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Test your basic knowledge |
Measuring Vital Signs
Start Test
Study First
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 should baby's temperature be taken?
Temperature will remain below 102 degrees with use of hypothermia blanket
Axillary.
Feeble
Posterior tibial
2. Side of forehead
Vascular resistance drops and the blood pressure decreases
Korotkoff sounds Phase IV: Muffling
Temporal
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
3. Pulse above 100 beats per minute
BMR
120/70
the blood pressure will rise in order to push the blood along.
tachycardia
4. People most at risk for hypertension
left Sims position
about 1 degree lower than oral temperatures
about 1 degree higher than oral temperatures
men - African Americans - under a lot of stress - obese
5. How does emotional stress raise the body's temperature?
It will also fall
constant
Stertor
The emotions increase hormone secretion - and the body activities required for this increase heat production.
6. How do emotions increase the pulse rate?
Pedal pulse
Hyperthermia related to infection or excessive heat exposure
Rhonchi
Acute anxiety stimulate the nervous system - raising the pulse.
7. Strong and regular ( even beats wit moderate force)
+2
Hyperthermia related to infection or excessive heat exposure
intermittent
raises BP.
8. How is shock caused?
Pulse
Korotkoff sounds
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
Korotkoff sounds Phase II Swishing
9. Rectal temperature are
blood pressure is lowest in the morning. and higher in the afternoone
about 1 degree higher than oral temperatures
left Sims position
Eupnea
10. Fast - deep respirations with abrupt pauses
11. Taking axillary temperature
Korotkoff sounds
+1
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.
12. Diurnal variation BP?
Stertor
blood pressure is lowest in the morning. and higher in the afternoone
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
Diastolic pressure
13. 2nd stage of fever is?
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
cardiac patients or patients who have had rectal surgery.
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.
BMR
14. What will happen in febrile stage if temperature is very high or temperature stays for a long amount of time?
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.
higher
about 1 degree higher than oral temperatures
12-20
15. Bend of knee
men - African Americans - under a lot of stress - obese
popliteal
Korotkoff sounds Phase V: Silence
Femoral
16. What happens to the blood if overhydration occurs?
Blood pressure increases because there is more volume of blood in the vascular system.
arrhythmia
popliteal
about 1 degree higher than oral temperatures
17. Axillary temperature are
Dorsalis pedis
Irregular
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.
about 1 degree lower than oral temperatures
18. 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.
the blood pressure will rise in order to push the blood along.
Hypothermia
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
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
19. How does menstrual cycle and pregnancy raise the body's temperature?
^160/^100
120/70
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
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
20. The pressure wave causing te arterial walls in the vascular system each time the heart contracts to force blood into an already full aorta.
blood pressure is lowest in the morning. and higher in the afternoone
Pulse
males have higher bp - until menopause then they are the same
intermittent
21. Lobes in the lungs?
3 in the right lung and 2 lobes in the left
140-159/90-99
orthostatic hypertension
Apical
22. Symptoms of hypoxia
Conduction
Apical
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
23. Murmur or swishing sounds that increase as the cuff is deflated
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
Eupnea
palpate
Korotkoff sounds Phase II Swishing
24. Drop in blood pressure when arising to a standing position.
30-80
shallow or slow breathing
Radial
orthostatic hypertension
25. Stress & emotions. BP?
higher
low
tachycardia
Hypothermia
26. No pulse palpable or heard on ausculation
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
Temperature will remain below 102 degrees with use of hypothermia blanket
popliteal
absent
27. Weak and may be irregular
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
thready
Dorsalis pedis
Stertor
28. How does physical exercise raise the body's temperature?
thready
hyperoxia
The emotions increase hormone secretion - and the body activities required for this increase heat production.
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.
29. Measurement of oxygen
the rate - the rhythm - and volume
Evaporation
oximetry
Cardiac Output
30. Signs and symptoms of shock
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
It will also fall
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
palpate
31. Snoring sound produced when patients are unable to cough up secretions from the trachea or bronchi
Blood pressure increases because there is more volume of blood in the vascular system.
Stertor
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
wheeze
32. Whisting sound of air forced past a partial obstruction - as found in asthma or emphysema.
Respiration
pyrogens
120-139/80-89
wheeze
33. Groin area
Biot's respirations
pyrexia
Femoral
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
34. 3rd stage of fever?
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
72 bpm
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
35. How do you measure the apical pulse?
The pulse rate gradually diminishes from birth to adulthood
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
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
fever
36. Risk for prolonged hypertension
Posterior tibial
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
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
ausculatation
37. Air movemtn causes heat to be transferred from the skin to the air molecules.
ausculatation
Convection
oximeter
shallow or slow breathing
38. respirations become faster and deeper - then slower and shallower wit a period of apnea - called the death rattle.
Cheyenne-Stokes
Increases as body tries to remove excess heat
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.
Stertor
39. Absence of breathing
Systolic pressure
apnea
Convection
Stroke volume
40. Full and bounding (even beats wit strong force)
+3
Blood pressure increases because there is more volume of blood in the vascular system.
oximeter
ausculatation
41. Head injury or any increased intracranial pressure will depress the respiratory center and result in?
Respiration
16-20
the lungs
shallow or slow breathing
42. The average temperature in the older adult
96.5 to 97.5
^160/^100
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.
arrhythmia
43. Gradual return to a normal temperature
Evaporation
Systolic pressure
about 1 degree lower than oral temperatures
lysis
44. Does the respiration rate increase or decrease during fever?
Increases as body tries to remove excess heat
remittent
dyspnea
hypoxia
45. Barely palpable
Diaphoresis
Biot's respirations
Kussmaul's respiration
Feeble
46. Blood pressure for any adult should be no higher than
Stroke Volume
^160/^100
120/80
Convection
47. Weak and regular (even beats wit poor force)
It increases to push the blood through more rigid pathways.
+1
Stroke Volume
Tachypnea
48. Disappearance of sound. (marks diastolic pressure in adults)
Respiration
+2
Korotkoff sounds Phase V: Silence
absent
49. By measuring the blood pressure you obtain vital info about what?
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
30-80
Temporal
wheeze
50. Stage 2 hypertension
Rhonchi
^160/^100
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.
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.