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Measuring Vital Signs

Subjects : health-sciences, emergency-medicine

Instructions:

Answer 50 questions in 15 minutes.
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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. 1st stage of fever is?
16-20
3 in the right lung and 2 lobes in the left
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
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.

2. Measurement of oxygen
Hyperthermia related to infection or excessive heat exposure
Increases as body tries to remove excess heat
oximetry
pyrexia

3. 3 yr old
140-159/90-99
raises BP.
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
20-30

4. Excessive sweat production
+1
Diastolic pressure
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
Diaphoresis

5. Difficult and labored breathing - can often be accompanied by flared nostrils - anxious appearance - and statements such as I cant get enough air.
thready
Respiration
dyspnea
Convection

6. Those at risk for hypothermia include
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.
The emotions increase hormone secretion - and the body activities required for this increase heat production.
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
absent

7. How should baby's temperature be taken?
Diaphoresis
Pedal pulse
dyspnea
Axillary.

8. Elevated temperature
fever
Convection
Increases as body tries to remove excess heat
left Sims position

9. 2nd stage of fever is?
arrhythmia
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.
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
Pulse pressure

10. Continuous dry - rattling sounds heard on ausculation of the lungs caused by partial obstruction.
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.
Radial
Rhonchi
hypoxemia

11. Weak and may be irregular
hypoxia
thready
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
The emotions increase hormone secretion - and the body activities required for this increase heat production.

12. Bend of knee
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
Pedal pulse
hypertension
popliteal

13. 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.
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.
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
Axillary.

14. The temperature falls to normal and then rises again in a repeating pattern.
The pulse rate gradually diminishes from birth to adulthood
^160/^100
Relapsing
Irregular

15. How cardiac contractions are normally initiated by the electrical impules emerging from what?
Sinoatrial node (SA NODE)
thready
bradycardia
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

16. State of insufficient oxygen
intermittent
hypoxia
palpate
Hypothermia

17. Adolescent
Cheyenne-Stokes
systolic pressure indicated by faint - clear sound that gradually grow louder.
16-20
ausculatation

18. Taking axillary temperature
Biot's
apnea
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.
+3

19. Korotkoff sounds Phase I: Tapping
Cheyenne-Stokes
systolic pressure indicated by faint - clear sound that gradually grow louder.
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.
hyperoxia

20. The difference between the systolic pressure and the diastolic pressure
systolic pressure indicated by faint - clear sound that gradually grow louder.
60 to 70 mL
Pulse pressure
oximetry

21. The lower pressure exerted on the artery when the heart is at rest inbetween contractions.
dyspnea
Pons and Medulla of the brainstem
Korotkoff sounds Phase II Swishing
Diastolic pressure

22. BP at or lower 90/60.
Nursing interventions to reduce fever
Korotkoff sounds Phase II Swishing
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.
hypotension

23. The volume of blood pushed into the aorta per heartbeat.
absent
Stroke volume
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
Tall - slender people mayy ave a slower pulse rate than short - stout persons

24. 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.
low
The pulse rate gradually diminishes from birth to adulthood
hypotension
remittent

25. What affects does aging do to the respiratory rate?
Axillary.
carotid
97.5 to 99.5
It may rise slightly as decreases in vital capacity and respiratory reserve occur.

26. Louder knocking sound that occurs wit each heartbeat
carotid
Radial
Cardiac Output
Korotkoff sounds Phase III: Knocking

27. Normal body temperature ranges?
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
Eupnea
97.5 to 99.5
Cheyenne-Stokes

28. 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.
Blood pressure increases because there is more volume of blood in the vascular system.
Hypothermia
temperature - pulse - respiration - blood pressure - and pain level.
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.

29. What are the 5 vital signs?
temperature - pulse - respiration - blood pressure - and pain level.
Nursing interventions to reduce fever
oximetry
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.

30. Strong and regular ( even beats wit moderate force)
+2
The pulse rate gradually diminishes from birth to adulthood
Dorsalis pedis
Brachial

31. The exchange of oxygen and carbon dioxide in the lungs and tissues and is initiated by the act of breathing.
Posterior tibial
Tall - slender people mayy ave a slower pulse rate than short - stout persons
raises BP.
Respiration

32. The rate at which heat is produced when the body is at rest.
BMR
hypoxia
tachycardia
Feeble

33. What will happen in febrile stage if temperature is very high or temperature stays for a long amount of time?
intermittent
men - African Americans - under a lot of stress - obese
120-139/80-89
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.

34. How does size affect pulse?
Tall - slender people mayy ave a slower pulse rate than short - stout persons
Korotkoff sounds Phase II Swishing
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
men - African Americans - under a lot of stress - obese

35. Low oxygen
hypoxia
cardiac patients or patients who have had rectal surgery.
^160/^100
Korotkoff sounds Phase V: Silence

36. Feel
palpate
+2
Stroke Volume
Temporal

37. High BP
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.
hypertension
^160/^100
hypoxia

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

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39. How is pulse best found?
Convection
oximetry
blood pressure is lowest in the morning. and higher in the afternoone
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.

40. Drop in blood pressure when arising to a standing position.
orthostatic hypertension
intermittent
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
97.5 to 99.5

41. This affects the character of the pulse.
hypertension
Convection
Stroke Volume
popliteal

42. Average pulse rate for an adult
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
72 bpm
blood pressure is lowest in the morning. and higher in the afternoone
Pons and Medulla of the brainstem

43. Prehypertension
bradycardia
120-139/80-89
Cheyenne-Stokes
about 1 degree lower than oral temperatures

44. Fever above 100.2 F
temperature - pulse - respiration - blood pressure - and pain level.
shallow or slow breathing
pyrexia
cardiac patients or patients who have had rectal surgery.

45. When should rectal temperatures be used?
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
Evaporation
Respiration
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

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. People most at risk for hypertension
16-20
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
men - African Americans - under a lot of stress - obese
Systolic pressure

48. Murmur or swishing sounds that increase as the cuff is deflated
Korotkoff sounds Phase II Swishing
Korotkoff sounds Phase IV: Muffling
Stroke Volume
tachycardia

49. Diurnal variation BP?
raises BP.
blood pressure is lowest in the morning. and higher in the afternoone
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
Evaporation

50. Whats the best position to take a rectal temperature?
left Sims position
120/80
Pulse pressure
orthostatic hypertension