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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. Fast - deep respirations with abrupt pauses

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2. Diurnal variation BP?
blood pressure is lowest in the morning. and higher in the afternoone
Cheyenne-Stokes
apnea
Relapsing

3. Macine that measures oxygen in the blood by determining the percentage of hemoglobin that is bound with oxygen.
Conduction
oximeter
Rhonchi
+2

4. Elevated temperature
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
stridor
fever
Hypothermia

5. 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
Systolic pressure
about 1 degree lower than oral temperatures
120-139/80-89
Nursing interventions to reduce fever

6. Inside ankle
Tachypnea
Biot's
Increases as body tries to remove excess heat
Posterior tibial

7. 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.
men - African Americans - under a lot of stress - obese
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
Korotkoff sounds Phase III: Knocking
Tachypnea

8. When the heart contracts How many mLs of blood is propelled into the aorta?
arrhythmia
left Sims position
60 to 70 mL
temperature - pulse - respiration - blood pressure - and pain level.

9. Side of forehead
oximeter
Temporal
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.
Kussmaul's respiration

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

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11. If blood becomes thicker - like when excessive blood cells are manufactured what happens to BP?
Pulse pressure
Biot's
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
12-20

12. Does the respiration rate increase or decrease during fever?
apnea
Increases as body tries to remove excess heat
hyperoxia
stridor

13. The volume of blood pushed into the aorta per heartbeat.
the lungs
pyrexia
Hypothermia
Stroke volume

14. Shock - hemorrhage - low cardiac output - inadequate volume of blood?
popliteal
3 in the right lung and 2 lobes in the left
low BP
pyrexia

15. Weak and regular (even beats wit poor force)
oximetry
Temperature will remain below 102 degrees with use of hypothermia blanket
+1
arrhythmia

16. 3rd stage of fever?
dyspnea
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Kussmaul's respiration
Temperature will remain below 102 degrees with use of hypothermia blanket

17. Murmur or swishing sounds that increase as the cuff is deflated
low BP
Korotkoff sounds Phase II Swishing
Systolic pressure
It increases to push the blood through more rigid pathways.

18. The average temperature in the older adult
Radial
20-30
96.5 to 97.5
crackles

19. 1st stage of fever is?
Cheyenne-Stokes
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
Nursing interventions to reduce fever
Feeble

20. Heart
Femoral
Axillary.
Apical
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.

21. A sudden change or muffling of the sound. (indicates diastolic pressure in children and some adults)
hypoxia
absent
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 IV: Muffling

22. Heat is lost from the body by evaporation. resulting in a daily loss of 800mL of water from skin and lungs.
Evaporation
Pedal pulse
popliteal
Crisis

23. What happens whens vasoconstriction causes peripheral vascular resistance to rise?
the blood pressure will rise in order to push the blood along.
60 to 70 mL
Temporal
^160/^100

24. Disappearance of sound. (marks diastolic pressure in adults)
Korotkoff sounds Phase V: Silence
Stroke volume
oximetry
Hyperventilation

25. Stage 1 hypertension
+2
Blood pressure increases because there is more volume of blood in the vascular system.
Dorsalis pedis
140-159/90-99

26. Carbon dioxide is carried as bicarbonate ion in the blood until it reaches where?
the lungs
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
Femoral
low

27. 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.
shallow or slow breathing
hypoxemia
bradycardia
120/80

28. 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.
apnea
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
20-30

29. How does emotional stress raise the body's temperature?
Korotkoff sounds Phase II Swishing
The emotions increase hormone secretion - and the body activities required for this increase heat production.
Pulse pressure
thready

30. 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?
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
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.
raises BP.

31. Crowing sound on inspiration caused by obstruction of the upper air passages - as occurs in croup or laryngitis
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.
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
stridor

32. How do emotions increase the pulse rate?
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.
Evaporation
Acute anxiety stimulate the nervous system - raising the pulse.
Radial

33. The temperature falls to normal and then rises again in a repeating pattern.
Relapsing
Vascular resistance drops and the blood pressure decreases
systolic pressure indicated by faint - clear sound that gradually grow louder.
low BP

34. The exchange of oxygen and carbon dioxide in the lungs and tissues and is initiated by the act of breathing.
palpate
Respiration
temperature - pulse - respiration - blood pressure - and pain level.
dyspnea

35. Absence of breathing
left Sims position
Nursing interventions to reduce fever
^160/^100
apnea

36. Pulse above 100 beats per minute
Korotkoff sounds Phase IV: Muffling
tachycardia
Pedal pulse
It increases to push the blood through more rigid pathways.

37. Irregular pulse - a period of normal rhythm broken by periods of irregularity or skipped beats.
arrhythmia
Conduction
Respiration
palpate

38. If the cardiac output falls what will happen to the BP?
Stertor
It will also fall
Hyperventilation
Brachial

39. This affects the character of the pulse.
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.
hypotension
Stroke Volume
^160/^100

40. What should you do if you cannot determine BP by ausculation?
pyrogens
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.
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
Hyperthermia related to infection or excessive heat exposure

41. Measurement of oxygen
16-20
oximetry
Hypothermia
the rate - the rhythm - and volume

42. Subnormal body temperature the regulating center in the hypothalamus is greatly impaired when the temperature of the body falls below 94 degrees - at that point? sleepiness and coma are apt to develop.
Hypothermia
140-159/90-99
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
cardiac patients or patients who have had rectal surgery.

43. Side of neck
Cheyenne-Stokes
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
carotid
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.

44. Difficult and labored breathing - can often be accompanied by flared nostrils - anxious appearance - and statements such as I cant get enough air.
intermittent
dyspnea
stridor
hypoxia

45. Axillary temperature are
the rate - the rhythm - and volume
about 1 degree lower than oral temperatures
72 bpm
low

46. How does physical exercise raise the body's temperature?
tachycardia
Irregular
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.
16-20

47. Symptoms of hypoxia
120/80
Biot's
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.
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds

48. 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
palpate
^160/^100
Hyperventilation
The pulse rate increases at the rate of 7-10 beats for each degree of temperature

49. 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.
+2
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
Pulse pressure

50. Lobes in the lungs?
3 in the right lung and 2 lobes in the left
Radial
Rhonchi
Cheyenne-Stokes