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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. Crowing sound on inspiration caused by obstruction of the upper air passages - as occurs in croup or laryngitis
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
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
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.
stridor
2. Continuous dry - rattling sounds heard on ausculation of the lungs caused by partial obstruction.
Tachypnea
Korotkoff sounds Phase II Swishing
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
Rhonchi
3. Hearing
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.
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
ausculatation
hypoxia
4. Weak and may be irregular
thready
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
men - African Americans - under a lot of stress - obese
5. Measurement of oxygen
Nursing interventions to reduce fever
oximetry
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
arrhythmia
6. A high temperature falls - usually in the morning - and again rises later in the day. The temperature never fails to normal in this type of fever until recovery occurs.
remittent
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
Acute anxiety stimulate the nervous system - raising the pulse.
oximeter
7. Top of left foot
Dorsalis pedis
120/70
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
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
8. 3rd stage of fever?
higher
hypertension
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
9. Drop in blood pressure when arising to a standing position.
apnea
crackles
orthostatic hypertension
shallow or slow breathing
10. Fever above 100.2 F
The emotions increase hormone secretion - and the body activities required for this increase heat production.
pyrexia
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Hyperthermia related to infection or excessive heat exposure
11. How does age affect pulse?
Cheyenne-Stokes
oximeter
The pulse rate gradually diminishes from birth to adulthood
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
12. A normal - relaxed breathing pattern
Eupnea
hypotension
hypertension
higher
13. How do drugs affect pulse?
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
Femoral
120/70
14. Strong and regular ( even beats wit moderate force)
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
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
+2
Korotkoff sounds Phase III: Knocking
15. 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.
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.
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
Cardiac Output
Korotkoff sounds
16. Head injury or any increased intracranial pressure will depress the respiratory center and result in?
in the alveoli - tiny thin-walled sacs
Convection
Pons and Medulla of the brainstem
shallow or slow breathing
17. How does the time of day (circadian rhythm) affect the body's temperature?
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18. Whats the best position to take a rectal temperature?
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
Conduction
left Sims position
absent
19. Enviromental temperature BP?
140-159/90-99
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
apnea
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
20. Rectal temperature are
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
from drug therapy - a neurologic problem or dehydration.
about 1 degree higher than oral temperatures
bradycardia
21. The volume of blood pushed into the aorta per heartbeat.
Stroke volume
Feeble
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
pyrexia
22. The lower pressure exerted on the artery when the heart is at rest inbetween contractions.
dyspnea
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
uncooperative patient - children - combative patients - dementia
Diastolic pressure
23. Normal body temperature ranges?
hypoxia
97.5 to 99.5
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.
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
24. Fast - deep respirations with abrupt pauses
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25. Newborn
30-80
Sinoatrial node (SA NODE)
Brachial
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
26. If blood becomes thicker - like when excessive blood cells are manufactured what happens to BP?
low BP
60 to 70 mL
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
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
27. How does physical exercise raise the body's temperature?
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.
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.
Irregular
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
28. Prehypertension
120-139/80-89
about 1 degree higher than oral temperatures
Pedal pulse
Nursing interventions to reduce fever
29. Taking axillary temperature
Irregular
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.
Crisis
the proper cuff is 21% bigger than the diameter of the arm. the inflatable bladder should go around 3/4 of the arm.
30. How does disease increase the body's temperature?
Evaporation
orthostatic hypertension
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
31. How is shock caused?
crackles
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
Pulse
32. 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?
the rate - the rhythm - and 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.
It doesn't change in a healthy elderly patient but the pattern rhythm may be slightly irregular.
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
33. Axillary temperature are
about 1 degree lower than oral temperatures
low
Sinoatrial node (SA NODE)
bradycardia
34. An example of a nursing diagnoses
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
cardiac patients or patients who have had rectal surgery.
Hyperthermia related to infection or excessive heat exposure
Conduction
35. Gas exchange in the blood occurs where?
Convection
in the alveoli - tiny thin-walled sacs
oximetry
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
36. Carbon dioxide is carried as bicarbonate ion in the blood until it reaches where?
The systolic blood pressure rises slightly because the arota and major arteries tend to harden with age. The diastolic pressure rises also.
the lungs
orthostatic hypertension
higher
37. Those at risk for hypothermia include
Pons and Medulla of the brainstem
+1
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.
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
38. The rate at which heat is produced when the body is at rest.
raises BP.
shallow or slow breathing
BMR
Evaporation
39. What affects does aging do to the respiratory rate?
Eupnea
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
20-30
Acute anxiety stimulate the nervous system - raising the pulse.
40. Side of wrist
Radial
Systolic pressure
hypoxia
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
41. What happens whens vasoconstriction causes peripheral vascular resistance to rise?
the blood pressure will rise in order to push the blood along.
oximetry
Eupnea
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
42. Macine that measures oxygen in the blood by determining the percentage of hemoglobin that is bound with oxygen.
oximeter
tachycardia
crackles
Hypothermia
43. Barely palpable
Brachial
Radial
hypoxia
Feeble
44. Difficult and labored breathing - can often be accompanied by flared nostrils - anxious appearance - and statements such as I cant get enough air.
96.5 to 97.5
dyspnea
Femoral
Korotkoff sounds
45. How does external respiration occur?
hemorrhage - vomiting - diarrhea - burns - and myocardial infarctions.
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
Korotkoff sounds Phase V: Silence
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
46. What affects does aging do to the heart rate?
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47. Stage 1 hypertension
apnea
140-159/90-99
Kussmaul's respiration
oximetry
48. Shock - hemorrhage - low cardiac output - inadequate volume of blood?
140-159/90-99
cardiac patients or patients who have had rectal surgery.
low BP
Because fever is a protective defense mechanisms that the body uses to fight pathogens and their toxins the inflammatory response produces fevers.
49. Korotkoff sounds Phase I: Tapping
Posterior tibial
pyrogens
systolic pressure indicated by faint - clear sound that gradually grow louder.
Crisis
50. Average pulse rate for an adult
30-80
+3
72 bpm
Body temperature drops before ovulation and rises 1 degree above normal during ovulation. During pregnancy the body temperature is slightly higher.
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