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Module D Lee- 102 Vital Signs -Calhoun

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Question
Answer
show Adult Temperature  
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98.6   show
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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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show 120-160  
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Newborns Respirations:   show
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Newborns B/P:   show
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F.H.R. Pulse:   show
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show Average 90  
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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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Older Adult B/P   show
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show 30-50 mm Hg  
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show before, during, & after giving blood, ambulation, & change in mental status  
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show Monitor pulse or B/P & Teach patient how to take V/S & the importance  
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show Vital Signs  
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show Nurse  
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Baseline measurement ...   show
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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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show Neonate  
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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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Evaporation   show
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Core Temperature   show
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show Newborn's  
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show 94 degrees & below  
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show Hot flashes, vasoconstriction & vasodialation  
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This can alter temperature set points...   show
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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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show right ear or (left handed/left ear)Point speculum toward nose, small figure 8 in ear.  
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Pull ear pinna backward, up, & out...   show
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show Child 3 or older  
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show Child older than 3  
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Don't use Oral Temperature on these patient's..   show
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show Ingestion of fluids/food, smoke, & oxygen delivery.  
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show Rectal, Axillae, Cutaneous Temperatures  
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show Axillae  
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show Axillae  
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show Rectal temperature  
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show Newborns & uncooperative patients  
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show Tympanic Membrane  
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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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Anterior Hypothalamus controls..   show
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show heat production  
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Hyperpyrexia   show
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show Hereditary, Uncontrolled heat production when susceptible people receive certain anestetics.  
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show Environmental heat exposure, profuse diaphoresis excess loss of H20/Electrolytes, S/S:Increased heart rate, dry mucous membranes, thirst, lethargy, poor skin turgor, & confusion; Place in cooler environment, give fluids/elctrolytes.  
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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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Heat Stroke:   show
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Pulse   show
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Assess pulse for...   show
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Rate   show
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show The pattern of the beats & the intervals between the beats (Regular or Irregular)  
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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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Assessment of these two pulse sites reveal heart rate variations....   show
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show Apical Pulse  
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show Apical Pulse  
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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 Radial & Ulnar Pulse  
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show Radial Pulse  
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How do you get a childs heart who has sinus dysrhythmia to become regular?   show
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show Increase  
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Some Drugs, Hypothermia, chronic pain & lying down causes the heart rate & pulse to...   show
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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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show Abnomally elevated heart rate, >100 beats per minute in adults  
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Bradycardia:   show
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show is an inefficient contraction of the heart that fails to transmit a pulse wave to the peripheral pulse site.(Frequently associated with dysrhythmias)  
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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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show One examiner technique- Auscultate the apical pulse first & then the radial pulse immediately after. Report abnormal pulse rate to physician immediately!  
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Apical rate 90 & Radial rate is 70 what is the pulse deficit?   show
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show 0- absent,not discernible, 1+ Pulse diminished, barely palpable, 2+ Normal, easily palpable, 3+ Full pulse, increased, 4+ Strong, Bounding, Cannot be obliterated  
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show The exchange of Gases between the atmosphere & the blood, & the blood & the cells.  
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show Abdominal or normal pattern of exhalation & inhalation in which the ventilatory works done in the diaphragm.  
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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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show Regular, > 20/min  
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Hyperventilation   show
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show rate is abnormally low & depth depressed  
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show Abnormally deep, but regular, increased rate  
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show Shallow breathing interrupted by irregular periods of apnea, condition of CNS, increased intracranial pressure followed by irregular period of apnea.  
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show Irregular rate, alternating periods of apnea & hyperventilation.  
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show Cheyne stokes  
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Depth   show
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Systolic   show
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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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show If blood volume increases, more pressure is exerted against arterial walls & B/P increases.  
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Example of Blood Volume:   show
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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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Cardiac Cycle Consist of two phases..   show
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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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Events on the.... of the heart have the most dramatic effect on assessment findings.   show
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Body size & age would be considered with respect to...   show
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show Increase  
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Hypertension is higher, genetically & environmentally related in..   show
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show Antihypertensive & Narcotic analgesics  
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show B/P gradually rises & falls throughout the day & night. No two persons have the same pattern or degree of variation.  
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show Higher  
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show Hypertension 140/90 & above  
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Prehypertension B/P...   show
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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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