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. When the vascular walls lose elasticity - as with arteriosclerosis and aging what happens to BP?
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
from drug therapy - a neurologic problem or dehydration.
orthostatic hypertension
It increases to push the blood through more rigid pathways.

2. When is apicial pulse used?
hypoxia
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
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
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.

3. What affects does aging do to the blood pressure?
Sinoatrial node (SA NODE)
20-30
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
from drug therapy - a neurologic problem or dehydration.

4. Adolescent
Nursing interventions to reduce fever
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.
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.
16-20

5. Snoring sound produced when patients are unable to cough up secretions from the trachea or bronchi
left Sims position
Stertor
the blood pressure will rise in order to push the blood along.
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.

6. Stage 1 hypertension
Tall - slender people mayy ave a slower pulse rate than short - stout persons
140-159/90-99
Diaphoresis
the rate - the rhythm - and volume

7. Absence of breathing
Brachial
140-159/90-99
left Sims position
apnea

8. Fast - deep respirations with abrupt pauses

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

9. No pulse palpable or heard on ausculation
wheeze
absent
lysis
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.

10. Symptoms of hypoxia
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.
Acute anxiety stimulate the nervous system - raising the pulse.
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds

11. When the heart contracts How many mLs of blood is propelled into the aorta?
remittent
60 to 70 mL
Conduction
Biot's respirations

12. High oxygen
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
Biot's
hyperoxia
oximeter

13. Pulse above 100 beats per minute
tachycardia
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
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
Hypothermia

14. An example of a nursing diagnoses
60 to 70 mL
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
hyperoxia
Hyperthermia related to infection or excessive heat exposure

15. 1st stage of fever is?
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
Korotkoff sounds Phase III: Knocking
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
systolic pressure indicated by faint - clear sound that gradually grow louder.

16. Low oxygen
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.
Posterior tibial
hypoxia
males have higher bp - until menopause then they are the same

17. respirations become faster and deeper - then slower and shallower wit a period of apnea - called the death rattle.
dyspnea
higher
Cheyenne-Stokes
Korotkoff sounds Phase IV: Muffling

18. Taking axillary temperature
Cardiac Output
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.
Diaphoresis
Radial

19. Weak and regular (even beats wit poor force)
+1
It will also fall
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.
males have higher bp - until menopause then they are the same

20. Breathing is an involuntary automatic function controlled by the respiratory center located where?
Convection
Diastolic pressure
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
Pons and Medulla of the brainstem

21. Obtaining the correct size for a cuff for BP?
Respiration
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
16-20
carotid

22. Blood pressure for any adult should be no higher than
oximetry
Crisis
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
120/80

23. A normal - relaxed breathing pattern
BMR
Feeble
Eupnea
bradypnea

24. 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
Brachial
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
bradypnea

25. How does size affect pulse?
Tall - slender people mayy ave a slower pulse rate than short - stout persons
Pulse
Diastolic pressure
Crisis

26. The rate at which heat is produced when the body is at rest.
raises BP.
BMR
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Rhonchi

27. An example of nursing planning
Temperature will remain below 102 degrees with use of hypothermia blanket
16-20
Diastolic pressure
120-139/80-89

28. 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.
Hypothermia
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.
low
It will also fall

29. How does increased body temperature increase the pulse?
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
Irregular
males have higher bp - until menopause then they are the same
Crisis

30. Inside ankle
carotid
The emotions increase hormone secretion - and the body activities required for this increase heat production.
3 in the right lung and 2 lobes in the left
Posterior tibial

31. 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?
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.
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
dyspnea
12-20

32. The temperature is continuously elevated with less than 1 degree of variation within a 24-hour period.
orthostatic hypertension
blood pressure is lowest in the morning. and higher in the afternoone
constant
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.

33. 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.
Cardiac Output
Korotkoff sounds Phase IV: Muffling
The pulse rate gradually diminishes from birth to adulthood
Pulse

34. What happens to the blood if overhydration occurs?
Conduction
Pons and Medulla of the brainstem
Blood pressure increases because there is more volume of blood in the vascular system.
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.

35. Continuous dry - rattling sounds heard on ausculation of the lungs caused by partial obstruction.
Rhonchi
males have higher bp - until menopause then they are the same
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.
dyspnea

36. While measuring the BP certain sounds may be heard that relate to the effect of the blood pressure cuff on the arterial wall.
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.
Stertor
Korotkoff sounds
Stimulants increase the pulse rate. Depressants decrease the pulse rate.

37. High BP
uncooperative patient - children - combative patients - dementia
bradypnea
+1
hypertension

38. How do emotions increase the pulse rate?
hypoxia
Respiration
Acute anxiety stimulate the nervous system - raising the pulse.
+2

39. If the cardiac output falls what will happen to the BP?
It will also fall
oximetry
120/80
Convection

40. By measuring the blood pressure you obtain vital info about what?
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
Pulse pressure
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
arrhythmia

41. Excessive sweat production
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
oximetry
hyperoxia
Diaphoresis

42. BP at or lower 90/60.
Cardiac Output
pyrogens
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
hypotension

43. Macine that measures oxygen in the blood by determining the percentage of hemoglobin that is bound with oxygen.
hypoxia
oximeter
Crisis
uncooperative patient - children - combative patients - dementia

44. Weak and may be irregular
thready
in the alveoli - tiny thin-walled sacs
Core Temperature
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.

45. Barely palpable
Feeble
crackles
Kussmaul's respiration
Hypothermia

46. Groin area
Temperature will remain below 102 degrees with use of hypothermia blanket
left Sims position
Diaphoresis
Femoral

47. Air movemtn causes heat to be transferred from the skin to the air molecules.
Convection
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
blood pressure is lowest in the morning. and higher in the afternoone
60 to 70 mL

48. How should baby's temperature be taken?
Axillary.
men - African Americans - under a lot of stress - obese
remittent
Radial

49. What happens whens vasoconstriction causes peripheral vascular resistance to rise?
the blood pressure will rise in order to push the blood along.
the rate - the rhythm - and volume
20-30
Wash hands - don gloves - lubricate probe - Insert .5 to 1.5 inches. Hold in place for 3 to 5 minutes.

50. How does the time of day (circadian rhythm) affect the body's temperature?

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