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ATI Module
Vital Signs ((Exam 1))
| Question | Answer |
|---|---|
| apical pulse | The heart rate that is heard or felt at the apex of the heart, which is located medially to the midclavicular line at the fifth intercostal space. |
| apnea | Absence of spontaneous respirations. |
| axillary temperature | Body temperature obtained in the axilla with arm held to side of body. |
| blood pressure | A measurement of the force circulating blood exerts on the interior walls of blood vessels. |
| body temperature | The degree of heat of the human body. |
| brachial pulse | Beating or throbbing felt over the brachial artery, usually palpated in the antecubital space; it is used to assess the quality of perfusion. |
| bradycardia | A heart rate that is less than the expected reference range. |
| bradypnea | Respiratory rate less than expected range. |
| cardiac output (CO) | The volume of blood ejected by the heart ventricles in 1 min; calculated by multiplying the stroke volume and pulse rate of the heart. CO= SV *HR |
| Cheyne-Stokes | Breathing pattern of cycles that begin with rapid, shallow breaths, increase to deep breaths, ending with periods of apnea. |
| contractility | The force required to eject blood from the left ventricle. |
| diastole | The relaxation phase of the cardiac cycle where the heart muscle is relaxed and the chambers of the heart fill with blood. |
| Doppler ultrasound stethoscope (DUS) | A stethoscope fitted with an audio unit and a transducer that amplifies the vascular or other sounds of the body. |
| dorsalis pedis pulse | Beating or throbbing palpated or heard with a doppler over the dorsalis pedis artery located on the dorsal side of the foot; it is used to assess quality of perfusion. |
| dyspnea | The sensation of difficult or labored breathing. |
| eupnea | Respiratory rate and rhythm that are within the expected reference range. |
| femoral pulse | Beating or throbbing palpated over the femoral artery, located in the groin on either side of the genitals; it is used to assess the quality of perfusion. |
| hypertension | A blood pressure that is above the expected reference range. |
| hyperthermia | An uncontrolled elevation in body temperature where the body cannot lose heat as fast as it is gained, usually caused by environmental or metabolic factors. |
| hypotension | A blood pressure that is below the expected reference range. |
| hypothermia | Condition in which the body temperature is abnormally low due to the body losing heat faster than it is produced. |
| hypoxia | Below normal level of oxygen in body tissue. |
| Korotkoff sounds | A series sounds created by movement of blood through a partially compressed vessel during a manual blood pressure assessment. |
| Kussmaul respirations | Deep, rapid respirations. |
| oral temperature | Body temperature obtained sublingually. |
| orthostatic hypotension | A decrease in blood pressure that occurs upon standing, especially from a lying or sitting position. A significant drop in the blood pressure caused by a change in position. |
| oxygen saturation | The percentage of hemoglobin that is saturated with oxygen. |
| peripheral vascular resistance | The total resistance to flow of blood in the vascular bed. |
| popliteal pulse | Beating of throbbing palpated over the popliteal artery located behind the knee; it is used to assess the quality of perfusion. |
| posterior tibial pulse | Beating or throbbing palpated or heard with a doppler over the posterior tibial artery, located on the medial side of the ankle; it is used to assess the quality of perfusion. |
| preload | The blood remaining in the left ventricle at the end of diastole that causes it to stretch. |
| pulse | Rythmic throbbing or beating caused by the expansion and contraction of the arteries in response to the ejection of blood from the left ventricle. |
| pulse deficit | A difference between the apical and radial pulse rates. This difference indicates a decrease in ventricular contraction or peripheral perfusion. |
| pulse oximeter | A noninvasive device used to measure oxygen saturation. |
| radial pulse | Beating of throbbing felt over the radial artery, usually palpated over the groove along the thumb side of the inner wrist. |
| rectal temperature | Body temperature obtained via the rectum, or anus. |
| respiratory rate | The number of breaths taken per minute. |
| sphygmomanometer | Instrument used to measure arterial blood pressure. |
| stethoscope | An instrument used to listen to sounds produced by the body. |
| stroke volume (SV) | Volume of blood ejected by the left ventricle during one contraction. |
| sublingual | Route of medication administration in which a medication is placed under the tongue and allowed to dissolve. |
| systole | The contraction phase of the cardiac cycle. During this phase blood is driven into the aorta and pulmonary arteries. |
| tachycardia | Heart rate above the expected reference range. |
| tachypnea | Respiratory rate greater than expected range. |
| temporal pulse | Beating or throbbing palpated over the temporal artery located on the temple. |
| temporal temperature | Body temperature obtained via a temporal artery scan thermometer. |
| temporal thermometer | A thermometer that uses infrared scanning of the temporal artery to determine body temperature. |
| tympanic temperature | Body temperature obtained via the tympanic membrane (eardrum). |
| tympanic thermometer | A thermometer that uses infrared scanning of the tympanic membrane (eardrum) to determine body temperature. |
| viscosity | The resistance of a liquid to flow. |
| vital signs | A reflection of the body's physiological function. Includes pulse, blood pressure, respiratory rate, oxygen saturation and sometimes pain level. |
| Afterload | Amount of resistance the heart must overcome to pump blood effectively |
| Blood Flow from Body to Lungs | Deoxygenated blood from the inferior and superior vena cava. The blood enters the right atrium and passes through the tricuspid valve into the right ventricle. Contraction of the heart then forces the blood into the pulmonary artery and into the lungs. |
| Blood Flow from Lungs to Body | From the lungs, blood is oxygenated and returns via the pulmonary vein, which enters the left atrium. The blood passes the mitral valve to the left ventricle. then propels the oxygenated blood into the aorta, which supplies systemic circulation. |
| Hypertension increases a client’s risk of | heart attack, stroke, blood vessel damage, kidney failure, and vision loss. |
| clients experiencing shock, the nurse should immediately implement prescribed interventions, such as | such as rapid infusion of IV fluids or blood products and administer medications that increase blood pressure and the contractility of the heart muscle. |