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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. If blood becomes thicker - like when excessive blood cells are manufactured what happens to BP?
Irregular
It will also fall
Stertor
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.

2. 3 yr old
20-30
the rate - the rhythm - and volume
120/80
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.

3. Korotkoff sounds Ausculatatory gap:
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
Cardiac Output
thready
Biot's

4. Bend of elbow
Cardiac Output
140-159/90-99
Rhonchi
Brachial

5. Pulse above 100 beats per minute
tachycardia
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.
bradycardia
+1

6. 1st stage of fever is?
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
crackles
120/80
tachycardia

7. Side of forehead
Pons and Medulla of the brainstem
crackles
Temporal
Stroke Volume

8. Head injury or any increased intracranial pressure will depress the respiratory center and result in?
shallow or slow breathing
Femoral
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.
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

9. Abnormal - nonmusical sound heard on ausculation of the lungs during inspiration; also called rales. Sound like hair rubbed between the fingers next to the ears.
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
orthostatic hypertension
crackles
Convection

10. Prehypertension
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
120-139/80-89
orthostatic hypertension
bradypnea

11. No pulse palpable or heard on ausculation
Dorsalis pedis
shallow or slow breathing
absent
higher

12. Healthly adult
Korotkoff sounds Phase V: Silence
Evaporation
12-20
left Sims position

13. How does age affect pulse?
remittent
oximetry
It increases to push the blood through more rigid pathways.
The pulse rate gradually diminishes from birth to adulthood

14. Air movemtn causes heat to be transferred from the skin to the air molecules.
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
constant
hyperoxia
Convection

15. Murmur or swishing sounds that increase as the cuff is deflated
97.5 to 99.5
Korotkoff sounds Phase II Swishing
hyperoxia
the rate - the rhythm - and volume

16. How does emotional stress raise the body's temperature?
Korotkoff sounds
The emotions increase hormone secretion - and the body activities required for this increase heat production.
arrhythmia
hypoxia

17. Both strong and weak beats occur within 1 minute
intermittent
Irregular
thready
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

18. How does external respiration occur?
Acute anxiety stimulate the nervous system - raising the 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
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
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.

19. The lower pressure exerted on the artery when the heart is at rest inbetween contractions.
about 1 degree lower than oral temperatures
The pulse rate gradually diminishes from birth to adulthood
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.
Diastolic pressure

20. Newborn
Korotkoff sounds Phase II Swishing
stridor
thready
30-80

21. Gradual return to a normal temperature
120-139/80-89
The pulse rate gradually diminishes from birth to adulthood
lysis
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.

22. People most at risk for hypertension
hypoxemia
men - African Americans - under a lot of stress - obese
uncooperative patient - children - combative patients - dementia
males have higher bp - until menopause then they are the same

23. 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.
Tachypnea
temperature - pulse - respiration - blood pressure - and pain level.
bradypnea
hypotension

24. Feel
palpate
hypoxemia
from drug therapy - a neurologic problem or dehydration.
Temperature will remain below 102 degrees with use of hypothermia blanket

25. The pressure wave causing te arterial walls in the vascular system each time the heart contracts to force blood into an already full aorta.
Crisis
Pulse
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
Diaphoresis

26. How does size affect pulse?
low BP
20-30
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.

27. The difference between the systolic pressure and the diastolic pressure
Feeble
Korotkoff sounds Phase III: Knocking
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.
Pulse pressure

28. Absence of breathing
97.5 to 99.5
apnea
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
Temporal

29. Increased rate and depth with panting and long grunting exhalation. Often seen with patients with acidosis and renal failure.

30. While measuring the BP certain sounds may be heard that relate to the effect of the blood pressure cuff on the arterial wall.
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.
Korotkoff sounds
It increases to push the blood through more rigid pathways.
Relapsing

31. The temperature is continuously elevated with less than 1 degree of variation within a 24-hour period.
Korotkoff sounds Phase III: Knocking
constant
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
temperature - pulse - respiration - blood pressure - and pain level.

32. Slow and shallow breathing - leads to hypoxemia.
shallow or slow breathing
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.
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
bradypnea

33. High oxygen
pyrexia
hyperoxia
stridor
Hypothermia

34. Stage 2 hypertension
thready
Eupnea
males have higher bp - until menopause then they are the same
^160/^100

35. Obtaining the correct size for a cuff for BP?
apnea
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
constant
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. Elevated temperature
pyrogens
fever
140-159/90-99
low BP

37. BP at or lower 90/60.
It will also fall
hypotension
Pedal pulse
Korotkoff sounds Phase V: Silence

38. An example of nursing planning
about 1 degree lower than oral temperatures
60 to 70 mL
Temperature will remain below 102 degrees with use of hypothermia blanket
bradycardia

39. 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.
men - African Americans - under a lot of stress - obese
remittent
about 1 degree lower than oral temperatures
raises BP.

40. Are infants blood pressure low or high?
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
Evaporation
low
Dorsalis pedis

41. What happens when vasodilation occurs?
Posterior tibial
^160/^100
Eupnea
Vascular resistance drops and the blood pressure decreases

42. Elderly respiration
in the alveoli - tiny thin-walled sacs
uncooperative patient - children - combative patients - dementia
16-20
hypoxia

43. The temperature of the deep tissues of the body
hypoxia
Core Temperature
pyrexia
Conduction

44. Rectal temperature are
3 in the right lung and 2 lobes in the left
about 1 degree higher than oral temperatures
hypoxia
Biot's respirations

45. How is pulse best found?
Korotkoff sounds
hyperoxia
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.
72 bpm

46. High BP
Radial
Feeble
hypertension
120/70

47. Stress & emotions. BP?
raises BP.
Increases as body tries to remove excess heat
higher
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.

48. Stage 1 hypertension
Eupnea
pyrogens
140-159/90-99
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

49. What will happen in febrile stage if temperature is very high or temperature stays for a long amount of time?
Axillary.
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.
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.
tachycardia

50. Hearing
Stroke volume
about 1 degree lower than oral temperatures
Dorsalis pedis
ausculatation