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Test your basic knowledge |
Measuring Vital Signs
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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. Shallow for two or three breaths with a period of variable apnea. occur in patients with increased intracranial pressure.
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2. The temperature is continuously elevated with less than 1 degree of variation within a 24-hour period.
constant
Biot's respirations
uncooperative patient - children - combative patients - dementia
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
3. 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.
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
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
Axillary.
Cardiac Output
4. Adolescent
16-20
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
shallow or slow breathing
5. High BP
hypertension
palpate
Pulse pressure
Sinoatrial node (SA NODE)
6. What happens when vasodilation occurs?
Vascular resistance drops and the blood pressure decreases
low BP
arrhythmia
intermittent
7. Inside ankle
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
constant
hypoxemia
Posterior tibial
8. How is pulse best found?
the lungs
males have higher bp - until menopause then they are the same
Cardiac Output
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.
9. When should rectal temperatures be used?
Conduction
Stertor
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
in the alveoli - tiny thin-walled sacs
10. Abrupt decline in fever
Crisis
Korotkoff sounds Phase III: Knocking
blood pressure is lowest in the morning. and higher in the afternoone
Vascular resistance drops and the blood pressure decreases
11. Low oxygen
Convection
Temperature will remain below 102 degrees with use of hypothermia blanket
hypoxia
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
12. Feel
palpate
Apical
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
uncooperative patient - children - combative patients - dementia
13. Head injury BP?
Axillary.
Dorsalis pedis
Pedal pulse
raises BP.
14. Top of left foot
thready
Dorsalis pedis
Sinoatrial node (SA NODE)
pyrogens
15. How does emotional stress raise the body's temperature?
The emotions increase hormone secretion - and the body activities required for this increase heat production.
Conduction
oximeter
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
16. What are the 5 vital signs?
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
temperature - pulse - respiration - blood pressure - and pain level.
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
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
17. Crowing sound on inspiration caused by obstruction of the upper air passages - as occurs in croup or laryngitis
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
hypertension
Temperature will remain below 102 degrees with use of hypothermia blanket
stridor
18. While measuring the BP certain sounds may be heard that relate to the effect of the blood pressure cuff on the arterial wall.
cardiac patients or patients who have had rectal surgery.
Korotkoff sounds
temperature - pulse - respiration - blood pressure - and pain level.
lysis
19. Taking a rectal temperature
hypertension
about 1 degree lower than oral temperatures
Biot's respirations
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
20. Risk for prolonged hypertension
oximetry
intermittent
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
about 1 degree higher than oral temperatures
21. Breathing is an involuntary automatic function controlled by the respiratory center located where?
Evaporation
Korotkoff sounds Phase II Swishing
Pons and Medulla of the brainstem
higher
22. Air movemtn causes heat to be transferred from the skin to the air molecules.
Stertor
Brachial
Hyperventilation
Convection
23. Enviromental temperature BP?
30-80
hypoxia
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.
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
24. Increased rate and depth with panting and long grunting exhalation. Often seen with patients with acidosis and renal failure.
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25. State of insufficient oxygen
Stroke volume
hypoxia
pyrogens
+3
26. How do drugs affect pulse?
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
lysis
60 to 70 mL
27. BP at or lower 90/60.
hypotension
Posterior tibial
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
28. Average pulse rate for an adult
72 bpm
Brachial
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
oximetry
29. Strong and regular ( even beats wit moderate force)
Stroke Volume
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.
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
+2
30. An example of a nursing diagnoses
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
Kussmaul's respiration
Hyperthermia related to infection or excessive heat exposure
about 1 degree higher than oral temperatures
31. What happens whens vasoconstriction causes peripheral vascular resistance to rise?
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.
left Sims position
the blood pressure will rise in order to push the blood along.
Kussmaul's respiration
32. Difficult and labored breathing - can often be accompanied by flared nostrils - anxious appearance - and statements such as I cant get enough air.
the lungs
Temporal
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
dyspnea
33. Hearing
Feeble
+3
Blood pressure increases because there is more volume of blood in the vascular system.
ausculatation
34. Korotkoff sounds Ausculatatory gap:
Axillary.
thready
Hyperventilation
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
35. Does the respiration rate increase or decrease during fever?
Increases as body tries to remove excess heat
Crisis
the lungs
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
36. Decreased levels of oxygen in the blood - often seen in patients wo are under medical sedation - who are recovering from anesthesia or abdominal surgery - or who are in a weak or debiliated condition.
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
lysis
hypoxemia
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
37. 2nd stage of fever is?
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.
oximetry
Feeble
Diaphoresis
38. People most at risk for hypertension
Crisis
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.
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.
men - African Americans - under a lot of stress - obese
39. Healthly adult
Brachial
Korotkoff sounds
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
12-20
40. Obtaining the correct size for a cuff for BP?
temperature - pulse - respiration - blood pressure - and pain level.
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
Stroke Volume
Kussmaul's respiration
41. Weak and regular (even beats wit poor force)
raises BP.
97.5 to 99.5
+1
Axillary.
42. Groin area
cardiac patients or patients who have had rectal surgery.
Sinoatrial node (SA NODE)
Apical
Femoral
43. How does age affect pulse?
from drug therapy - a neurologic problem or dehydration.
Posterior tibial
about 1 degree lower than oral temperatures
The pulse rate gradually diminishes from birth to adulthood
44. Full and bounding (even beats wit strong force)
+3
Biot's respirations
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
bradycardia
45. Carbon dioxide is carried as bicarbonate ion in the blood until it reaches where?
the lungs
Pulse pressure
orthostatic hypertension
Pons and Medulla of the brainstem
46. Sex BP?
72 bpm
males have higher bp - until menopause then they are the same
Diastolic pressure
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
47. Excessive sweat production
higher
Blood pressure increases because there is more volume of blood in the vascular system.
Diaphoresis
hypertension
48. When the vascular walls lose elasticity - as with arteriosclerosis and aging what happens to BP?
apnea
It increases to push the blood through more rigid pathways.
Sinoatrial node (SA NODE)
systolic pressure indicated by faint - clear sound that gradually grow louder.
49. Weak and may be irregular
It increases to push the blood through more rigid pathways.
thready
Korotkoff sounds Phase II Swishing
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
50. Side of neck
fever
Acute anxiety stimulate the nervous system - raising the pulse.
carotid
the blood pressure will rise in order to push the blood along.
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