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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 does external respiration occur?
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
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.
120/80
Korotkoff sounds
2. Taking a rectal temperature
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
72 bpm
blood pressure is lowest in the morning. and higher in the afternoone
Cheyenne-Stokes
3. Full and bounding (even beats wit strong force)
+3
BMR
Korotkoff sounds
the lungs
4. Abrupt decline in fever
Crisis
Korotkoff sounds Phase V: Silence
carotid
Hyperthermia related to infection or excessive heat exposure
5. 3rd stage of fever?
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Korotkoff sounds Phase V: Silence
constant
oximetry
6. Pulse above 100 beats per minute
Conduction
tachycardia
Cardiac Output
oximeter
7. An example of a nursing diagnoses
Core Temperature
Posterior tibial
Hyperthermia related to infection or excessive heat exposure
72 bpm
8. Measurement of oxygen
palpate
Pons and Medulla of the brainstem
oximetry
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
9. Top of left foot
96.5 to 97.5
Dorsalis pedis
20-30
the rate - the rhythm - and volume
10. Obtaining the correct size for a cuff for BP?
shallow or slow breathing
Nursing interventions to reduce fever
Stroke volume
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
11. Korotkoff sounds Phase I: Tapping
low
systolic pressure indicated by faint - clear sound that gradually grow louder.
120/70
Pulse pressure
12. 3 yr old
20-30
fever
^160/^100
Stroke volume
13. 1st stage of fever is?
the blood pressure will rise in order to push the blood along.
Eupnea
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
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
14. Average blood pressure should be
120/70
ausculatation
+2
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
15. How does physical exercise raise the body's temperature?
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.
stridor
ausculatation
Systolic pressure
16. Side of neck
oximetry
Diastolic pressure
carotid
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
17. Weak and regular (even beats wit poor force)
+1
hypertension
60 to 70 mL
pyrexia
18. Whisting sound of air forced past a partial obstruction - as found in asthma or emphysema.
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
constant
Respiration
wheeze
19. What patients should not use a glass thermometer orally?
uncooperative patient - children - combative patients - dementia
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
pyrexia
20. What happens whens vasoconstriction causes peripheral vascular resistance to rise?
the blood pressure will rise in order to push the blood along.
3 in the right lung and 2 lobes in the left
low
low BP
21. Are infants blood pressure low or high?
low
120/70
Pons and Medulla of the brainstem
16-20
22. State of insufficient oxygen
hypoxia
stridor
Tachypnea
cardiac patients or patients who have had rectal surgery.
23. How does emotional stress raise the body's temperature?
BMR
Korotkoff sounds Phase V: Silence
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 emotions increase hormone secretion - and the body activities required for this increase heat production.
24. Absence of breathing
apnea
Tachypnea
Apical
lysis
25. What pulse is checked to determine whether there is any blockage of circulation in the artery up to that point - especially in patients who have had cardiac catherization using the femoral artery for the insertion of the catheter or those who had sur
Pedal pulse
Blood pressure increases because there is more volume of blood in the vascular system.
Axillary.
oximetry
26. Bend of knee
higher
Pulse
popliteal
+3
27. Difficult and labored breathing - can often be accompanied by flared nostrils - anxious appearance - and statements such as I cant get enough air.
Rhonchi
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
dyspnea
Temporal
28. 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.
It will also fall
Vascular resistance drops and the blood pressure decreases
males have higher bp - until menopause then they are the same
remittent
29. Healthly adult
12-20
Korotkoff sounds Phase III: Knocking
uncooperative patient - children - combative patients - dementia
Respiration
30. Taking axillary temperature
Posterior tibial
Brachial
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
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.
31. People most at risk for hypertension
men - African Americans - under a lot of stress - obese
Core Temperature
Stertor
20-30
32. 2nd stage of fever is?
^160/^100
Sinoatrial node (SA NODE)
ausculatation
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.
33. 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.
hypoxia
Nursing interventions to reduce fever
about 1 degree lower than oral temperatures
34. While measuring the BP certain sounds may be heard that relate to the effect of the blood pressure cuff on the arterial wall.
Korotkoff sounds
140-159/90-99
Vascular resistance drops and the blood pressure decreases
Rhonchi
35. No pulse palpable or heard on ausculation
+1
Korotkoff sounds Phase III: Knocking
absent
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
36. When is apicial pulse used?
oximeter
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.
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
37. When the heart contracts How many mLs of blood is propelled into the aorta?
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.
60 to 70 mL
Feeble
20-30
38. Excessive sweat production
3 in the right lung and 2 lobes in the left
Diaphoresis
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
constant
39. Stress & emotions. BP?
Tall - slender people mayy ave a slower pulse rate than short - stout persons
raises BP.
Cheyenne-Stokes
higher
40. 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.
Stroke Volume
Cardiac Output
oximeter
pyrogens
41. What should you do if you cannot determine BP by ausculation?
Pons and Medulla of the brainstem
pyrexia
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.
hypertension
42. 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
Korotkoff sounds Phase IV: Muffling
BMR
+1
43. Irregular pulse - a period of normal rhythm broken by periods of irregularity or skipped beats.
remittent
arrhythmia
60 to 70 mL
Pulse pressure
44. The temperature is continuously elevated with less than 1 degree of variation within a 24-hour period.
Pons and Medulla of the brainstem
Evaporation
The emotions increase hormone secretion - and the body activities required for this increase heat production.
constant
45. Groin area
Femoral
Crisis
tachycardia
Korotkoff sounds Phase II Swishing
46. When warm skin touches a cool object - heat is lost to the object.
Conduction
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
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.
47. Newborn
about 1 degree higher than oral temperatures
popliteal
30-80
apnea
48. Snoring sound produced when patients are unable to cough up secretions from the trachea or bronchi
hypoxemia
12-20
stridor
Stertor
49. Diurnal variation BP?
Hyperventilation
Blood pressure increases because there is more volume of blood in the vascular system.
72 bpm
blood pressure is lowest in the morning. and higher in the afternoone
50. Bend of elbow
Brachial
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
Stroke volume
shallow or slow breathing
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