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Measuring Vital Sign

QuestionAnswer
Normal pattern of breathing is described as Eupnea
The term used to describe difficulty breathing Dyspnea
If a silence is heard between sounds when auscultating blood pressure it is termed a(n) Auscultatory gap
Heat production is a by product of Metabolism
The ________________ control temperature by a feedback mechanism Hypothalamus
The character of pulse is affected by Stroke volume
Average cardiac output is about _____________________ of blood per minute 5mL
This substance is absolutely necessary in the alveoli to keep them open surfacant
Blood pressure increase as stroke volume increases
What is the normal pulse rate in an adult? 72 bpm
When counting an apical pulse, the stethoscope is place at the apex of the heart and counted for______________ a full minute
Respiration is controlled by the pons and medulla of the brainstem
Most accurate noninvasive way to take temperature temporal artery thermometer
Fever is not considered significant until it reaches 101.3 F
Very high fevers (over 105.8F) could damage what body system? The central nervous system
Hypothermia occurs when the body temperature falls below 94 F
You may need to take the radial and apical pulse is the pateints heart is irregular, skips beats, or is too difficult to count
What is the procedure used to determine if there is a pulse deficit? two nurses measure the apical and radial pulse at the same time
Normal Pulse Range 60-100 bpm
These types of pulse are done to see if there is any blockage in circulation in the artery up to that point Pedal Pulses
Where would you check for a pulse on a patient who has had cardiac catherization using the femoral artery for the insertion of the catheter or those who have had surgery on their leg . Pedal Pulse
What increases during fever as the body attempts to remove excess heat? Respiration
These respirations occur in patients with increased intracranial pressure... Biot
These respiration are seen in critically ill patients with brain conditions and in patients with heart or kidney failure. Also in some cases of drug overdose. Cheyne-Stoke
These respirations are seen in patients with diabetic acidosis and renal failure Kussmaul
These respirations are seen after severe exertion, during high levels of anxiety or fear, and with fever Hyperventilation
These respirations are often seen in patients who are under medical sedation, recovering from anesthesia, or are in a weak debilitated condition Bradypnea
These repsirations increases breathing rate about four breaths for each 1F increase in temperature (often present during fever) Tachypnea
This style of breathing may cause the patient to say "I cant breathe". Dyspnea
Apprehension, changes in level of consciousness, and cyanosis may be indicator of hypoxia
Normal range of respirations in healthy adult 12-20
Normal range of respirations in elderly 16-20
By measuring________________ you obtain info about the effectiveness of heart contractions, the adequacy of blood volume in the system, and the presence of any obstruction or interference to flow through the blood vessels. Blood Pressure
Proper width of blood pressure cuff 21% larger than the diameter of the arm
The CNA reports to the nurse that the temperature of a patient who is first-day post-operative is 100.2F. Which action should the nurse take first? Check the preoperative temperature reading
If dehydration occurs, blood pressure will decrease
These respirations produce continuous dry, rattling sounds heard on ausculation Rhonci
These respirations sound like rales when heard in auscultation Crackles
Gradual return to normal temp Lysis
Abrupt decline in fever Crisis
Sounds that relate to the effect of blood pressure cuff on the arterial wall Korotkoff Sounds
What is important to do before pumping up blood pressure cuff to determine appropriate level of systolic pressure? Locate the pulse
What is pulse pressure? The difference between the systolic and diastolic pressures
Phase I of Korotkoff Sounds tapping
Phase II of Korotkoff Sounds Swishing
Phase II of Korotkoff Sounds Knocking
Phase IV of Korotkoff Sounds Muffling
Phase V of Korotkoff Sounds Silience
How do you assess pain? pain location, intensity, character, frequency
Pulse measurement includes noting the pulse's rhythm, volume, and rate
Phase IV of the Korotkoff Sounds may be use to determine the diastolic pressure in what groups of people? Elderly and Children
Fast, deep respirations Kussmaul
Fast, deep respirations with abrupt pauses Biot
Respirations become faster and deeper, then slower and shallower with a period of apnea Cheyne-stokes
Created by: tpennock4420
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