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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. Stage 1 hypertension
Hyperventilation
140-159/90-99
Korotkoff sounds Phase II Swishing
Nursing interventions to reduce fever

2. High BP
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
hypertension
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
BMR

3. Sex BP?
males have higher bp - until menopause then they are the same
Conduction
absent
Feeble

4. Whisting sound of air forced past a partial obstruction - as found in asthma or emphysema.
wheeze
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
Tachypnea
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.

5. Murmur or swishing sounds that increase as the cuff is deflated
palpate
dyspnea
Korotkoff sounds Phase II Swishing
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.

6. Taking axillary temperature
96.5 to 97.5
hyperoxia
temperature - pulse - respiration - blood pressure - and pain level.
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.

7. Strong and regular ( even beats wit moderate force)
+2
Stroke Volume
the lungs
hypoxia

8. What happens to the blood if overhydration occurs?
Relapsing
Blood pressure increases because there is more volume of blood in the vascular system.
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.
Korotkoff sounds Phase II Swishing

9. How does age affect pulse?
absent
The pulse rate gradually diminishes from birth to adulthood
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Crisis

10. Full and bounding (even beats wit strong force)
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.
+3
3 in the right lung and 2 lobes in the left
Stroke volume

11. 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.
lysis
remittent
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
higher

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

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13. When warm skin touches a cool object - heat is lost to the object.
Conduction
remittent
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
low BP

14. When the heart contracts How many mLs of blood is propelled into the aorta?
the rate - the rhythm - and volume
Tachypnea
Brachial
60 to 70 mL

15. 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
left Sims position
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
120-139/80-89

16. Those at risk for hypothermia include
uncooperative patient - children - combative patients - dementia
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.
Acute anxiety stimulate the nervous system - raising the pulse.
Stroke Volume

17. Inside ankle
120/70
Posterior tibial
Eupnea
Hyperventilation

18. Carbon dioxide is carried as bicarbonate ion in the blood until it reaches where?
Diastolic pressure
stridor
the lungs
20-30

19. Lobes in the lungs?
3 in the right lung and 2 lobes in the left
tachycardia
apnea
^160/^100

20. Symptoms of hypoxia
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
60 to 70 mL
uncooperative patient - children - combative patients - dementia
Pulse

21. How is pulse best found?
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.
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
Acute anxiety stimulate the nervous system - raising the pulse.
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.

22. Elevated temperature
hypoxia
intermittent
fever
Stroke volume

23. State of insufficient oxygen
ausculatation
hypoxia
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

24. Stress & emotions. BP?
higher
Irregular
Relapsing
bradypnea

25. 3rd stage of fever?
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
blood pressure is lowest in the morning. and higher in the afternoone
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Dorsalis pedis

26. How do drugs affect pulse?
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
Femoral
palpate
hypertension

27. 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
30-80
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Conduction

28. 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.
Posterior tibial
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
low
crackles

29. Barely palpable
+3
Biot's
Feeble
Korotkoff sounds Phase IV: Muffling

30. An example of nursing planning
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
popliteal
Temperature will remain below 102 degrees with use of hypothermia blanket
Sinoatrial node (SA NODE)

31. Whats the best position to take a rectal temperature?
It will also fall
Pulse
Axillary.
left Sims position

32. Newborn
absent
hypertension
30-80
Cheyenne-Stokes

33. Signs and symptoms of shock
Temporal
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.
males have higher bp - until menopause then they are the same
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.

34. No pulse palpable or heard on ausculation
the rate - the rhythm - and volume
absent
hypotension
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.

35. This affects the character of the pulse.
low
the lungs
Stroke Volume
Diastolic pressure

36. What happens when vasodilation occurs?
Vascular resistance drops and the blood pressure decreases
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
the rate - the rhythm - and volume

37. What should you do if you cannot determine BP by ausculation?
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.
Kussmaul's respiration
30-80
Stroke Volume

38. How does external respiration occur?
blood pressure is lowest in the morning. and higher in the afternoone
It will also fall
Stroke Volume
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

39. right arm vs. left arm/ arm vs. leg BP?
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
stridor
Acute anxiety stimulate the nervous system - raising the pulse.
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.

40. Blood pressure for any adult should be no higher than
orthostatic hypertension
Blood pressure increases because there is more volume of blood in the vascular system.
120/80
Axillary.

41. Risk for prolonged hypertension
tachycardia
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
Korotkoff sounds Phase IV: Muffling
palpate

42. How does menstrual cycle and pregnancy raise the body's temperature?
bradypnea
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
It increases to push the blood through more rigid pathways.
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.

43. What characteristics should be noted when checking the pulse?
Axillary.
20-30
the rate - the rhythm - and volume
crackles

44. Average pulse rate for an adult
Pulse pressure
tachycardia
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
72 bpm

45. Enviromental temperature BP?
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
bradypnea
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.
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.

46. An example of a nursing diagnoses
Pulse
Hyperthermia related to infection or excessive heat exposure
absent
hypoxia

47. Side of neck
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
carotid
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
Stroke Volume

48. How does size affect pulse?
Tall - slender people mayy ave a slower pulse rate than short - stout persons
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
arrhythmia
Crisis

49. Heat is lost from the body by evaporation. resulting in a daily loss of 800mL of water from skin and lungs.
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.
lysis
bradypnea
Evaporation

50. The temperature is continuously elevated with less than 1 degree of variation within a 24-hour period.
constant
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
Irregular
uncooperative patient - children - combative patients - dementia