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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. How does increased body temperature increase the pulse?
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
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
Tall - slender people mayy ave a slower pulse rate than short - stout persons
2. This affects the character of the pulse.
+2
males have higher bp - until menopause then they are the same
hyperoxia
Stroke Volume
3. How does external respiration occur?
Pulse
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
Core Temperature
97.5 to 99.5
4. Sex BP?
Pulse
males have higher bp - until menopause then they are the same
Hypothermia
temperature - pulse - respiration - blood pressure - and pain level.
5. What affects does aging do to the heart rate?
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6. Rectal temperature are
The emotions increase hormone secretion - and the body activities required for this increase heat production.
about 1 degree higher than oral temperatures
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
remittent
7. How does size affect pulse?
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
120/70
Tall - slender people mayy ave a slower pulse rate than short - stout persons
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
8. The temperature is continuously elevated with less than 1 degree of variation within a 24-hour period.
Korotkoff sounds Phase V: Silence
arrhythmia
constant
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.
9. What affects does aging do to the respiratory rate?
Hyperventilation
shallow or slow breathing
Sinoatrial node (SA NODE)
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
10. Pulse above 100 beats per minute
pyrogens
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
tachycardia
120/70
11. How cardiac contractions are normally initiated by the electrical impules emerging from what?
constant
Sinoatrial node (SA NODE)
3 in the right lung and 2 lobes in the left
Hyperventilation
12. Healthly adult
palpate
12-20
males have higher bp - until menopause then they are the same
The emotions increase hormone secretion - and the body activities required for this increase heat production.
13. High BP
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
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
systolic pressure indicated by faint - clear sound that gradually grow louder.
hypertension
14. An example of a nursing diagnoses
Korotkoff sounds Phase III: Knocking
Hyperthermia related to infection or excessive heat exposure
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.
15. Pulse lower than 60 beats per minute
Tall - slender people mayy ave a slower pulse rate than short - stout persons
hyperoxia
bradycardia
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
16. Are infants blood pressure low or high?
oximeter
Radial
96.5 to 97.5
low
17. An example of nursing planning
ausculatation
Temperature will remain below 102 degrees with use of hypothermia blanket
Tall - slender people mayy ave a slower pulse rate than short - stout persons
fever
18. Symptoms of hypoxia
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
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.
BMR
Respiration
19. When the heart contracts How many mLs of blood is propelled into the aorta?
the rate - the rhythm - and volume
Relapsing
Axillary.
60 to 70 mL
20. Air movemtn causes heat to be transferred from the skin to the air molecules.
Diastolic pressure
Hyperthermia related to infection or excessive heat exposure
Convection
120-139/80-89
21. The rate at which heat is produced when the body is at rest.
BMR
Crisis
stridor
fever
22. Continuous dry - rattling sounds heard on ausculation of the lungs caused by partial obstruction.
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
Rhonchi
Systolic pressure
blood pressure is lowest in the morning. and higher in the afternoone
23. What will happen in febrile stage if temperature is very high or temperature stays for a long amount of time?
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
Posterior tibial
Hypothermia
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.
24. Weak and regular (even beats wit poor force)
+1
left Sims position
Pons and Medulla of the brainstem
Increases as body tries to remove excess heat
25. Breathing is an involuntary automatic function controlled by the respiratory center located where?
Stroke Volume
Pons and Medulla of the brainstem
Biot's respirations
Tall - slender people mayy ave a slower pulse rate than short - stout persons
26. The difference between the systolic pressure and the diastolic pressure
Pulse pressure
Korotkoff sounds Phase III: Knocking
Sinoatrial node (SA NODE)
pyrexia
27. Shock - hemorrhage - low cardiac output - inadequate volume of blood?
30-80
low BP
hypotension
Pulse pressure
28. How is shock caused?
pyrexia
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
96.5 to 97.5
Kussmaul's respiration
29. Inside ankle
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
Eupnea
Biot's respirations
Posterior tibial
30. When should rectal temperatures be used?
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
bradycardia
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
The pulse rate gradually diminishes from birth to adulthood
31. How is pulse best found?
Acute anxiety stimulate the nervous system - raising 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.
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.
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.
32. A sudden change or muffling of the sound. (indicates diastolic pressure in children and some adults)
Korotkoff sounds Phase IV: Muffling
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
oximeter
^160/^100
33. Snoring sound produced when patients are unable to cough up secretions from the trachea or bronchi
stridor
Stertor
Radial
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
34. Stage 1 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.
left Sims position
140-159/90-99
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
35. 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
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
Nursing interventions to reduce fever
thready
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.
36. Heart
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
Apical
Convection
37. Measurement of oxygen
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
oximetry
97.5 to 99.5
Stroke Volume
38. When should rectal temperatures NOT be used?
Korotkoff sounds Phase II Swishing
cardiac patients or patients who have had rectal surgery.
lysis
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
39. Axillary temperature are
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
Hypothermia
about 1 degree lower than oral temperatures
40. While measuring the BP certain sounds may be heard that relate to the effect of the blood pressure cuff on the arterial wall.
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
from drug therapy - a neurologic problem or dehydration.
Stertor
Korotkoff sounds
41. Gradual return to a normal temperature
temperature - pulse - respiration - blood pressure - and pain level.
Femoral
lysis
blood pressure is lowest in the morning. and higher in the afternoone
42. Side of neck
temperature - pulse - respiration - blood pressure - and pain level.
Korotkoff sounds Phase II Swishing
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
carotid
43. The temperature of the deep tissues of the body
Korotkoff sounds Phase II Swishing
Core Temperature
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
44. Strong and regular ( even beats wit moderate force)
+3
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
+2
Pedal pulse
45. How does age affect pulse?
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
hypertension
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
The pulse rate gradually diminishes from birth to adulthood
46. What affects does aging do to the blood pressure?
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
Tall - slender people mayy ave a slower pulse rate than short - stout persons
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
47. 3rd stage of fever?
+2
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
30-80
Systolic pressure
48. What are the 5 vital signs?
uncooperative patient - children - combative patients - dementia
Vascular resistance drops and the blood pressure decreases
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
temperature - pulse - respiration - blood pressure - and pain level.
49. Adolescent
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
ausculatation
16-20
Cardiac Output
50. Average blood pressure should be
left Sims position
Cheyenne-Stokes
120/80
120/70
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