage of hemoglobin that is bound with oxygen.
Cheyenne-Stokes
hypoxia
low
oximeter
33. What happens to the blood if overhydration occurs?
Brachial
Korotkoff sounds Phase II Swishing
higher
Blood pressure increases because there is more volume of blood in the vascular system.
34. 3rd stage of fever?
Core Temperature
hypertension
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Temporal
35. Newborn
120/80
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
30-80
120/70
36. Taking axillary temperature
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.
oximetry
12-20
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
37. Whats the best position to take a rectal temperature?
left Sims position
It increases to push the blood through more rigid pathways.
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
^160/^100
38. When is apicial pulse used?
the lungs
60 to 70 mL
intermittent
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.
39. What patients should not use a glass thermometer orally?
uncooperative patient - children - combative patients - dementia
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Cardiac Output
carotid
40. Why would patients experience orthostatic hypotenstion?
from drug therapy - a neurologic problem or dehydration.
Pulse
Vascular resistance drops and the blood pressure decreases
Cheyenne-Stokes
41. Barely palpable
cardiac patients or patients who have had rectal surgery.
lysis
Temperature will remain below 102 degrees with use of hypothermia blanket
Feeble
42. Louder knocking sound that occurs wit each heartbeat
BMR
Korotkoff sounds Phase III: Knocking
Cardiac Output
Brachial
43. When the vascular walls lose elasticity - as with arteriosclerosis and aging what happens to BP?
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
It increases to push the blood through more rigid pathways.
Pedal pulse
Korotkoff sounds Phase III: Knocking
44. While measuring the BP certain sounds may be heard that relate to the effect of the blood pressure cuff on the arterial wall.
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
20-30
Korotkoff sounds
120/80
45. High BP
Biot's
oximetry
hypertension
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
46. Side of wrist
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.
Radial
The body's temperature in the morning is usually low from inactivity of the muscles. The afternooon body temperature may be high-normal because of the body's metabolic processes - the patient's activity - and the temperature of the environment.
males have higher bp - until menopause then they are the same
47. Full and bounding (even beats wit strong force)
+3
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
96.5 to 97.5
Nursing interventions to reduce fever
48. Increased rate and depth with panting and long grunting exhalation. Often seen with patients with acidosis and renal failure.
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49. 3 yr old
ausculatation
20-30
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
Temporal
50. A normal - relaxed breathing pattern
Hypothermia
Eupnea
Korotkoff sounds Phase V: Silence
low BP
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