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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. Bend of knee
Nursing interventions to reduce fever
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
popliteal
Stroke Volume

2. How does menstrual cycle and pregnancy raise the body's temperature?
palpate
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.
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
Temperature will remain below 102 degrees with use of hypothermia blanket

3. How cardiac contractions are normally initiated by the electrical impules emerging from what?
Sinoatrial node (SA NODE)
stridor
absent
men - African Americans - under a lot of stress - obese

4. Stage 1 hypertension
hypertension
thready
temperature - pulse - respiration - blood pressure - and pain level.
140-159/90-99

5. right arm vs. left arm/ arm vs. leg BP?
120/70
16-20
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
fever

6. Slow and shallow breathing - leads to hypoxemia.
arrhythmia
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
low
bradypnea

7. What characteristics should be noted when checking the pulse?
16-20
ausculatation
hypoxia
the rate - the rhythm - and volume

8. The difference between the systolic pressure and the diastolic pressure
Pulse pressure
+3
16-20
arrhythmia

9. Sex BP?
Korotkoff sounds Phase III: Knocking
bradypnea
males have higher bp - until menopause then they are the same
cardiac patients or patients who have had rectal surgery.

10. 1st stage of fever is?
Hypothermia
Respiration
72 bpm
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

11. How does physical exercise raise the body's temperature?
Radial
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.
from drug therapy - a neurologic problem or dehydration.
higher

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

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13. The lower pressure exerted on the artery when the heart is at rest inbetween contractions.
Diastolic pressure
raises BP.
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
Irregular

14. Average blood pressure should be
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.
Pulse
60 to 70 mL
120/70

15. How does the time of day (circadian rhythm) affect the body's temperature?

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16. Heat is lost from the body by evaporation. resulting in a daily loss of 800mL of water from skin and lungs.
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
3 in the right lung and 2 lobes in the left
Evaporation
cardiac patients or patients who have had rectal surgery.

17. Blood pressure for any adult should be no higher than
hypoxia
120/80
hyperoxia
Core Temperature

18. An example of a nursing diagnoses
Hyperthermia related to infection or excessive heat exposure
Korotkoff sounds Phase V: Silence
lysis
carotid

19. The pulse rate multiplied by the stroke volume. This is the amount of blood pumped by the left ventricle in 1 minute. Averaging at about 5mL per minute.
low BP
72 bpm
the rate - the rhythm - and volume
Cardiac Output

20. The volume of blood pushed into the aorta per heartbeat.
Increases as body tries to remove excess heat
3 in the right lung and 2 lobes in the left
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
Stroke volume

21. When is apicial pulse used?
Diaphoresis
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.
oximetry
Cheyenne-Stokes

22. Murmur or swishing sounds that increase as the cuff is deflated
systolic pressure indicated by faint - clear sound that gradually grow louder.
Korotkoff sounds Phase II Swishing
intermittent
Biot's

23. Adolescent
16-20
120/70
Crisis
apnea

24. Abrupt decline in fever
Crisis
Relapsing
The pulse rate gradually diminishes from birth to adulthood
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.

25. How do drugs affect pulse?
systolic pressure indicated by faint - clear sound that gradually grow louder.
Cheyenne-Stokes
140-159/90-99
Stimulants increase the pulse rate. Depressants decrease the pulse rate.

26. Stage 2 hypertension
Tall - slender people mayy ave a slower pulse rate than short - stout persons
^160/^100
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
Pedal pulse

27. Barely palpable
Vascular resistance drops and the blood pressure decreases
Femoral
Feeble
Hypothermia

28. What affects does aging do to the respiratory rate?
Tachypnea
Dorsalis pedis
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
It may rise slightly as decreases in vital capacity and respiratory reserve occur.

29. How is shock caused?
16-20
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
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

30. Side of forehead
Temporal
Feeble
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.
120/70

31. Air movemtn causes heat to be transferred from the skin to the air molecules.
Convection
left Sims position
120-139/80-89
It will also fall

32. The temperature is continuously elevated with less than 1 degree of variation within a 24-hour period.
97.5 to 99.5
3 in the right lung and 2 lobes in the left
constant
Temporal

33. What affects does aging do to the blood pressure?
Korotkoff sounds
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
97.5 to 99.5

34. Heart
Apical
Kussmaul's respiration
raises BP.
Rhonchi

35. Crowing sound on inspiration caused by obstruction of the upper air passages - as occurs in croup or laryngitis
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
orthostatic hypertension
stridor
Temporal

36. What happens whens vasoconstriction causes peripheral vascular resistance to rise?
the blood pressure will rise in order to push the blood along.
12-20
low BP
Rhonchi

37. Those at risk for hypothermia include
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.
60 to 70 mL
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.
hypoxemia

38. Diurnal variation BP?
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.
Acute anxiety stimulate the nervous system - raising the pulse.
wheeze
blood pressure is lowest in the morning. and higher in the afternoone

39. Newborn
bradycardia
30-80
in the alveoli - tiny thin-walled sacs
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

40. Bend of elbow
uncooperative patient - children - combative patients - dementia
Brachial
cardiac patients or patients who have had rectal surgery.
Tall - slender people mayy ave a slower pulse rate than short - stout persons

41. Pulse above 100 beats per minute
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
tachycardia
Rhonchi
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.

42. Louder knocking sound that occurs wit each heartbeat
from drug therapy - a neurologic problem or dehydration.
Korotkoff sounds Phase III: Knocking
wheeze
carotid

43. Are infants blood pressure low or high?
Biot's
low
males have higher bp - until menopause then they are the same
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.

44. Whisting sound of air forced past a partial obstruction - as found in asthma or emphysema.
temperature - pulse - respiration - blood pressure - and pain level.
120-139/80-89
wheeze
^160/^100

45. Macine that measures oxygen in the blood by determining the percentage of hemoglobin that is bound with oxygen.
ausculatation
60 to 70 mL
Stertor
oximeter

46. Fast - deep respirations with abrupt pauses

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47. Does the respiration rate increase or decrease during fever?
Cheyenne-Stokes
Dorsalis pedis
Increases as body tries to remove excess heat
temperature - pulse - respiration - blood pressure - and pain level.

48. Both strong and weak beats occur within 1 minute
Irregular
uncooperative patient - children - combative patients - dementia
Feeble
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.

49. Normal body temperature ranges?
+1
97.5 to 99.5
BMR
Hyperthermia related to infection or excessive heat exposure

50. This affects the character of the pulse.
temperature - pulse - respiration - blood pressure - and pain level.
Stroke Volume
raises BP.
pyrogens