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1811 vital signs
vital signs chapter 12
| Question | Answer |
|---|---|
| what does the term used to describe a patient's heart rate of 130 or more? | tachycardia |
| a pulse deficit is described as a difference between which rates? | apical and radial pulses |
| which pulse point does the nurse use when assessing circulation to the foot? | dorsalis pedis |
| Which center in the brain regulates body temperature? | hypothalamus |
| which diagnosis in a patient's history would support a health care providers instruction to avoid measuring the temp of patient orally? | convulsions |
| when taking an initial set of vital signs, the nurse is correct in placing the cuff on which area of the arm? | 2 inches above the antecubital space |
| Nurse observes patient breathes deep and has a respiratory rate of 25 breaths per min, what does the nurse document in nursing notes? | Tachypnea |
| which characteristic of vital signs of an older patient is most important to consider when assessing vital signs? | core temp average 97.2 |
| which intervention would the nurse implement when responding to a patient w/ low BP who is c/o increased pulse rate, weakness and vertigo? | encourage patient to assume the supine position to prevent a fall |
| the body strives to maintain what temp? | 37.7c 98.8 |
| temp measurements are? | heat-sensitive patches -Electronic thermometers -Tympanic thermometer - Temporal artery method |
| high metabolism increases what? | what tempature |
| what is the pulse? | The pulse is the regular, recurrent expansion and contraction of an artery produced by waves of pressure caused by the ejection of blood from the last ventricle of the heart as it contracts |
| what are the major pulses? | temporal, facial, carotid, brachial, radial, femoral, popliteal, posterior tibial, and dorsalis pedis |
| Auscultating the apical rate (apex of the heart) is ? | essential on all cardiac patients |
| Apical pulse is the? | actual beating of the heart "lub dub" |
| pulse deficit is? | difference between the radial and apical rates |
| Assessment of respiration | When assessing respirations, note the rate, depth, quality, and rhythm ī Assessment of respirations is done by observing the movement of the diaphragm and the intercostal muscles |
| dyspnea is? | breathing with difficulty |
| Measurement of oxygen saturation is? | How much oxygen has combined with hemoglobin in red blood cells |
| blood pressure is? | exerted by the circulating volume of blood in the arterial walls, the veins, and the chambers of the heart |
| blood pressure is measured in? | millimeters of mercury ( mm hg) |
| what is systolic pressure? | pulse pressure |
| what is diastolic pressure ? | cardiac output |
| what is a normal temperature? | 97o to 98.8o F (36.1o to 37.5o C |
| what is a normal pulse rate? | 60 to 100 beats per minute |
| what is a normal respiratory rate? | 12- 20 respirations |
| 1 liter of fluid | 1 kilogram (kg) = 2.2 pounds lb |
| pain is the? | 5th vital sign |
| low blood pressure may also cause a? | low temp. |
| what is a high pulse? | tachycardia |
| what is a high respiratory rate called? | tachypnea |
| what are the two types of body tempature? | core and surface |
| what is Afebrile? | higher temp but no fever |
| where is the radial pule? | located on the thumb side of the inner arm |
| pedal artery? | foot area |
| what are the 4 characteristics of respirations? | depth, quality, rhythm and rate |
| what is normal respirations? | eupnea ? |
| what is a fever? | hyperthymia |
| what is a pulse deficit? | difference is found between the radial and apical rates- this is called a pulse deficit. |
| what is repiration? | the taking in of oxygen, its utilization in the tissue, and giving off carbon dioxide- the act of breathing |
| what is blood pressure? | its the pressure exerted by the circulating volume of blood on the arterial walls, veins and chambers of the heart |
| what is dyspnea? | difficulty breathing |
| what is the normal respiratory rate in adult? | 12-20 respirations |
| what is average adult pulse rate? | 60-100 beats per minute |
| what is systolic bp? | pressure is higher number and represents the ventricles contracting, forcing blood into the aorta and the pulmonary arteries |
| what is the diastolic bp? | it represents the pressure within the artery between beats( that is, between contractions of the atria or the ventricles. when blood enters the relaxed chambers from the systemic circulation and the lungs |
| what is BIBA? | brought in by ambulance |
| orthostatic hypotension? | systolic pressure drops 25/ diastolic drops 10 |
| what is normal bp for age 14-17 years old? | 120/75 |
| what is a normal bp for 10-13 years old? | 110/65 |
| what is a normal bp for 6 year old? | 105/65 |
| what is a normal bp for a1 year old? | 95/65 |
| what is a normal bp for a 1 month year old? | 85/54 |
| men are more likely to be hypertensive until what age? | 45 years old |
| after what age are women more likely to have a hypertension? | 65 years old |
| regular respiratory rate count.. | 30 seconds/ x 2 |
| irregular respiratory rate count.. | 1 full minute |
| pulse volume 0 | absent pulse-none felt |
| pulse volume 1+ | thready pulse- difficult to feel, not palpable when only slight pressure applied |
| pulse volume 2+ | weak pulse- somewhat stronger that a thready pulse but not palpable when light pressure applied |
| pulse volume 3+ | normal pulse- easily felt but not palpable when moderate pressure applied |
| pulse volume 4+ | bounding pulse-feels full and spring like even under moderate pressure |
Created by:
Mallory.gonzalez21