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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. Murmur or swishing sounds that increase as the cuff is deflated
^160/^100
blood pressure is lowest in the morning. and higher in the afternoone
The emotions increase hormone secretion - and the body activities required for this increase heat production.
Korotkoff sounds Phase II Swishing

2. Carbon dioxide is carried as bicarbonate ion in the blood until it reaches where?
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
the lungs
Crisis
30-80

3. Does the respiration rate increase or decrease during fever?
Temperature will remain below 102 degrees with use of hypothermia blanket
Stertor
Increases as body tries to remove excess heat
pyrexia

4. What patients should not use a glass thermometer orally?
16-20
uncooperative patient - children - combative patients - dementia
Korotkoff sounds
3 in the right lung and 2 lobes in the left

5. 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.
Acute anxiety stimulate the nervous system - raising the pulse.
crackles
left Sims position
low

6. Hearing
pyrogens
ausculatation
+1
Sinoatrial node (SA NODE)

7. What happens to the blood if overhydration occurs?
Axillary.
Cheyenne-Stokes
Blood pressure increases because there is more volume of blood in the vascular system.
Temporal

8. 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
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
Korotkoff sounds Phase IV: Muffling
stridor

9. Prehypertension
Posterior tibial
120-139/80-89
Sinoatrial node (SA NODE)
Dorsalis pedis

10. respirations become faster and deeper - then slower and shallower wit a period of apnea - called the death rattle.
ausculatation
Cheyenne-Stokes
Korotkoff sounds Phase III: Knocking
shallow or slow breathing

11. The temperature of the deep tissues of the body
Biot's
Hyperventilation
Core Temperature
Korotkoff sounds

12. 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.
hypotension
remittent
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
Blood pressure increases because there is more volume of blood in the vascular system.

13. Inside ankle
Posterior tibial
pyrogens
hypotension
palpate

14. Gradual return to a normal temperature
absent
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.
lysis
Blood pressure increases because there is more volume of blood in the vascular system.

15. 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.
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.
hypoxemia
Korotkoff sounds Phase II Swishing
Acute anxiety stimulate the nervous system - raising the pulse.

16. How do you measure the apical pulse?
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
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
72 bpm
Feeble

17. Obtaining the correct size for a cuff for BP?
60 to 70 mL
Diastolic pressure
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
hypoxia

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

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19. Signs and symptoms of shock
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
the rate - the rhythm - and volume
Evaporation
The pulse rate increases at the rate of 7-10 beats for each degree of temperature

20. State of insufficient oxygen
arrhythmia
hypoxia
3 in the right lung and 2 lobes in the left
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

21. Heart
the rate - the rhythm - and volume
Apical
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
Femoral

22. How does increased body temperature increase the pulse?
arrhythmia
30-80
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
The pulse rate increases at the rate of 7-10 beats for each degree of temperature

23. What characteristics should be noted when checking the pulse?
the rate - the rhythm - and volume
crackles
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
Feeble

24. What are the 5 vital signs?
from drug therapy - a neurologic problem or dehydration.
Tachypnea
intermittent
temperature - pulse - respiration - blood pressure - and pain level.

25. Head injury BP?
Hyperventilation
Systolic pressure
raises BP.
bradycardia

26. Side of wrist
tachycardia
constant
Radial
Increases as body tries to remove excess heat

27. Why would patients experience orthostatic hypotenstion?
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
Diaphoresis
from drug therapy - a neurologic problem or dehydration.
It increases to push the blood through more rigid pathways.

28. Elevated temperature
120/80
The emotions increase hormone secretion - and the body activities required for this increase heat production.
fever
Convection

29. The maximum pressure exerted on the artery during left ventricular contraction.
Systolic pressure
males have higher bp - until menopause then they are the same
3 in the right lung and 2 lobes in the left
wheeze

30. Groin area
Rhonchi
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.
Stroke volume
Femoral

31. The temperature falls to normal and then rises again in a repeating pattern.
palpate
Relapsing
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
arrhythmia

32. How does age affect pulse?
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
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
The pulse rate gradually diminishes from birth to adulthood
+3

33. Adolescent
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.
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
Posterior tibial
16-20

34. Low oxygen
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
hypoxia
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
+2

35. When is apicial pulse used?
orthostatic hypertension
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.
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.

36. Healthly adult
12-20
intermittent
the lungs
Cardiac Output

37. How should baby's temperature be taken?
Axillary.
Korotkoff sounds Phase V: Silence
tachycardia
Evaporation

38. Pulse lower than 60 beats per minute
Biot's
the lungs
bradycardia
Temperature will remain below 102 degrees with use of hypothermia blanket

39. 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.
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
Stroke Volume
about 1 degree lower than oral temperatures
Hypothermia

40. High oxygen
Rhonchi
raises BP.
hyperoxia
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients

41. Heat is lost from the body by evaporation. resulting in a daily loss of 800mL of water from skin and lungs.
Evaporation
12-20
120/80
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.

42. What affects does aging do to the blood pressure?
Acute anxiety stimulate the nervous system - raising the pulse.
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
crackles
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients

43. What affects does aging do to the heart rate?

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44. Enviromental temperature BP?
Tall - slender people mayy ave a slower pulse rate than short - stout persons
It will also fall
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
Pons and Medulla of the brainstem

45. Newborn
30-80
Stertor
^160/^100
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.

46. Shallow for two or three breaths with a period of variable apnea. occur in patients with increased intracranial pressure.

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47. Gas exchange in the blood occurs where?
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
16-20
in the alveoli - tiny thin-walled sacs
arrhythmia

48. What happens whens vasoconstriction causes peripheral vascular resistance to rise?
The emotions increase hormone secretion - and the body activities required for this increase heat production.
the blood pressure will rise in order to push the blood along.
Stertor
constant

49. Shock - hemorrhage - low cardiac output - inadequate volume of blood?
The pulse rate gradually diminishes from birth to adulthood
Relapsing
low BP
tachycardia

50. How does disease increase the body's temperature?
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.
120/70
hypoxia