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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. No pulse palpable or heard on ausculation
absent
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.
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
120/70
2. Abrupt decline in fever
arrhythmia
about 1 degree lower than oral temperatures
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
Crisis
3. What are the 5 vital signs?
temperature - pulse - respiration - blood pressure - and pain level.
Stroke Volume
Respiration
Irregular
4. Lobes in the lungs?
Korotkoff sounds Phase V: Silence
BMR
Apical
3 in the right lung and 2 lobes in the left
5. Carbon dioxide is carried as bicarbonate ion in the blood until it reaches where?
30-80
from drug therapy - a neurologic problem or dehydration.
hypoxia
the lungs
6. By measuring the blood pressure you obtain vital info about what?
Radial
dyspnea
120/70
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
7. 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.
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
Korotkoff sounds Phase IV: Muffling
shallow or slow breathing
Tachypnea
8. 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
Posterior tibial
lysis
The emotions increase hormone secretion - and the body activities required for this increase heat production.
9. What characteristics should be noted when checking the pulse?
Korotkoff sounds Phase II Swishing
about 1 degree higher than oral temperatures
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
10. 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.
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
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.
hypoxemia
Korotkoff sounds
11. Korotkoff sounds Phase I: Tapping
hypertension
systolic pressure indicated by faint - clear sound that gradually grow louder.
Korotkoff sounds Phase V: Silence
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. An example of nursing planning
hypertension
intermittent
Temperature will remain below 102 degrees with use of hypothermia blanket
Crisis
13. The temperature is continuously elevated with less than 1 degree of variation within a 24-hour period.
constant
Brachial
Crisis
the blood pressure will rise in order to push the blood along.
14. When the vascular walls lose elasticity - as with arteriosclerosis and aging what happens to BP?
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
It increases to push the blood through more rigid pathways.
ausculatation
Biot's respirations
15. Barely palpable
arrhythmia
Hypothermia
Feeble
Conduction
16. People most at risk for hypertension
It increases to push the blood through more rigid pathways.
Pulse pressure
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
men - African Americans - under a lot of stress - obese
17. Enviromental temperature BP?
Kussmaul's respiration
Pedal pulse
apnea
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
18. How does external respiration occur?
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
Hyperventilation
Stroke Volume
oximetry
19. BP at or lower 90/60.
Vascular resistance drops and the blood pressure decreases
16-20
hypotension
Evaporation
20. 1st stage of fever is?
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
Hypothermia
remittent
Rhonchi
21. Inside ankle
60 to 70 mL
Stroke Volume
Posterior tibial
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
22. How does disease increase the body's temperature?
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
Cardiac Output
Hypothermia
23. The maximum pressure exerted on the artery during left ventricular contraction.
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
dyspnea
Systolic pressure
oximeter
24. Newborn
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.
Hyperthermia related to infection or excessive heat exposure
30-80
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
25. What happens to the blood if overhydration occurs?
hypotension
the blood pressure will rise in order to push the blood along.
Blood pressure increases because there is more volume of blood in the vascular system.
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
26. How cardiac contractions are normally initiated by the electrical impules emerging from what?
Sinoatrial node (SA NODE)
It increases to push the blood through more rigid pathways.
bradypnea
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
27. How do drugs affect pulse?
hyperoxia
left Sims position
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
systolic pressure indicated by faint - clear sound that gradually grow louder.
28. If the cardiac output falls what will happen to the BP?
Kussmaul's respiration
It increases to push the blood through more rigid pathways.
It will also fall
fever
29. Stage 2 hypertension
Korotkoff sounds Phase IV: Muffling
dyspnea
Radial
^160/^100
30. Groin area
Vascular resistance drops and the blood pressure decreases
the rate - the rhythm - and volume
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.
Femoral
31. Diurnal variation BP?
Nursing interventions to reduce fever
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
dyspnea
blood pressure is lowest in the morning. and higher in the afternoone
32. What affects does aging do to the blood pressure?
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
Korotkoff sounds Phase III: Knocking
Apical
33. How is shock caused?
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Stertor
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
The pulse rate gradually diminishes from birth to adulthood
34. Heart
Cardiac Output
+3
72 bpm
Apical
35. 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.
shallow or slow breathing
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
Feeble
36. Taking a rectal temperature
Pons and Medulla of the brainstem
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
120/80
Radial
37. While measuring the BP certain sounds may be heard that relate to the effect of the blood pressure cuff on the arterial wall.
Korotkoff sounds
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 will also fall
Core Temperature
38. respirations become faster and deeper - then slower and shallower wit a period of apnea - called the death rattle.
The pulse rate gradually diminishes from birth to adulthood
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
Cheyenne-Stokes
+3
39. This affects the character of the pulse.
low BP
stridor
Stroke Volume
Cheyenne-Stokes
40. The rate at which heat is produced when the body is at rest.
BMR
Tall - slender people mayy ave a slower pulse rate than short - stout persons
Biot's
men - African Americans - under a lot of stress - obese
41. Snoring sound produced when patients are unable to cough up secretions from the trachea or bronchi
Pedal pulse
carotid
Nursing interventions to reduce fever
Stertor
42. Air movemtn causes heat to be transferred from the skin to the air molecules.
Convection
Core Temperature
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
Pulse
43. What should you do if you cannot determine BP by ausculation?
Hypothermia
pyrogens
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.
Dorsalis pedis
44. Gradual return to a normal temperature
120/80
Irregular
Tachypnea
lysis
45. How should respirations be counted?
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
hypoxia
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
46. Blood pressure for any adult should be no higher than
120/80
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
Sinoatrial node (SA NODE)
Rhonchi
47. 3rd stage of fever?
Biot's
ausculatation
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
120-139/80-89
48. Taking axillary temperature
Sinoatrial node (SA NODE)
Axillary.
Eupnea
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.
49. Those at risk for hypothermia include
Pedal pulse
hypertension
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
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.
50. The temperature of the deep tissues of the body
Core Temperature
stridor
Feeble
Apical
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