SUBJECTS
|
BROWSE
|
CAREER CENTER
|
POPULAR
|
JOIN
|
LOGIN
Business Skills
|
Soft Skills
|
Basic Literacy
|
Certifications
About
|
Help
|
Privacy
|
Terms
Search
Test your basic knowledge |
Measuring Vital Signs
Start Test
Study First
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 temperature of the deep tissues of the body
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
Tall - slender people mayy ave a slower pulse rate than short - stout persons
Stroke volume
Core Temperature
2. Head injury or any increased intracranial pressure will depress the respiratory center and result in?
Axillary.
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.
shallow or slow breathing
Cardiac Output
3. Groin area
Hypothermia
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
Femoral
shallow or slow breathing
4. Weak and regular (even beats wit poor force)
from drug therapy - a neurologic problem or dehydration.
palpate
hyperoxia
+1
5. Both strong and weak beats occur within 1 minute
from drug therapy - a neurologic problem or dehydration.
the rate - the rhythm - and volume
Irregular
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
6. Prehypertension
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.
blood pressure is lowest in the morning. and higher in the afternoone
120-139/80-89
Korotkoff sounds Phase II Swishing
7. Signs and symptoms of shock
^160/^100
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
120/70
dyspnea
8. The rate at which heat is produced when the body is at rest.
Temporal
Conduction
BMR
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
9. 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
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.
Nursing interventions to reduce fever
BMR
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
10. Gradual return to a normal temperature
oximeter
arrhythmia
lysis
Increases as body tries to remove excess heat
11. Full and bounding (even beats wit strong force)
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
lysis
+3
Radial
12. What will happen in febrile stage if temperature is very high or temperature stays for a long amount of time?
crackles
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.
blood pressure is lowest in the morning. and higher in the afternoone
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
13. Side of forehead
Tall - slender people mayy ave a slower pulse rate than short - stout persons
thready
Biot's
Temporal
14. Increased or rapid breathing results from te presence of fever and a number or diseases. breathing rate increased about 4 breaths for each degree increase in temperature.
arrhythmia
raises BP.
Tachypnea
bradycardia
15. State of insufficient oxygen
Diaphoresis
hypoxia
low
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
16. Adolescent
16-20
Posterior tibial
crackles
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
17. Heat is lost from the body by evaporation. resulting in a daily loss of 800mL of water from skin and lungs.
Respiration
the lungs
Evaporation
+2
18. Does the respiration rate increase or decrease during fever?
Increases as body tries to remove excess heat
60 to 70 mL
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
19. Slow and shallow breathing - leads to hypoxemia.
left Sims position
Biot's respirations
hypoxia
bradypnea
20. Are infants blood pressure low or high?
12-20
+1
low
^160/^100
21. Abnormal - nonmusical sound heard on ausculation of the lungs during inspiration; also called rales. Sound like hair rubbed between the fingers next to the ears.
120/80
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
crackles
Eupnea
22. 3 yr old
about 1 degree lower than oral temperatures
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
about 1 degree higher than oral temperatures
20-30
23. The maximum pressure exerted on the artery during left ventricular contraction.
blood pressure is lowest in the morning. and higher in the afternoone
140-159/90-99
Biot's
Systolic pressure
24. Healthly adult
Stertor
Relapsing
Diaphoresis
12-20
25. Difficult and labored breathing - can often be accompanied by flared nostrils - anxious appearance - and statements such as I cant get enough air.
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.
popliteal
dyspnea
fever
26. Excessive sweat production
Diaphoresis
systolic pressure indicated by faint - clear sound that gradually grow louder.
bradypnea
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
27. Side of neck
males have higher bp - until menopause then they are the same
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
the lungs
carotid
28. High BP
in the alveoli - tiny thin-walled sacs
hypertension
Increases as body tries to remove excess heat
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.
29. How does physical exercise raise the body's temperature?
Increases as body tries to remove excess heat
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.
oximetry
Pedal pulse
30. Low oxygen
hypoxia
about 1 degree higher than oral temperatures
hypertension
60 to 70 mL
31. Fever above 100.2 F
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
absent
hypoxia
pyrexia
32. Gas exchange in the blood occurs where?
in the alveoli - tiny thin-walled sacs
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
shallow or slow breathing
hyperoxia
33. What patients should not use a glass thermometer orally?
120/70
Vascular resistance drops and the blood pressure decreases
Feeble
uncooperative patient - children - combative patients - dementia
34. When the heart contracts How many mLs of blood is propelled into the aorta?
60 to 70 mL
Pons and Medulla of the brainstem
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
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
35. Shock - hemorrhage - low cardiac output - inadequate volume of blood?
16-20
lysis
low BP
higher
36. Snoring sound produced when patients are unable to cough up secretions from the trachea or bronchi
Stertor
oximeter
hypoxia
Brachial
37. How does menstrual cycle and pregnancy raise the body's temperature?
120/80
higher
Korotkoff sounds Phase II Swishing
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
38. Decreased levels of oxygen in the blood - often seen in patients wo are under medical sedation - who are recovering from anesthesia or abdominal surgery - or who are in a weak or debiliated condition.
the rate - the rhythm - and volume
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
hypoxemia
Pons and Medulla of the brainstem
39. Side of wrist
It will also fall
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
Nursing interventions to reduce fever
Radial
40. By measuring the blood pressure you obtain vital info about what?
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
the rate - the rhythm - and volume
in the alveoli - tiny thin-walled sacs
hyperoxia
41. The lower pressure exerted on the artery when the heart is at rest inbetween contractions.
Stroke Volume
Diastolic pressure
higher
Biot's respirations
42. Average pulse rate for an adult
systolic pressure indicated by faint - clear sound that gradually grow louder.
higher
72 bpm
Brachial
43. While measuring the BP certain sounds may be heard that relate to the effect of the blood pressure cuff on the arterial wall.
Korotkoff sounds
Diaphoresis
Convection
Korotkoff sounds Phase V: Silence
44. How does size affect pulse?
hypertension
Tall - slender people mayy ave a slower pulse rate than short - stout persons
Respiration
arrhythmia
45. What happens whens vasoconstriction causes peripheral vascular resistance to rise?
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.
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.
Core Temperature
the blood pressure will rise in order to push the blood along.
46. Strong and regular ( even beats wit moderate force)
Stroke volume
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.
pyrexia
+2
47. Rectal temperature are
hypoxia
3 in the right lung and 2 lobes in the left
about 1 degree higher than oral temperatures
60 to 70 mL
48. Blood pressure for any adult should be no higher than
120/80
Cardiac Output
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
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.
49. Risk for prolonged hypertension
hyperoxia
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
72 bpm
from drug therapy - a neurologic problem or dehydration.
50. 2nd stage of fever is?
Blood pressure increases because there is more volume of blood in the vascular system.
the blood pressure will rise in order to push the blood along.
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
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.