Module D Lee- 102 Vital Signs -Calhoun
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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96.8-100.4 | show 🗑
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show | Young Child
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96.8 | show 🗑
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Labor-Delivery: T, P, R, B/P | show 🗑
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Pregnancy: T, P, R, B/P | show 🗑
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Post-Partum: T, P, R, B/P | show 🗑
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show | 95.9-99.5
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Newborns Pulse: | show 🗑
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show | 30-60
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Newborns B/P: | show 🗑
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show | 120-160
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Young Child/Pulse: | show 🗑
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show | 20-30
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show | 95/65
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Older Adult/Pulse: | show 🗑
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Older Adult/Repirations: | show 🗑
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show | Sysolic 140/160 Diastolic 80/90
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Adult Pulse Pressure: | show 🗑
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show | before, during, & after giving blood, ambulation, & change in mental status
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If Md orders medications that effect cardiovascular system.. Nurse will need to... | show 🗑
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show | Vital Signs
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Who teaches Techs about Vital Signs or other deligatable care for the patient... | show 🗑
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show | give us V/S we can compare future V/S with.
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When would you have another nurse recheck V/S? | show 🗑
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show | MD or Charge Nurse
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....cannot shiver!!! | show 🗑
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Radiation | show 🗑
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Conduction | show 🗑
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show | Transfer of heat away by air movement.
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show | Conversion of liquid to a gas
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show | Most accurate reading that comes from the deep tissues in the body.
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show | Newborn's
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Hypothermia Range for older adults ... | show 🗑
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Vasomotor Controls | show 🗑
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show | Disease
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Temperature is lowest at... | show 🗑
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show | 10:00 AM To 6:00 PM
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Normally changes 0.9 to 1.8 degrees... | show 🗑
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Rectal Temperature lubercate... | show 🗑
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show | Axillae thermometer
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Tympanic Membrane taken with right hand in.. | show 🗑
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Pull ear pinna backward, up, & out... | show 🗑
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show | Child 3 or older
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Pull pinna up & back... | show 🗑
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show | Surgery, trauma, Epilepsy, Confused, Unconscious, Uncooperative, Shaking, Chills, Infants & Small children.
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Temperature affected by theses... | show 🗑
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show | Rectal, Axillae, Cutaneous Temperatures
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Not recommended to detect temperature in Infants & Young Children... | show 🗑
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Not recommended to detect temperature in Infants & Young Children... | show 🗑
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Not use for routine V/S in newborns (birth to 8 weeks) | show 🗑
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Axillae can be used for.. | show 🗑
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Accurate Core Reading, very rapid measurement (2 to 5 secs), & can be used for tachypnea patients.... | show 🗑
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Not accurate core temp. after exercising... | show 🗑
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show | Tympanic Membrane
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Provides continuous readings & can be used on neonates... | show 🗑
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Sweating , environmental temp, chill phase of fever cause it to be unreliable... | show 🗑
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show | Controls body temperatures "Set Point"
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show | heat loss
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Posterior Hypothalamus controls.. | show 🗑
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show | Fever (not harmful if stays under 102.2 F)Pulse & Respirations increase
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Malignant Hyperthermia: | show 🗑
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Heat Exhaustion: | show 🗑
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Heat Stroke: | show 🗑
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show | Emergency!!! Treat Immediately!! S/S: hot, dry skin, confusion, delirium, incoherent, may be unresponsive; Place them out of the sun, fan person, pour cool water on them & PO fluids Call 911
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show | Palpable bounding of blood flow in the peripheral arteries. Indicates circulatory status.
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show | Rate, Rhythm, Strength, & Equality
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show | Beats per minute
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Rhythm | show 🗑
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Strength | show 🗑
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Equality | show 🗑
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show | Temporal pulse
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show | Carotid pulse & (Femoral Pulse if Carotid not palpable)
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Pulse site best for infants or young children up to age 3.... | show 🗑
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show | Apical Pulse
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If abnomal/intermittent, or inaccessible use this pulse site... | show 🗑
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show | Peripheral & apical Pulse
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This pulse site provides a more accurate assessment of heart functions when patient takes medications that effect the heart rate... | show 🗑
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Provides a more accurate assessment of cardiac contraction... | show 🗑
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Pulse sites used to Assess circulation to hand ... | show 🗑
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Pulse site routinely used... | show 🗑
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Pulse sites used to Assess circulation to hand ... | show 🗑
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Pulse site routinely used... | show 🗑
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show | Have child hold breath
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show | Increase
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show | Decrease
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show | is when a regular interval occurs between each pulse or heart beat (count for 60 sec or 30 sec x 2)
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Tachycardia: | show 🗑
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show | Slow rate, < 60 beats per minute in adults
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Pulse Deficit: | show 🗑
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show | Compare apical & radial rates simultaneously to determine if a pulse deficit exists (two nurse assessing at same time)
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An Irregular heart rhythm has been detected what should the nurse do next no one else is available to help her... | show 🗑
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Apical rate 90 & Radial rate is 70 what is the pulse deficit? | show 🗑
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Scale for measuring pulse Volume 0-4+ | show 🗑
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Respiration | show 🗑
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Diaphragmatic | show 🗑
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show | Breathing is difficult characterized by increased effort to inhale & exhale. (uses intercostal & accessory muscles)
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show | Increase in depth & rate >20/min
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Bradypnea | show 🗑
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Tachypnea | show 🗑
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show | Increased depth & rate, (excessive intake of 02 & blowing off of Co2, seen with increased anxiety.)
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hypoventilation | show 🗑
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Kussmaul | show 🗑
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Biot's | show 🗑
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show | Irregular rate, alternating periods of apnea & hyperventilation.
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show | Cheyne stokes
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show | Deep or Shallow
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show | Maximum pressure
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Diastolic | show 🗑
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Systolic pressure 120 minus diastolic pressure 80 what is the pulse pressure? | show 🗑
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show | The smaller the lumen the greater peripheral vascular resistance to blood flow. As resistances rises, arterial blood pressure rises. As vessels dilate & resistance falls, blood pressure drops.
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Blood Volume | show 🗑
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show | Rapid infusion of IV fluids elevates blood pressure. When circulating blood volume falls, as in hmorrhage or dehydration, blood pressure falls.
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show | thickness of blood affects the ease with which blood flows thru small vessels. The hematocrit (HCT), or % of RBC's in the blood, determines blood viscosity.
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Elasticity | show 🗑
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show | Systole & Diastole
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show | The ventricles contract & eject blood from the left ventricle into the aorta & from the right ventricle into the pulmonary artery.
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show | The ventricles relax & the atria contract to move blood into the ventricles & fill the coronary arteries.
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show | left side
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Body size & age would be considered with respect to... | show 🗑
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Advancing age in adults causes B/P to... | show 🗑
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show | African Americans
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show | Antihypertensive & Narcotic analgesics
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Diural variation | show 🗑
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show | Higher
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Most common B/P problem & considered the silent killer... | show 🗑
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show | 128/84
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show | systolic 90 mm/Hg or below
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S/S of Hypotension: | show 🗑
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show | measure B/P between each position change & document each. (1 to 3 minutes between each)LYING, SITTING, & STANDING
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show | 60x72= 4320
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The amount of blood ejected from the left ventricle each minute at adult rest.. | show 🗑
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