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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 the time of day (circadian rhythm) affect the body's temperature?
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2. When warm skin touches a cool object - heat is lost to the object.
20-30
Conduction
hypoxia
Pulse
3. Korotkoff sounds Ausculatatory gap:
140-159/90-99
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
absent
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.
4. 2nd stage of fever is?
Irregular
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.
Blood pressure increases because there is more volume of blood in the vascular system.
+3
5. Difficult and labored breathing - can often be accompanied by flared nostrils - anxious appearance - and statements such as I cant get enough air.
dyspnea
Irregular
30-80
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.
6. Increased rate and depth with panting and long grunting exhalation. Often seen with patients with acidosis and renal failure.
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7. Low oxygen
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.
Stroke volume
Evaporation
hypoxia
8. When is apicial pulse used?
cardiac patients or patients who have had rectal surgery.
^160/^100
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.
Systolic pressure
9. Elderly respiration
16-20
Rhonchi
Irregular
Pons and Medulla of the brainstem
10. How does emotional stress raise the body's temperature?
apnea
Pons and Medulla of the brainstem
+2
The emotions increase hormone secretion - and the body activities required for this increase heat production.
11. Air movemtn causes heat to be transferred from the skin to the air molecules.
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
Convection
^160/^100
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.
12. High BP
hypertension
popliteal
Feeble
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
13. When the heart contracts How many mLs of blood is propelled into the aorta?
Cheyenne-Stokes
temperature - pulse - respiration - blood pressure - and pain level.
Biot's
60 to 70 mL
14. A normal - relaxed breathing pattern
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
Eupnea
pyrogens
15. Both strong and weak beats occur within 1 minute
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.
Radial
hypoxia
16. Average blood pressure should be
hypoxia
16-20
120/70
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
17. 3 yr old
about 1 degree higher than oral temperatures
raises BP.
20-30
left Sims position
18. What affects does aging do to the respiratory rate?
stridor
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
hyperoxia
19. When should rectal temperatures be used?
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
20-30
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.
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
20. Those at risk for hypothermia include
Stertor
raises BP.
Pons and Medulla of the brainstem
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.
21. How should baby's temperature be taken?
Axillary.
Korotkoff sounds Phase II Swishing
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
males have higher bp - until menopause then they are the same
22. Risk for prolonged hypertension
Temporal
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.
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
23. What characteristics should be noted when checking the pulse?
Hyperthermia related to infection or excessive heat exposure
the rate - the rhythm - and volume
shallow or slow breathing
hypoxia
24. Enviromental temperature BP?
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
Diaphoresis
Tall - slender people mayy ave a slower pulse rate than short - stout persons
Tachypnea
25. 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.
blood pressure is lowest in the morning. and higher in the afternoone
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
Pulse
Hypothermia
26. The exchange of oxygen and carbon dioxide in the lungs and tissues and is initiated by the act of breathing.
Kussmaul's respiration
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.
Respiration
Pedal pulse
27. Substances tat cause fever
pyrogens
Relapsing
97.5 to 99.5
Apical
28. An example of a nursing diagnoses
It will also fall
Systolic pressure
Hyperthermia related to infection or excessive heat exposure
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
29. How does age affect pulse?
Korotkoff sounds Phase IV: Muffling
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.
The pulse rate gradually diminishes from birth to adulthood
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
30. Taking a rectal temperature
bradypnea
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.
Temperature will remain below 102 degrees with use of hypothermia blanket
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
31. 3rd stage of fever?
ausculatation
It will also fall
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
120/80
32. Top of left foot
Pedal pulse
hypoxia
Diastolic pressure
Dorsalis pedis
33. Diurnal variation BP?
blood pressure is lowest in the morning. and higher in the afternoone
Rhonchi
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
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
34. Absence of breathing
apnea
about 1 degree lower than oral temperatures
Kussmaul's respiration
Diaphoresis
35. Why would patients experience orthostatic hypotenstion?
+1
from drug therapy - a neurologic problem or dehydration.
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.
men - African Americans - under a lot of stress - obese
36. An example of nursing planning
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
Temperature will remain below 102 degrees with use of hypothermia blanket
Hypothermia
males have higher bp - until menopause then they are the same
37. 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
from drug therapy - a neurologic problem or dehydration.
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
Systolic pressure
38. Gradual return to a normal temperature
lysis
raises BP.
left Sims position
bradypnea
39. Groin area
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
absent
Femoral
+2
40. 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.
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
hyperoxia
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.
41. Continuous dry - rattling sounds heard on ausculation of the lungs caused by partial obstruction.
Irregular
+2
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.
Rhonchi
42. Shock - hemorrhage - low cardiac output - inadequate volume of blood?
uncooperative patient - children - combative patients - dementia
ausculatation
low BP
left Sims position
43. What will happen in febrile stage if temperature is very high or temperature stays for a long amount of time?
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.
constant
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
Kussmaul's respiration
44. The temperature is continuously elevated with less than 1 degree of variation within a 24-hour period.
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.
120/70
males have higher bp - until menopause then they are the same
constant
45. Pulse lower than 60 beats per minute
Femoral
Diastolic pressure
bradycardia
constant
46. Whisting sound of air forced past a partial obstruction - as found in asthma or emphysema.
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
Tall - slender people mayy ave a slower pulse rate than short - stout persons
wheeze
Increases as body tries to remove excess heat
47. Heart
Sinoatrial node (SA NODE)
shallow or slow breathing
Apical
blood pressure is lowest in the morning. and higher in the afternoone
48. Stage 1 hypertension
140-159/90-99
120-139/80-89
tachycardia
Conduction
49. 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.
hypotension
in the alveoli - tiny thin-walled sacs
120/70
50. People most at risk for hypertension
men - African Americans - under a lot of stress - obese
pyrogens
lysis
Relapsing
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