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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. Weak and regular (even beats wit poor force)
Stroke Volume
+1
+3
It may rise slightly as decreases in vital capacity and respiratory reserve occur.

2. Korotkoff sounds Phase I: Tapping
120/80
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
systolic pressure indicated by faint - clear sound that gradually grow louder.
Evaporation

3. Adolescent
120-139/80-89
stridor
30-80
16-20

4. Bend of elbow
Brachial
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
Tachypnea
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

5. 3rd stage of fever?
remittent
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
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
Kussmaul's respiration

6. respirations become faster and deeper - then slower and shallower wit a period of apnea - called the death rattle.
intermittent
Increases as body tries to remove excess heat
Cheyenne-Stokes
dyspnea

7. 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
Tall - slender people mayy ave a slower pulse rate than short - stout persons
from drug therapy - a neurologic problem or dehydration.
Temperature will remain below 102 degrees with use of hypothermia blanket

8. Side of forehead
Temporal
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.
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
the rate - the rhythm - and volume

9. The average temperature in the older adult
+1
It will also fall
Blood pressure increases because there is more volume of blood in the vascular system.
96.5 to 97.5

10. High oxygen
Stroke volume
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
hyperoxia
72 bpm

11. Whats the best position to take a rectal temperature?
97.5 to 99.5
left Sims position
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.
hypertension

12. If blood becomes thicker - like when excessive blood cells are manufactured what happens to BP?
Convection
thready
cardiac patients or patients who have had rectal surgery.
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.

13. How cardiac contractions are normally initiated by the electrical impules emerging from what?
Sinoatrial node (SA NODE)
low
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.
absent

14. The rate at which heat is produced when the body is at rest.
BMR
Diastolic pressure
Blood pressure increases because there is more volume of blood in the vascular system.
20-30

15. Encourage a large fluid intake - lower room temperature - increase air circulation - remove items of clothes - control or reduce the amount of body activity - carry out physicians orders
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
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
Nursing interventions to reduce fever
temperature - pulse - respiration - blood pressure - and pain level.

16. How do drugs affect pulse?
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
in the alveoli - tiny thin-walled sacs
Stimulants increase the pulse rate. Depressants decrease the pulse rate.

17. The pressure wave causing te arterial walls in the vascular system each time the heart contracts to force blood into an already full aorta.
tachycardia
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
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.

18. The temperature falls to normal and then rises again in a repeating pattern.
Relapsing
Stroke Volume
the blood pressure will rise in order to push the blood along.
^160/^100

19. Elevated temperature
3 in the right lung and 2 lobes in the left
+1
fever
hypoxemia

20. This affects the character of the pulse.
popliteal
Stroke Volume
wheeze
3 in the right lung and 2 lobes in the left

21. Hearing
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
ausculatation
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
tachycardia

22. How does increased body temperature increase the pulse?
Hypothermia
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
thready
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

23. What patients should not use a glass thermometer orally?
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.
uncooperative patient - children - combative patients - dementia
Korotkoff sounds
fever

24. How is shock caused?
popliteal
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
remittent
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.

25. If the cardiac output falls what will happen to the BP?
arrhythmia
Korotkoff sounds
hypoxemia
It will also fall

26. The maximum pressure exerted on the artery during left ventricular contraction.
Stroke volume
raises BP.
carotid
Systolic pressure

27. When warm skin touches a cool object - heat is lost to the object.
Conduction
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
12-20
Biot's respirations

28. The temperature is continuously elevated with less than 1 degree of variation within a 24-hour period.
Posterior tibial
+2
60 to 70 mL
constant

29. While measuring the BP certain sounds may be heard that relate to the effect of the blood pressure cuff on the arterial wall.
oximetry
60 to 70 mL
Korotkoff sounds
Evaporation

30. Macine that measures oxygen in the blood by determining the percentage of hemoglobin that is bound with oxygen.
Increases as body tries to remove excess heat
16-20
oximeter
16-20

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

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32. Low oxygen
hypoxia
Dorsalis pedis
about 1 degree lower than oral temperatures
Cardiac Output

33. right arm vs. left arm/ arm vs. leg BP?
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
Diaphoresis
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
palpate

34. The volume of blood pushed into the aorta per heartbeat.
Stroke volume
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.
Kussmaul's respiration
Relapsing

35. What affects does aging do to the respiratory rate?
Increases as body tries to remove excess heat
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
It may rise slightly as decreases in vital capacity and respiratory reserve occur.

36. Both strong and weak beats occur within 1 minute
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
men - African Americans - under a lot of stress - obese
96.5 to 97.5
Irregular

37. What characteristics should be noted when checking the pulse?
Tachypnea
Pedal pulse
the rate - the rhythm - and volume
16-20

38. Lobes in the lungs?
16-20
Dorsalis pedis
It increases to push the blood through more rigid pathways.
3 in the right lung and 2 lobes in the left

39. State of insufficient oxygen
Blood pressure increases because there is more volume of blood in the vascular system.
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.
hypoxia
Hypothermia

40. Blood pressure for any adult should be no higher than
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
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
120/80

41. Feel
the rate - the rhythm - and volume
palpate
about 1 degree lower than oral temperatures
bradycardia

42. Side of wrist
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.
Cardiac Output
Acute anxiety stimulate the nervous system - raising the pulse.
Radial

43. Bend of knee
Tall - slender people mayy ave a slower pulse rate than short - stout persons
Blood pressure increases because there is more volume of blood in the vascular system.
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.
popliteal

44. The temperature of the deep tissues of the body
the lungs
Core Temperature
^160/^100
cardiac patients or patients who have had rectal surgery.

45. Weak and may be irregular
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
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.
Evaporation
thready

46. A normal - relaxed breathing pattern
Eupnea
intermittent
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 may rise slightly as decreases in vital capacity and respiratory reserve occur.

47. How does physical exercise raise the body's temperature?
Biot's
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.
crackles
the lungs

48. Rectal temperature are
97.5 to 99.5
pyrogens
about 1 degree higher than oral temperatures
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.

49. What are the 5 vital signs?
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
It increases to push the blood through more rigid pathways.
temperature - pulse - respiration - blood pressure - and pain level.
Diastolic pressure

50. How does age affect pulse?
+2
The pulse rate gradually diminishes from birth to adulthood
pyrogens
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.