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50 terms

Vital Signs

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Hypertension is indicated when pressures are greater than 140 mm Hg systolic 90 mm Hg diastolic.
True
Respirations above 25 breaths per minute in an adult are orthopnea.
False
A sphygmomanometer cuff that is too wide or too narrow will gibve inaccurate blood pressure readings.
True
Pulse is defined as the pressure of the blood pushing against the wall of a vein as the heart beats and rests.
False
Each "lubb-dupp" sound in the heart should be counted as two beats while taking an apical pulse.
False
A sphygmomanometer is used to take an apical pulse.
Fasle
Blood pressureis recorded is recorded as a fraction with the diastolic pressure listed over the systolic pressure.
False
Many health care professionals are now regarding the degree of pain as the fifth vital sign.
True
Orthostatic hypotension occurs when there is a sudden drop in both systolic and diastolic blood pressure when a person moves quickly from a standing to sitting postition
False
One respiration consists of one inspiration and expiration
True
Diastolic pressure occurs when the heart is contracting and pushing blood into the arteries.
False
A pulse deficit frequently occurs when the heart is weak and not pumping a sufficient amount of blood.
True
A clinical thermometer should be left in position for three minutes for an oral or rectal temperature
True
A pulse rate below 60 beats per minute is bradycardia
True
Gloves must be worn while taking a rectal temperature
True
Hyperthermia is a low body tempertaure
False
For the most accurate determination of a pulse deficit, one person should check the apical plse while a second person checks the radial pulse
True
Words sucj as strong or weak describe the rhythm of pulse
False
The health provider is to measure the client's blood pressyre. The equipment needed includes
Stethoscop a nd sphygmomanometer
The health practitioner uses cooling techniques to keep the body temperature below 105 degrees F because such elevated temperature can
damage body cells
To assess the apical pulse, the health provider should place the stethoscope on the
fifth intercostal space to the left of the midclacicular line
The nurse explains that the exchange of carbon dixiode and oxygen that takes place at the alevolar level is termed
internal respiration
The most accurate method for taking a temperature is
rectal
A pulse is described as regular it irregular by its
rhythm
A pulse rate over 100 beats per minute, except in children, is
tachycardia
Another term for fever is
pyrexia
A pusle site at the neck is the
carotid
Which is not considered as a vital sign?
apical pulse
When assessing an irregular heart rate the healthcare provider should count the beats for
1 full minute
You are taking vital signs of a 65-year-old woman. Her TPR is 99.6R-56-26. What would you report?
Pulse, respirations
The doctor explains to a patient that his fever that rises and falls but never returns to normal is classified as
remittent
The nurse determines that a client is experiencing bradypnea. this means
10 or fewer breaths per minute
Difficult or labored repirations are
Dyspnea
A client is experiencing acute pain. What changes would the nurse expect in the vital signs?
Increase in blood pressure and pulse
The nurse notes that a client has an elevated temperature that will return to normal at least once every 12 hours. this client is demonstrating which type of fever?
Intermittent
A popliteal pulse is found
behind the knee
The nurse is alarmed when a patient with a severe head injury of occipital lobe has a respiratory rate of 10, as she is aware that this may indicate an injury to the
Medulla oblongata
The pulse site used while taking a blood pressure is
brachial
The instructor explains that the pulse, the expansion, and contraction of an artery, is produced by the contraction of the
left ventricle
Cheyne-stokes respiration describes
periods of apnea and dyspnea
The nurse reminds the aide that the comatose patient's temperature should not be assessed by the mode of
oral
The number or speed of the heartbeats, pulse or respirations per minute is
rate
The emergency department doctor quickly assesses the temperature of an unconscious patient who has been outside all night in below-freezing temperatures. The nurse is aware that death can occur if the temperature falls below
93.2 degrees f
You are taking vital signs of a 45 year-old female her TPR is 97.6 axillary, 88, 20 BP 126/68. what vital sign would you report
none
A pulse is described as regular or irregular by its
rhythm
When assessing the blood pressure of an adult, the best indication of diastolic pressure is
when the sound disappears
A factor that does not increase blood pressure is
exercise
Using the tympanic thermometer for a child, the nurse will tug the ear pinna
downward and back
The part of the body that maintains a balance between heat production and heat loss, regulating body temperature, is the
hypothalamus
The measurement of the balance between heat produced and heat lost is
temperature