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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.
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study here
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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. How does emotional stress raise the body's temperature?
Sinoatrial node (SA NODE)
The emotions increase hormone secretion - and the body activities required for this increase heat production.
Dorsalis pedis
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
2. What characteristics should be noted when checking the pulse?
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.
the rate - the rhythm - and volume
in the alveoli - tiny thin-walled sacs
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
3. Murmur or swishing sounds that increase as the cuff is deflated
Cardiac Output
^160/^100
hyperoxia
Korotkoff sounds Phase II Swishing
4. A pattern of breathing in which there is an increase in the rate and the depth of breaths and carbon dioxide is expelled - causing te blood level of carbon dioxide to fall. this condition is seen after sever exertion - during high levels of anxiety o
Hyperventilation
Tachypnea
pyrexia
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
5. How is pulse best found?
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.
It will also fall
pyrogens
Diaphoresis
6. 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.
shallow or slow breathing
uncooperative patient - children - combative patients - dementia
the rate - the rhythm - and volume
Hypothermia
7. How does the time of day (circadian rhythm) affect the body's temperature?
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8. Disappearance of sound. (marks diastolic pressure in adults)
Korotkoff sounds Phase V: Silence
Apical
ausculatation
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
9. Irregular pulse - a period of normal rhythm broken by periods of irregularity or skipped beats.
arrhythmia
+1
Vascular resistance drops and the blood pressure decreases
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
10. Excessive sweat production
low BP
apnea
16-20
Diaphoresis
11. How do drugs affect pulse?
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
blood pressure is lowest in the morning. and higher in the afternoone
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
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
12. Taking axillary temperature
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.
The pulse rate gradually diminishes from birth to adulthood
Conduction
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
13. How does disease increase the body's temperature?
the blood pressure will rise in order to push the blood along.
bradypnea
fever
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
14. Low oxygen
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
97.5 to 99.5
hypoxia
15. BP at or lower 90/60.
hypotension
from drug therapy - a neurologic problem or dehydration.
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
higher
16. Carbon dioxide is carried as bicarbonate ion in the blood until it reaches where?
the lungs
Relapsing
Korotkoff sounds Phase IV: Muffling
Cardiac Output
17. If blood becomes thicker - like when excessive blood cells are manufactured what happens to BP?
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
Korotkoff sounds
Temperature will remain below 102 degrees with use of hypothermia blanket
Feeble
18. What happens when vasodilation occurs?
in the alveoli - tiny thin-walled sacs
60 to 70 mL
bradycardia
Vascular resistance drops and the blood pressure decreases
19. Lobes in the lungs?
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
Dorsalis pedis
3 in the right lung and 2 lobes in the left
remittent
20. How should baby's temperature be taken?
remittent
Axillary.
Korotkoff sounds Phase IV: Muffling
Brachial
21. Prehypertension
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
120-139/80-89
males have higher bp - until menopause then they are the same
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
22. The temperature of the deep tissues of the body
about 1 degree higher than oral temperatures
Hyperventilation
Core Temperature
Hypothermia
23. The difference between the systolic pressure and the diastolic pressure
Pulse pressure
carotid
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
140-159/90-99
24. Pulse above 100 beats per minute
Biot's
Relapsing
120/70
tachycardia
25. Feel
It increases to push the blood through more rigid pathways.
higher
palpate
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
26. Sex BP?
males have higher bp - until menopause then they are the same
Brachial
shallow or slow breathing
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
27. Macine that measures oxygen in the blood by determining the percentage of hemoglobin that is bound with oxygen.
oximeter
Conduction
60 to 70 mL
30-80
28. Obtaining the correct size for a cuff for BP?
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
in the alveoli - tiny thin-walled sacs
Crisis
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
29. When the heart contracts How many mLs of blood is propelled into the aorta?
60 to 70 mL
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
crackles
Core Temperature
30. 3 yr old
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
The pulse rate gradually diminishes from birth to adulthood
shallow or slow breathing
20-30
31. Substances tat cause fever
16-20
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.
It increases to push the blood through more rigid pathways.
pyrogens
32. Increased or rapid breathing results from te presence of fever and a number or diseases. breathing rate increased about 4 breaths for each degree increase in temperature.
Posterior tibial
Tachypnea
the rate - the rhythm - and volume
males have higher bp - until menopause then they are the same
33. While measuring the BP certain sounds may be heard that relate to the effect of the blood pressure cuff on the arterial wall.
Radial
in the alveoli - tiny thin-walled sacs
Korotkoff sounds
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
34. Symptoms of hypoxia
carotid
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
orthostatic hypertension
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.
35. Elevated temperature
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
^160/^100
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
fever
36. What happens whens vasoconstriction causes peripheral vascular resistance to rise?
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
crackles
the blood pressure will rise in order to push the blood along.
120/70
37. What affects does aging do to the heart rate?
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38. Whats the best position to take a rectal temperature?
Korotkoff sounds Phase V: Silence
left Sims position
Stertor
Korotkoff sounds Phase II Swishing
39. A normal - relaxed breathing pattern
Cardiac Output
Eupnea
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
Stroke Volume
40. How does external respiration occur?
arrhythmia
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
Korotkoff sounds Phase II Swishing
hypoxia
41. Barely palpable
Hyperthermia related to infection or excessive heat exposure
Rhonchi
Feeble
bradypnea
42. Enviromental temperature BP?
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.
Korotkoff sounds Phase V: Silence
Respiration
43. What should you do if you cannot determine BP by ausculation?
^160/^100
oximetry
about 1 degree higher than oral temperatures
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.
44. Slow and shallow breathing - leads to hypoxemia.
bradypnea
hypoxemia
Vascular resistance drops and the blood pressure decreases
systolic pressure indicated by faint - clear sound that gradually grow louder.
45. Continuous dry - rattling sounds heard on ausculation of the lungs caused by partial obstruction.
Pedal pulse
16-20
30-80
Rhonchi
46. An example of nursing planning
bradypnea
Temperature will remain below 102 degrees with use of hypothermia blanket
hypoxia
the lungs
47. respirations become faster and deeper - then slower and shallower wit a period of apnea - called the death rattle.
Rhonchi
Posterior tibial
Cheyenne-Stokes
140-159/90-99
48. High BP
Convection
120-139/80-89
hypertension
Hyperventilation
49. How do emotions increase the pulse rate?
Pedal pulse
left Sims position
Temporal
Acute anxiety stimulate the nervous system - raising the pulse.
50. High oxygen
about 1 degree higher than oral temperatures
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
hyperoxia
Dorsalis pedis
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