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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. Obtaining the correct size for a cuff for BP?
Blood pressure increases because there is more volume of blood in the vascular system.
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
the rate - the rhythm - and volume
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
2. Pulse above 100 beats per minute
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.
intermittent
tachycardia
Pons and Medulla of the brainstem
3. 2nd stage of fever is?
the lungs
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.
low BP
crackles
4. What affects does aging do to the heart rate?
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5. People most at risk for hypertension
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
Irregular
Diaphoresis
6. Carbon dioxide is carried as bicarbonate ion in the blood until it reaches where?
Pedal pulse
the lungs
stridor
Sinoatrial node (SA NODE)
7. How does age affect pulse?
The pulse rate gradually diminishes from birth to adulthood
fever
Korotkoff sounds Phase IV: Muffling
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.
8. 3 yr old
palpate
Posterior tibial
from drug therapy - a neurologic problem or dehydration.
20-30
9. The volume of blood pushed into the aorta per heartbeat.
Stroke volume
Increases as body tries to remove excess heat
hypertension
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
10. Stage 1 hypertension
140-159/90-99
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
30-80
11. Why would patients experience orthostatic hypotenstion?
from drug therapy - a neurologic problem or dehydration.
Conduction
Relapsing
Dorsalis pedis
12. When the vascular walls lose elasticity - as with arteriosclerosis and aging what happens to BP?
Hyperthermia related to infection or excessive heat exposure
It increases to push the blood through more rigid pathways.
+1
Biot's
13. Blood pressure for any adult should be no higher than
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
raises BP.
120/80
Irregular
14. How do emotions increase the pulse rate?
The emotions increase hormone secretion - and the body activities required for this increase heat production.
Acute anxiety stimulate the nervous system - raising the pulse.
30-80
97.5 to 99.5
15. What should you do if you cannot determine BP by ausculation?
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
Tall - slender people mayy ave a slower pulse rate than short - stout persons
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.
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
16. How does emotional stress raise the body's temperature?
16-20
in the alveoli - tiny thin-walled sacs
Korotkoff sounds
The emotions increase hormone secretion - and the body activities required for this increase heat production.
17. Difference between the apical and radial pulse - this requires two people to count the radial and apicial pulses at the same time to determine whether there is a what?
Stroke volume
Nursing interventions to reduce fever
oximetry
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
18. How is pulse best found?
from drug therapy - a neurologic problem or dehydration.
absent
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
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.
19. How is shock caused?
120-139/80-89
hypoxia
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
16-20
20. Breathing is an involuntary automatic function controlled by the respiratory center located where?
Evaporation
apnea
oximeter
Pons and Medulla of the brainstem
21. Signs and symptoms of shock
+1
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
120/80
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
22. Heart
97.5 to 99.5
left Sims position
Apical
Pulse
23. Hearing
ausculatation
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
It will also fall
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
24. Top of left foot
The emotions increase hormone secretion - and the body activities required for this increase heat production.
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
Korotkoff sounds Phase IV: Muffling
Dorsalis pedis
25. The exchange of oxygen and carbon dioxide in the lungs and tissues and is initiated by the act of breathing.
Respiration
Relapsing
+1
bradycardia
26. Risk for prolonged hypertension
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
popliteal
thready
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
27. How does size affect pulse?
about 1 degree lower than oral temperatures
lysis
Temporal
Tall - slender people mayy ave a slower pulse rate than short - stout persons
28. Elderly respiration
hypoxemia
16-20
Rhonchi
+1
29. By measuring the blood pressure you obtain vital info about what?
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
Temperature will remain below 102 degrees with use of hypothermia blanket
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
30. Shock - hemorrhage - low cardiac output - inadequate volume of blood?
Diaphoresis
higher
low BP
thready
31. The difference between the systolic pressure and the diastolic pressure
Rhonchi
popliteal
thready
Pulse pressure
32. Gas exchange in the blood occurs where?
in the alveoli - tiny thin-walled sacs
^160/^100
Evaporation
The pulse rate gradually diminishes from birth to adulthood
33. State of insufficient oxygen
Pulse pressure
pyrexia
remittent
hypoxia
34. Taking a rectal temperature
pyrexia
Stertor
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
lysis
35. This affects the character of the pulse.
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
shallow or slow breathing
the blood pressure will rise in order to push the blood along.
Stroke Volume
36. Barely palpable
Respiration
Hypothermia
+2
Feeble
37. Air movemtn causes heat to be transferred from the skin to the air molecules.
Convection
hypoxemia
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
uncooperative patient - children - combative patients - dementia
38. Snoring sound produced when patients are unable to cough up secretions from the trachea or bronchi
+2
Stertor
120-139/80-89
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
39. Disappearance of sound. (marks diastolic pressure in adults)
remittent
shallow or slow breathing
Korotkoff sounds Phase V: Silence
oximetry
40. Enviromental temperature BP?
BMR
Stroke volume
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
41. Prehypertension
Irregular
It increases to push the blood through more rigid pathways.
120-139/80-89
^160/^100
42. Weak and may be irregular
It increases to push the blood through more rigid pathways.
thready
hypoxia
low
43. Bend of elbow
hypoxia
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
Brachial
44. Stress & emotions. BP?
60 to 70 mL
bradycardia
oximeter
higher
45. How does increased body temperature increase the pulse?
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
72 bpm
pyrexia
Core Temperature
46. Does the respiration rate increase or decrease during fever?
120-139/80-89
in the alveoli - tiny thin-walled sacs
orthostatic hypertension
Increases as body tries to remove excess heat
47. How does the time of day (circadian rhythm) affect the body's temperature?
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48. The temperature of the deep tissues of the body
wheeze
Kussmaul's respiration
Core Temperature
Brachial
49. The temperature is continuously elevated with less than 1 degree of variation within a 24-hour period.
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
Korotkoff sounds Phase II Swishing
Respiration
50. The temperature falls to normal and then rises again in a repeating pattern.
Increases as body tries to remove excess heat
Cheyenne-Stokes
remittent
Relapsing