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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. Murmur or swishing sounds that increase as the cuff is deflated
Vascular resistance drops and the blood pressure decreases
pyrexia
hypertension
Korotkoff sounds Phase II Swishing
2. Elevated temperature
Conduction
+1
fever
Nursing interventions to reduce fever
3. Disappearance of sound. (marks diastolic pressure in adults)
Systolic pressure
hypoxemia
Korotkoff sounds Phase V: Silence
72 bpm
4. Does the respiration rate increase or decrease during fever?
Increases as body tries to remove excess heat
shallow or slow breathing
Diastolic pressure
+3
5. Excessive sweat production
Relapsing
Irregular
Diaphoresis
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
6. The pressure wave causing te arterial walls in the vascular system each time the heart contracts to force blood into an already full aorta.
remittent
+1
apnea
Pulse
7. A normal - relaxed breathing pattern
Eupnea
Pulse pressure
Acute anxiety stimulate the nervous system - raising the pulse.
dyspnea
8. What are the 5 vital signs?
temperature - pulse - respiration - blood pressure - and pain level.
hypotension
^160/^100
Radial
9. How does the time of day (circadian rhythm) affect the body's temperature?
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10. The volume of blood pushed into the aorta per heartbeat.
Stroke volume
pyrogens
Evaporation
+2
11. What affects does aging do to the heart rate?
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12. Top of left foot
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
Dorsalis pedis
tachycardia
hypertension
13. High BP
Hypothermia
hypertension
the lungs
oximetry
14. Shallow for two or three breaths with a period of variable apnea. occur in patients with increased intracranial pressure.
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15. How should baby's temperature be taken?
Axillary.
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
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
Hyperventilation
16. An example of a nursing diagnoses
Axillary.
20-30
Acute anxiety stimulate the nervous system - raising the pulse.
Hyperthermia related to infection or excessive heat exposure
17. Korotkoff sounds Phase I: Tapping
raises BP.
systolic pressure indicated by faint - clear sound that gradually grow louder.
Korotkoff sounds
from drug therapy - a neurologic problem or dehydration.
18. Whisting sound of air forced past a partial obstruction - as found in asthma or emphysema.
Acute anxiety stimulate the nervous system - raising the pulse.
Stroke volume
wheeze
It will also fall
19. 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
Brachial
hyperoxia
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
20. A sudden change or muffling of the sound. (indicates diastolic pressure in children and some adults)
Respiration
tachycardia
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
Korotkoff sounds Phase IV: Muffling
21. How does age affect pulse?
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
+1
The pulse rate gradually diminishes from birth to adulthood
remittent
22. If the cardiac output falls what will happen to the BP?
Axillary.
ausculatation
It will also fall
Pedal pulse
23. Blood pressure for any adult should be no higher than
120/80
from drug therapy - a neurologic problem or dehydration.
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
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.
24. Side of wrist
72 bpm
remittent
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
Radial
25. How should respirations be counted?
Feeble
The emotions increase hormone secretion - and the body activities required for this increase heat production.
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
uncooperative patient - children - combative patients - dementia
26. What happens whens vasoconstriction causes peripheral vascular resistance to rise?
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
the blood pressure will rise in order to push the blood along.
^160/^100
Femoral
27. Rectal temperature are
120-139/80-89
about 1 degree higher than oral temperatures
popliteal
constant
28. Carbon dioxide is carried as bicarbonate ion in the blood until it reaches where?
postoperative patients wo have been cooled during surgery - newborn infants whose skin is exposed to cool room temperatures - elderly or debiliated patients - and those exposed to cold temperatures for prolonged periods.
lysis
left Sims position
the lungs
29. Risk for prolonged hypertension
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
Increases as body tries to remove excess heat
Korotkoff sounds Phase III: Knocking
30. 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
higher
Pedal pulse
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
Increases as body tries to remove excess heat
31. The exchange of oxygen and carbon dioxide in the lungs and tissues and is initiated by the act of breathing.
Increases as body tries to remove excess heat
120/80
96.5 to 97.5
Respiration
32. How cardiac contractions are normally initiated by the electrical impules emerging from what?
Sinoatrial node (SA NODE)
left Sims position
Systolic pressure
Vascular resistance drops and the blood pressure decreases
33. Continuous dry - rattling sounds heard on ausculation of the lungs caused by partial obstruction.
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.
Rhonchi
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. Louder knocking sound that occurs wit each heartbeat
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
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.
Systolic pressure
Korotkoff sounds Phase III: Knocking
35. Bend of knee
popliteal
Vascular resistance drops and the blood pressure decreases
from drug therapy - a neurologic problem or dehydration.
Stroke Volume
36. 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
systolic pressure indicated by faint - clear sound that gradually grow louder.
shallow or slow breathing
left Sims position
37. If blood becomes thicker - like when excessive blood cells are manufactured what happens to BP?
+1
Hyperventilation
Core Temperature
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
38. Snoring sound produced when patients are unable to cough up secretions from the trachea or bronchi
bradycardia
Kussmaul's respiration
140-159/90-99
Stertor
39. Korotkoff sounds Ausculatatory gap:
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
absent
140-159/90-99
temperature - pulse - respiration - blood pressure - and pain level.
40. State of insufficient oxygen
Nursing interventions to reduce fever
crackles
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
hypoxia
41. Substances tat cause fever
pyrogens
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.
120/70
42. How is shock caused?
fever
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
about 1 degree higher than oral temperatures
systolic pressure indicated by faint - clear sound that gradually grow louder.
43. Average blood pressure should be
120/70
Core Temperature
Biot's
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
44. How does disease increase the body's temperature?
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
hypoxia
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
Blood pressure increases because there is more volume of blood in the vascular system.
45. Side of forehead
Stroke Volume
Korotkoff sounds Phase II Swishing
Nursing interventions to reduce fever
Temporal
46. 3rd stage of fever?
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
tachycardia
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
shallow or slow breathing
47. 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.
Tall - slender people mayy ave a slower pulse rate than short - stout persons
higher
about 1 degree lower than oral temperatures
crackles
48. Shock - hemorrhage - low cardiac output - inadequate volume of blood?
low BP
+1
Hyperventilation
BMR
49. The temperature falls to normal and then rises again in a repeating pattern.
Relapsing
16-20
Hyperventilation
blood pressure is lowest in the morning. and higher in the afternoone
50. Heart
popliteal
Temporal
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
Apical
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