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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 temperature falls to normal and then rises again in a repeating pattern.
Relapsing
Stroke Volume
Blood pressure increases because there is more volume of blood in the vascular system.
raises BP.
2. 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.
ausculatation
Tachypnea
Irregular
16-20
3. 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.
about 1 degree higher than oral temperatures
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
4. Irregular pulse - a period of normal rhythm broken by periods of irregularity or skipped beats.
Stroke volume
lysis
arrhythmia
Feeble
5. Low oxygen
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
Sinoatrial node (SA NODE)
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
6. 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.
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.
Feeble
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.
remittent
7. When warm skin touches a cool object - heat is lost to the object.
The pulse rate gradually diminishes from birth to adulthood
palpate
apnea
Conduction
8. Stress & emotions. BP?
Systolic pressure
higher
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.
Korotkoff sounds Phase V: Silence
9. People most at risk for hypertension
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
ausculatation
140-159/90-99
men - African Americans - under a lot of stress - obese
10. Macine that measures oxygen in the blood by determining the percentage of hemoglobin that is bound with oxygen.
bradycardia
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
oximeter
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
11. Elevated temperature
wheeze
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.
males have higher bp - until menopause then they are the same
fever
12. Average blood pressure should be
Pons and Medulla of the brainstem
Increases as body tries to remove excess heat
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.
120/70
13. The average temperature in the older adult
120-139/80-89
96.5 to 97.5
Korotkoff sounds Phase II Swishing
Radial
14. 3rd stage of fever?
fever
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Conduction
^160/^100
15. Adolescent
Tachypnea
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
16-20
Brachial
16. Elderly respiration
16-20
60 to 70 mL
in the alveoli - tiny thin-walled sacs
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
17. Why would patients experience orthostatic hypotenstion?
Cheyenne-Stokes
from drug therapy - a neurologic problem or dehydration.
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
18. Bend of elbow
Brachial
Systolic pressure
lysis
hypoxia
19. Fever above 100.2 F
low
120-139/80-89
pyrexia
carotid
20. Newborn
Biot's respirations
30-80
Rhonchi
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
21. respirations become faster and deeper - then slower and shallower wit a period of apnea - called the death rattle.
Cheyenne-Stokes
bradypnea
BMR
tachycardia
22. How should respirations be counted?
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
The emotions increase hormone secretion - and the body activities required for this increase heat production.
It will also fall
oximeter
23. 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.
Increases as body tries to remove excess heat
crackles
wheeze
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
24. How do drugs affect pulse?
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.
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
120-139/80-89
25. The volume of blood pushed into the aorta per heartbeat.
dyspnea
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
Stroke volume
60 to 70 mL
26. Substances tat cause fever
low
hypertension
pyrogens
wheeze
27. 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
Pedal pulse
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
oximetry
hypotension
28. What are the 5 vital signs?
Korotkoff sounds
16-20
temperature - pulse - respiration - blood pressure - and pain level.
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
29. Heat is lost from the body by evaporation. resulting in a daily loss of 800mL of water from skin and lungs.
men - African Americans - under a lot of stress - obese
3 in the right lung and 2 lobes in the left
+1
Evaporation
30. How does physical exercise raise the body's temperature?
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.
Increases as body tries to remove excess heat
Korotkoff sounds
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
31. Gradual return to a normal temperature
lysis
Diaphoresis
temperature - pulse - respiration - blood pressure - and pain level.
the blood pressure will rise in order to push the blood along.
32. Bend of knee
Rhonchi
popliteal
+3
remittent
33. Taking axillary temperature
Feeble
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
The pulse rate gradually diminishes from birth to adulthood
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.
34. When should rectal temperatures NOT be used?
blood pressure is lowest in the morning. and higher in the afternoone
30-80
cardiac patients or patients who have had rectal surgery.
97.5 to 99.5
35. An example of a nursing diagnoses
Biot's respirations
+2
Hyperthermia related to infection or excessive heat exposure
Sinoatrial node (SA NODE)
36. Average pulse rate for an adult
72 bpm
the blood pressure will rise in order to push the blood along.
shallow or slow breathing
Feeble
37. Top of left foot
blood pressure is lowest in the morning. and higher in the afternoone
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
Dorsalis pedis
hypoxia
38. High BP
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
hypertension
hypoxia
raises BP.
39. The difference between the systolic pressure and the diastolic pressure
Korotkoff sounds Phase III: Knocking
Korotkoff sounds Phase IV: Muffling
Pulse pressure
Korotkoff sounds Phase V: Silence
40. Air movemtn causes heat to be transferred from the skin to the air molecules.
Posterior tibial
Convection
72 bpm
Increases as body tries to remove excess heat
41. Taking a rectal temperature
+3
hypotension
Systolic pressure
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
42. Normal body temperature ranges?
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.
Feeble
97.5 to 99.5
43. Axillary temperature are
about 1 degree lower than oral temperatures
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
60 to 70 mL
44. 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 Phase IV: Muffling
Korotkoff sounds
apnea
120-139/80-89
45. Weak and may be irregular
men - African Americans - under a lot of stress - obese
Convection
96.5 to 97.5
thready
46. 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?
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
Eupnea
120-139/80-89
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
47. Pulse lower than 60 beats per minute
Axillary.
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
Biot's
bradycardia
48. How cardiac contractions are normally initiated by the electrical impules emerging from what?
BMR
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
Sinoatrial node (SA NODE)
hyperoxia
49. 1st stage of fever is?
It increases to push the blood through more rigid pathways.
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
Increases as body tries to remove excess heat
Tachypnea
50. How does the time of day (circadian rhythm) affect the body's temperature?
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