Test your basic knowledge |

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. The average temperature in the older adult
oximeter
96.5 to 97.5
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.
the blood pressure will rise in order to push the blood along.

2. How do drugs affect pulse?
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
+3
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
120-139/80-89

3. 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.
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
hypoxemia
remittent

4. 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.
Increases as body tries to remove excess heat
Tachypnea
arrhythmia
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.

5. respirations become faster and deeper - then slower and shallower wit a period of apnea - called the death rattle.
hypoxemia
Posterior tibial
Cheyenne-Stokes
Temporal

6. Absence of breathing
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
apnea
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.
Vascular resistance drops and the blood pressure decreases

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

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

8. Those at risk for hypothermia include
120-139/80-89
Korotkoff sounds Phase V: Silence
Korotkoff sounds
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.

9. If the cardiac output falls what will happen to the BP?
palpate
popliteal
higher
It will also fall

10. How does size affect pulse?
Biot's
Tall - slender people mayy ave a slower pulse rate than short - stout persons
temperature - pulse - respiration - blood pressure - and pain level.
men - African Americans - under a lot of stress - obese

11. Whisting sound of air forced past a partial obstruction - as found in asthma or emphysema.
remittent
Stroke Volume
wheeze
16-20

12. What happens to the blood if overhydration occurs?
oximetry
Blood pressure increases because there is more volume of blood in the vascular system.
The emotions increase hormone secretion - and the body activities required for this increase heat production.
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.

13. Lobes in the lungs?
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.
Pons and Medulla of the brainstem
3 in the right lung and 2 lobes in the left
Pedal pulse

14. Snoring sound produced when patients are unable to cough up secretions from the trachea or bronchi
Stroke volume
Blood pressure increases because there is more volume of blood in the vascular system.
Convection
Stertor

15. The temperature falls to normal and then rises again in a repeating pattern.
hyperoxia
Dorsalis pedis
Relapsing
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.

16. What happens when vasodilation occurs?
Stroke volume
Vascular resistance drops and the blood pressure decreases
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
Temporal

17. How should baby's temperature be taken?
low BP
hypoxemia
Axillary.
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.

18. Whats the best position to take a rectal temperature?
left Sims position
Pulse pressure
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Stimulants increase the pulse rate. Depressants decrease the pulse rate.

19. Drop in blood pressure when arising to a standing position.
16-20
BMR
orthostatic hypertension
Stertor

20. Shallow for two or three breaths with a period of variable apnea. occur in patients with increased intracranial pressure.

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

21. Irregular pulse - a period of normal rhythm broken by periods of irregularity or skipped beats.
Kussmaul's respiration
arrhythmia
popliteal
^160/^100

22. How does age affect pulse?
Apical
The pulse rate gradually diminishes from birth to adulthood
in the alveoli - tiny thin-walled sacs
Stroke volume

23. People most at risk for hypertension
men - African Americans - under a lot of stress - obese
Rhonchi
120/70
left Sims position

24. If blood becomes thicker - like when excessive blood cells are manufactured what happens to BP?
the BP goes up because more pressure is needed to push the thicker fluid through 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.
The pulse rate gradually diminishes from birth to adulthood
Increases as body tries to remove excess heat

25. Stress & emotions. BP?
Convection
Posterior tibial
Stroke Volume
higher

26. Sex BP?
Rhonchi
hyperoxia
males have higher bp - until menopause then they are the same
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.

27. Gas exchange in the blood occurs where?
in the alveoli - tiny thin-walled sacs
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Hypothermia

28. Head injury or any increased intracranial pressure will depress the respiratory center and result in?
shallow or slow breathing
120-139/80-89
oximeter
Diaphoresis

29. An example of nursing planning
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
Nursing interventions to reduce fever
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
Temperature will remain below 102 degrees with use of hypothermia blanket

30. Substances tat cause fever
pyrogens
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
Temporal
Conduction

31. How does emotional stress raise the body's temperature?
men - African Americans - under a lot of stress - obese
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.
+1
The emotions increase hormone secretion - and the body activities required for this increase heat production.

32. Elevated temperature
16-20
fever
20-30
Biot's

33. By measuring the blood pressure you obtain vital info about what?
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
120-139/80-89
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
constant

34. How does increased body temperature increase the pulse?
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
Increases as body tries to remove excess heat
120/80
Convection

35. Why would patients experience orthostatic hypotenstion?
30-80
from drug therapy - a neurologic problem or dehydration.
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.
Eupnea

36. Enviromental temperature BP?
from drug therapy - a neurologic problem or dehydration.
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
Evaporation

37. How do you measure the apical 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
Stertor
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.
apnea

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

39. Adolescent
Convection
pyrexia
16-20
Cheyenne-Stokes

40. 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.
uncooperative patient - children - combative patients - dementia
Korotkoff sounds Phase III: Knocking
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.

41. 3rd stage of fever?
Cheyenne-Stokes
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Radial
tachycardia

42. How cardiac contractions are normally initiated by the electrical impules emerging from what?
hypotension
Pons and Medulla of the brainstem
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.
Sinoatrial node (SA NODE)

43. Full and bounding (even beats wit strong force)
Korotkoff sounds Phase III: Knocking
intermittent
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
+3

44. Weak and regular (even beats wit poor force)
Pons and Medulla of the brainstem
Hyperventilation
constant
+1

45. 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.
Kussmaul's respiration
ausculatation
Stertor

46. 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.
hypoxemia
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
tachycardia
60 to 70 mL

47. Stage 1 hypertension
Crisis
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
140-159/90-99
popliteal

48. What are the 5 vital signs?
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
Korotkoff sounds Phase V: Silence
temperature - pulse - respiration - blood pressure - and pain level.
^160/^100

49. How is shock caused?
Pedal pulse
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
Conduction
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.

50. A sudden change or muffling of the sound. (indicates diastolic pressure in children and some adults)
16-20
Korotkoff sounds Phase IV: Muffling
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.