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Unit 16

Vital/Signs (up dated)

QuestionAnswer
If you note any abnormality or change in any vital sign, it is your responsibility to report this immediately to your supervisor.
A clinical thermometer should be left in position for three to five minutes for an oral or rectal temperature.
What detects and measures the thermal, infrared energy radiating from blood vessels in the tympanic membrane. An aural thermometer
If a clinical thermometer breaks what could happen? the mercury can evaporate and create a toxic vapor that can harm both humans and the environment.
What must be worn while taking a rectal temperature. Gloves must be worn
A pulse rate below 60 beats per minute is called: bradycardia
Having the forearm rest on the chest makes it easier to: count respirations after taking a pulse.
One respiration consists of one inspiration and one expiration.
Count respirations in such a way that the patient is unaware of the procedure.
Medications such as aspirin or antibiotics are often noted on a graphic record
What should always be used to connect the dots on a graphic record. A ruler or straightedge
What is frequently taken on infants or small children. An apical pulse
What should be bent forward when they are placed in the ears. The earpieces of the stethoscope
What frequently occurs when the heart is weak and not pumping a sufficient amount of blood. A pulse deficit
For the most accurate determination of a pulse deficit, one person should check the apical pulse while a second person checks the radial pulse.
What should be cleaned with alcohol before and after using the stethoscope. The earpieces and bell or diaphragm of the stethoscope
What is indicated when pressures are greater than 140 mm Hg systolic and 90 mm Hg diastolic. Hypertension
What must always be placed on a flat, level surface or mounted on a wall. A mercury sphygmomanometer
Before blood pressure is taken a patient should sit quietly for at least five minutes
Who recommends that two separate blood pressure readings be taken and averaged. The American Heart Association
A sphygmomanometer cuff that is too wide or too narrow will give inaccurate blood pressure readings
Many health care professionals are now regarding the degree of pain as the fifth vital sign.
If hypertension is not treated, it can lead to: a stroke, kidney disease, and/or heart disease.
The measurement of the balance between heat produced and heat lost is ____. temperature
The constant state of fluid balance is __ homeostasis
The most accurate method for taking a temperature is ____. rectal
Which of the following does not lead to increased body temperature? a. illness or infection, b. exercise, c. starvation or fasting, d. excitement starvation or fasting
Before a thermometer is used, it should be soaked in a disinfectant for a minimum of ____. 30 minutes
A pulse site at the neck is the ____. carotid
A pulse is described as regular or irregular by its ____. rhythm
A pulse rate over 100 beats per minute, except in children, is ____. tachycardia
Which of the following is not considered one of the four main vital signs? a. apical pulse, b. pulse, c. temperature, d. respirations apical pulse
Difficult or labored respirations is called ____. dyspnea
Cheyne-Stokes respiration describes periods of ____. apnea and dyspnea
Why are vital signs recorded on a graphic record? It provides a visual diagram of variations in a person’s vital signs.
Heart sounds are caused by ____. closing of the valves in the heart
Constant pressure in the walls of the arteries is called____. diastolic
A factor that does not increase blood pressure is ____. shock
Another term for fever is ____. pyrexia
Difficult breathing with a high-pitched whistling or sighing sound during expiration is ____. wheezing
97.6 to 99.6°F or 36.5 to 37.5°C Normal range for oral temperature
98.6 to 100.6°F or 37 to 38.1°C Normal range for rectal temperature
96.6 to 98.6°F or 36 to 37°F Normal range for axillary or groin temperature
The general range for pulse rates in adults? 60 to 90 beats per minute
Three factors must be noted about the pulse? rate, rhythm, volume
What is the normal rate for respirations in an adult? 14 to 18 (or 12 to 20) breaths per minute
The normal range for diastolic blood pressure? 60 to 90 mm of mercury
What is the normal range for systolic blood pressure? 100 to 140 mm of mercury
Rest or sleep, depressant drugs, shock, excessive loss of blood, fasting factors that may decrease blood pressure.
Stress, anxiety, obesity, high salt intake, aging, kidney disease, thyroid deficiency, arteriosclerosis possible causes of hypertension.
Calculate the pulse pressure if diastolic pressure is 95 and systolic pressure is 140. 45
Calculate the pulse deficit if the radial pulse is 98 and the apical pulse is 72. 26
What type of thermometer records the aural temperature in the ear? A tympanic thermometer
A temporal temperature is similar to a rectal temperature because it measures: the temperature inside the body or bloodstream
Prehypertension occurs when the diastolic reading is between 80 to 89 mm Hg
The correct way to measure blood pressure is the length of the bladder on the cuff should be approximately 80 percent of the circumference of the patient's upper arm
A nursing assistant notes a patient's blood pressure to be 148/96. What would be the best action the assistant should take report the reading to the patient's nurse
you were assigned to take vital signs on an 80 year old male nursing home resident who was recently admitted after having a stroke. vital signs were B/P 130/90, T 99.4F, P 92, R 32. Which vital sign reflects a measurement within normal limits? temperature
Which patient is the BEST candidate for an oral temperature? a. 1 year old healthy infant, b. 16 year old receiving his annual physical exam, c. 21 year old patient on seizure precautions, d. 62 year old comatose patient 16 year old receiving his annual physical exam
A patient with tachcardia MOST likely has a/an: a. elevated temperature, b. elevated blood pressure, c. fast pulse, d. increased respiratory rate c. fast pulse
The LEAST accurate route for measuring temperature is: a. aural, b. axillary, c. oral, d. rectal axillary
Which is considered to be an elevated temperature? a. aural 37.2C, b. axillary 38.4 C, c. oral 37C, d. rectal 37.8C axillary 38.4C
Pulse rates are commonly measured at which site? a. apical, b. brachial, c. carotid, d. radial radial
What is the respiratory rate of a patient who is observed to have 16 inspirations and 16 expirations? 16
In a blood pressure measure measurement of 132/86, the number 86 is the: systolic
Before taking vital signs on a patient, what should you do FIRST? introduce your self
In order to avoid errors, whose approved list of abbreviations should you use when documenting vital signs? your employer
How does the pulse rate and respiratory rate of a healthy toddler compare to that of a health 21 year old? higher pulse, higher respirations
The terms, weak and thready, are MOST usually associated with which vital sign measurement respirations
Which thermometer requires it be "shaken down"? glass
In which procedure is lubricant required? rectal temperature
A febrile patient will exhibit a/an: elevated temperature
When taking a pulse, why should the thumb NOT be used? the thumb has a pulse and can be confused with the patient's pulse
The bladder of a blood pressure cuff needs to cover what percent of the length of the upper arm? 80%
Created by: votec