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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.
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. The difference between the systolic pressure and the diastolic pressure
Korotkoff sounds Phase V: Silence
12-20
Pons and Medulla of the brainstem
Pulse pressure
2. Carbon dioxide is carried as bicarbonate ion in the blood until it reaches where?
60 to 70 mL
the lungs
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.
left Sims position
3. Lobes in the lungs?
3 in the right lung and 2 lobes in the left
Korotkoff sounds Phase III: Knocking
16-20
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
4. A high temperature falls - usually in the morning - and again rises later in the day. The temperature never fails to normal in this type of fever until recovery occurs.
Nursing interventions to reduce fever
Posterior tibial
remittent
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.
5. While measuring the BP certain sounds may be heard that relate to the effect of the blood pressure cuff on the arterial wall.
Irregular
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
Dorsalis pedis
Korotkoff sounds
6. Symptoms of hypoxia
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
hypoxia
hypoxemia
7. The temperature falls to normal and then rises again in a repeating pattern.
Relapsing
Pulse pressure
Conduction
apnea
8. High BP
Blood pressure increases because there is more volume of blood in the vascular system.
Korotkoff sounds Phase V: Silence
hypertension
in the alveoli - tiny thin-walled sacs
9. Why would patients experience orthostatic hypotenstion?
Korotkoff sounds Phase II Swishing
from drug therapy - a neurologic problem or dehydration.
systolic pressure indicated by faint - clear sound that gradually grow louder.
tachycardia
10. The maximum pressure exerted on the artery during left ventricular contraction.
It will also fall
Pulse pressure
low
Systolic pressure
11. Heart
Pons and Medulla of the brainstem
Apical
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
Pulse
12. How does external respiration occur?
Kussmaul's respiration
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
Pulse pressure
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
13. Weak and may be irregular
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.
pyrexia
thready
cardiac patients or patients who have had rectal surgery.
14. Crowing sound on inspiration caused by obstruction of the upper air passages - as occurs in croup or laryngitis
BMR
Sinoatrial node (SA NODE)
stridor
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.
15. Hearing
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
Respiration
males have higher bp - until menopause then they are the same
ausculatation
16. Heat is lost from the body by evaporation. resulting in a daily loss of 800mL of water from skin and lungs.
Stertor
Evaporation
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
The pulse rate gradually diminishes from birth to adulthood
17. Bend of knee
popliteal
Posterior tibial
Stertor
140-159/90-99
18. Difference between the apical and radial pulse - this requires two people to count the radial and apicial pulses at the same time to determine whether there is a what?
oximeter
about 1 degree lower than oral temperatures
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
fever
19. 3rd stage of fever?
+2
+1
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
20. How does increased body temperature increase the pulse?
hyperoxia
Korotkoff sounds
absent
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
21. Air movemtn causes heat to be transferred from the skin to the air molecules.
pyrogens
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
Convection
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
22. An example of nursing planning
Apical
Radial
Temperature will remain below 102 degrees with use of hypothermia blanket
Biot's
23. Fever above 100.2 F
the lungs
pyrexia
140-159/90-99
left Sims position
24. 1st stage of fever is?
120-139/80-89
arrhythmia
+1
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
25. Side of wrist
Radial
Hyperventilation
Conduction
the rate - the rhythm - and volume
26. 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
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
Nursing interventions to reduce fever
dyspnea
Evaporation
27. How does menstrual cycle and pregnancy raise the body's temperature?
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
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.
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
the lungs
28. What characteristics should be noted when checking the pulse?
blood pressure is lowest in the morning. and higher in the afternoone
shallow or slow breathing
Core Temperature
the rate - the rhythm - and volume
29. Abrupt decline in fever
Crisis
Temperature will remain below 102 degrees with use of hypothermia blanket
Temporal
hyperoxia
30. 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
Respiration
Pedal pulse
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
low BP
31. How does the time of day (circadian rhythm) affect the body's temperature?
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32. Does the respiration rate increase or decrease during fever?
Increases as body tries to remove excess heat
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
Diastolic pressure
+3
33. Weak and regular (even beats wit poor force)
+1
remittent
20-30
pyrogens
34. right arm vs. left arm/ arm vs. leg BP?
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
males have higher bp - until menopause then they are the same
Feeble
30-80
35. Those at risk for hypothermia include
Diastolic pressure
60 to 70 mL
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.
+2
36. What affects does aging do to the heart rate?
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37. If blood becomes thicker - like when excessive blood cells are manufactured what happens to BP?
ausculatation
higher
low BP
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
38. If the cardiac output falls what will happen to the BP?
It will also fall
popliteal
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.
intermittent
39. The temperature of the deep tissues of the body
20-30
Temperature will remain below 102 degrees with use of hypothermia blanket
Core Temperature
Tachypnea
40. Rectal temperature are
about 1 degree higher than oral temperatures
Blood pressure increases because there is more volume of blood in the vascular system.
oximetry
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.
41. Increased rate and depth with panting and long grunting exhalation. Often seen with patients with acidosis and renal failure.
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42. Bend of elbow
Brachial
in the alveoli - tiny thin-walled sacs
+3
about 1 degree lower than oral temperatures
43. Risk for prolonged hypertension
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.
Hyperthermia related to infection or excessive heat exposure
hypotension
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
44. The lower pressure exerted on the artery when the heart is at rest inbetween contractions.
ausculatation
Stroke volume
about 1 degree higher than oral temperatures
Diastolic pressure
45. What happens whens vasoconstriction causes peripheral vascular resistance to rise?
crackles
the blood pressure will rise in order to push the blood along.
constant
+3
46. Snoring sound produced when patients are unable to cough up secretions from the trachea or bronchi
Stertor
hypoxia
Acute anxiety stimulate the nervous system - raising the pulse.
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
47. Excessive sweat production
Diaphoresis
Stertor
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
12-20
48. When the heart contracts How many mLs of blood is propelled into the aorta?
Relapsing
men - African Americans - under a lot of stress - obese
60 to 70 mL
Irregular
49. The pressure wave causing te arterial walls in the vascular system each time the heart contracts to force blood into an already full aorta.
stridor
Pulse
Korotkoff sounds Phase IV: Muffling
dyspnea
50. A normal - relaxed breathing pattern
the blood pressure will rise in order to push the blood along.
16-20
Eupnea
Posterior tibial
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