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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. Lobes in the lungs?
Acute anxiety stimulate the nervous system - raising the pulse.
Core Temperature
3 in the right lung and 2 lobes in the left
stridor

2. The volume of blood pushed into the aorta per heartbeat.
Brachial
Stroke volume
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.
Vascular resistance drops and the blood pressure decreases

3. This affects the character of the pulse.
hyperoxia
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.
Stroke Volume
temperature - pulse - respiration - blood pressure - and pain level.

4. What affects does aging do to the respiratory rate?
thready
arrhythmia
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
low

5. Hearing
16-20
pyrogens
hypoxia
ausculatation

6. Heart
Apical
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
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
It increases to push the blood through more rigid pathways.

7. right arm vs. left arm/ arm vs. leg BP?
Korotkoff sounds Phase IV: Muffling
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.
72 bpm

8. Breathing is an involuntary automatic function controlled by the respiratory center located where?
Conduction
Pons and Medulla of the brainstem
+2
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

9. 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.
20-30
pyrexia
hypoxia
Cardiac Output

10. How should respirations be counted?
popliteal
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
Systolic pressure
30 seconds and multiplied by 2. unless the person is very sick or has resp. problems you should count for one full minute.

11. Low oxygen
12-20
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
hypoxia
The pulse rate increases at the rate of 7-10 beats for each degree of temperature

12. Bend of knee
It increases to push the blood through more rigid pathways.
popliteal
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
cardiac patients or patients who have had rectal surgery.

13. How does increased body temperature increase the pulse?
The pulse rate increases at the rate of 7-10 beats for each degree of temperature
permanent damage to the heart - the brain - the kidneys - and the retina of the eye - may cause strokes
oximetry
Stroke volume

14. Korotkoff sounds Ausculatatory gap:
Diastolic pressure
the lungs
silence as cuff deflates for 30 to 40 mm Hg; common with hypertension and elderly patients
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.

15. What happens when vasodilation occurs?
hypertension
Vascular resistance drops and the blood pressure decreases
Hypothermia
Biot's

16. 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.
Tachypnea
Cheyenne-Stokes
Brachial
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

17. 3 yr old
about 1 degree higher than oral temperatures
crackles
20-30
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.

18. Prehypertension
120-139/80-89
lysis
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
raises BP.

19. The exchange of oxygen and carbon dioxide in the lungs and tissues and is initiated by the act of breathing.
the blood pressure will rise in order to push the blood along.
the BP goes up because more pressure is needed to push the thicker fluid through the vascular system.
systolic pressure indicated by faint - clear sound that gradually grow louder.
Respiration

20. An example of nursing planning
Temperature will remain below 102 degrees with use of hypothermia blanket
about 1 degree higher than oral temperatures
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 emotions increase hormone secretion - and the body activities required for this increase heat production.

21. Slow and shallow breathing - leads to hypoxemia.
Hypothermia
bradypnea
60 to 70 mL
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.

22. Normal body temperature ranges?
men - African Americans - under a lot of stress - obese
Cardiac Output
Biot's respirations
97.5 to 99.5

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

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24. Whisting sound of air forced past a partial obstruction - as found in asthma or emphysema.
Temporal
low BP
wheeze
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.

25. The temperature falls to normal and then rises again in a repeating pattern.
Relapsing
+1
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.
16-20

26. Snoring sound produced when patients are unable to cough up secretions from the trachea or bronchi
temperature - pulse - respiration - blood pressure - and pain level.
Stertor
Irregular
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.

27. Both strong and weak beats occur within 1 minute
Systolic pressure
Vascular resistance drops and the blood pressure decreases
Irregular
fever

28. Alternating rise and fall of the temperature.
Sinoatrial node (SA NODE)
pulse deficit - the radial pulse subtracted from the apical pulse equals the pulse deficit.
16-20
intermittent

29. The difference between the systolic pressure and the diastolic pressure
Kussmaul's respiration
shallow or slow breathing
Pulse pressure
higher

30. Heat is lost from the body by evaporation. resulting in a daily loss of 800mL of water from skin and lungs.
Evaporation
Eupnea
It may rise slightly as decreases in vital capacity and respiratory reserve occur.
constant

31. Enviromental temperature BP?
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.
if its hot bp can lower because of vasodilation. if its cold it can rise because of vasoconstriction.
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.
+1

32. Abrupt decline in fever
It will also fall
Tachypnea
Crisis
about 1 degree lower than oral temperatures

33. Inside ankle
raises BP.
Posterior tibial
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.
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.

34. No pulse palpable or heard on ausculation
Irregular
+3
Eupnea
absent

35. What patients should not use a glass thermometer orally?
Pulse
uncooperative patient - children - combative patients - dementia
ausculatation
20-30

36. 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
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
Biot's
It will also fall

37. Fast - deep respirations with abrupt pauses

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38. How does menstrual cycle and pregnancy raise the body's temperature?
left Sims position
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
hypotension

39. Newborn
low BP
30-80
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
low

40. Symptoms of hypoxia
restlessness & apprehension - confusion - dizziness - and change in level of consciousness - cyanosis or skin color changes - particularly around the mouth and in the nail beds
Stimulants increase the pulse rate. Depressants decrease the pulse rate.
in the alveoli - tiny thin-walled sacs
Eupnea

41. When warm skin touches a cool object - heat is lost to the object.
It will also fall
20-30
bradypnea
Conduction

42. Axillary temperature are
Defervescence - lowering of the body temperature to normal. The person feels warm and the skin may be moist.
about 1 degree lower than oral temperatures
the blood pressure will rise in order to push the blood along.
16-20

43. Carbon dioxide is carried as bicarbonate ion in the blood until it reaches where?
Nursing interventions to reduce fever
temperature - pulse - respiration - blood pressure - and pain level.
the lungs
in the alveoli - tiny thin-walled sacs

44. Why would patients experience orthostatic hypotenstion?
Evaporation
from drug therapy - a neurologic problem or dehydration.
12-20
about 1 degree lower than oral temperatures

45. Feel
Cardiac Output
decrease BP - increase pulse rate - cold and clammy skin - dizziness - blurred vision - and apprehension.
palpate
fever

46. What are the 5 vital signs?
oximetry
temperature - pulse - respiration - blood pressure - and pain level.
Acute anxiety stimulate the nervous system - raising the pulse.
remittent

47. Full and bounding (even beats wit strong force)
blood pressure is lowest in the morning. and higher in the afternoone
+3
from drug therapy - a neurologic problem or dehydration.
Temperature will remain below 102 degrees with use of hypothermia blanket

48. While measuring the BP certain sounds may be heard that relate to the effect of the blood pressure cuff on the arterial wall.
Rhonchi
about 1 degree higher than oral temperatures
hypoxia
Korotkoff sounds

49. Crowing sound on inspiration caused by obstruction of the upper air passages - as occurs in croup or laryngitis
variation of about 5-10 between arms. and a 10-40 difference in systolic pressure with leg & arm.
Vascular resistance drops and the blood pressure decreases
20-30
stridor

50. Weak and may be irregular
16-20
Acute anxiety stimulate the nervous system - raising the pulse.
thready
hypoxemia