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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. BP at or lower 90/60.
Korotkoff sounds Phase II Swishing
Hypothermia
Relapsing
hypotension
2. State of insufficient oxygen
hypoxia
stridor
Blood pressure increases because there is more volume of blood in the vascular system.
Feeble
3. When should rectal temperatures be used?
20-30
the blood pressure will rise in order to push the blood along.
Crisis
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
4. Axillary temperature are
about 1 degree lower than oral temperatures
Feeble
temperature - pulse - respiration - blood pressure - and pain level.
Dorsalis pedis
5. Hearing
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.
dyspnea
ausculatation
120/70
6. How do you measure the apical pulse?
96.5 to 97.5
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
16-20
Pedal pulse
7. 2nd stage of fever is?
carotid
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.
Stroke Volume
+3
8. Signs and symptoms of shock
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
ausculatation
Blood pressure increases because there is more volume of blood in the vascular system.
9. A pattern of breathing in which there is an increase in the rate and the depth of breaths and carbon dioxide is expelled - causing te blood level of carbon dioxide to fall. this condition is seen after sever exertion - during high levels of anxiety o
dyspnea
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
^160/^100
Hyperventilation
10. The temperature falls to normal and then rises again in a repeating pattern.
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
cardiac patients or patients who have had rectal surgery.
Relapsing
Pedal pulse
11. Gradual return to a normal temperature
lysis
the lungs
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.
hypoxemia
12. How cardiac contractions are normally initiated by the electrical impules emerging from what?
Sinoatrial node (SA NODE)
Brachial
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
dyspnea
13. The temperature is continuously elevated with less than 1 degree of variation within a 24-hour period.
Korotkoff sounds Phase V: Silence
Diaphoresis
constant
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.
14. The difference between the systolic pressure and the diastolic pressure
Pulse pressure
the rate - the rhythm - and volume
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.
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
15. How does increased body temperature increase the pulse?
Biot's
120/70
72 bpm
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
16. Shallow for two or three breaths with a period of variable apnea. occur in patients with increased intracranial pressure.
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17. Pulse above 100 beats per minute
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
Nursing interventions to reduce fever
intermittent
tachycardia
18. Head injury or any increased intracranial pressure will depress the respiratory center and result in?
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.
3 in the right lung and 2 lobes in the left
Evaporation
shallow or slow breathing
19. Absence of breathing
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
16-20
apnea
the rate - the rhythm - and volume
20. Head injury BP?
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
raises BP.
20-30
the rate - the rhythm - and volume
21. Pulse lower than 60 beats per minute
bradycardia
thready
blood pressure is lowest in the morning. and higher in the afternoone
the blood pressure will rise in order to push the blood along.
22. Difficult and labored breathing - can often be accompanied by flared nostrils - anxious appearance - and statements such as I cant get enough air.
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
dyspnea
systolic pressure indicated by faint - clear sound that gradually grow louder.
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.
23. How should baby's temperature be taken?
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.
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
Axillary.
16-20
24. What patients should not use a glass thermometer orally?
uncooperative patient - children - combative patients - dementia
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
cardiac patients or patients who have had rectal surgery.
Tachypnea
25. Snoring sound produced when patients are unable to cough up secretions from the trachea or bronchi
Irregular
Kussmaul's respiration
Stertor
hyperoxia
26. 3rd stage of fever?
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
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
the lungs
27. Louder knocking sound that occurs wit each heartbeat
hypoxia
BMR
Korotkoff sounds Phase III: Knocking
Hyperthermia related to infection or excessive heat exposure
28. When the vascular walls lose elasticity - as with arteriosclerosis and aging what happens to BP?
Femoral
It increases to push the blood through more rigid pathways.
oximetry
absent
29. Adolescent
Korotkoff sounds Phase V: Silence
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
Nursing interventions to reduce fever
16-20
30. What happens to the blood if overhydration occurs?
Blood pressure increases because there is more volume of blood in the vascular system.
Evaporation
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
Tall - slender people mayy ave a slower pulse rate than short - stout persons
31. The temperature of the deep tissues of the body
Core Temperature
+1
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
Pulse pressure
32. People most at risk for hypertension
men - African Americans - under a lot of stress - obese
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
It will also fall
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.
33. Fast - deep respirations with abrupt pauses
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34. Abrupt decline in fever
wheeze
remittent
Temperature will remain below 102 degrees with use of hypothermia blanket
Crisis
35. What will happen in febrile stage if temperature is very high or temperature stays for a long amount of time?
Conduction
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.
Feeble
36. Average pulse rate for an adult
remittent
Conduction
72 bpm
+2
37. How does external respiration occur?
96.5 to 97.5
97.5 to 99.5
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
Blood pressure increases because there is more volume of blood in the vascular system.
38. No pulse palpable or heard on ausculation
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
absent
140-159/90-99
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
39. Rectal temperature are
Femoral
hypotension
crackles
about 1 degree higher than oral temperatures
40. Why would patients experience orthostatic hypotenstion?
systolic pressure indicated by faint - clear sound that gradually grow louder.
from drug therapy - a neurologic problem or dehydration.
Convection
lysis
41. 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
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
about 1 degree lower than oral temperatures
Rhonchi
42. Whisting sound of air forced past a partial obstruction - as found in asthma or emphysema.
Stertor
wheeze
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
Radial
43. 1st stage of fever is?
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
about 1 degree lower than oral temperatures
oximeter
hypotension
44. 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.
60 to 70 mL
hypoxemia
Vascular resistance drops and the blood pressure decreases
palpate
45. Sex BP?
males have higher bp - until menopause then they are the same
Acute anxiety stimulate the nervous system - raising the pulse.
arrhythmia
Stertor
46. How does age affect pulse?
The pulse rate gradually diminishes from birth to adulthood
Korotkoff sounds Phase III: Knocking
Temporal
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
47. right arm vs. left arm/ arm vs. leg BP?
Biot's respirations
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
97.5 to 99.5
constant
48. 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
bradycardia
16-20
shallow or slow breathing
49. Side of forehead
Posterior tibial
carotid
Temporal
pyrexia
50. Stage 1 hypertension
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
hypoxia
140-159/90-99
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
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