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Nursing > 33 - VITAL SIGNS (WEEK 1) > Flashcards

33 - VITAL SIGNS (WEEK 1) Flashcards

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1
Q

Means with a fever

A

Febrile

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2
Q

Rapid heart rate, over 100 beats per min

A

Tachycardia

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3
Q

An instrument used to listen to the sounds produced by the heart , lungs, and other body organs is a

A

Stethoscope

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4
Q

Taking the apical and radial pulse at the same time

A

Apical-radial pulse

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5
Q

Low blood pressure is

A

Hypotension

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6
Q

The number of heart beats or pulses felt in 1 minute

A

Pulse Rate

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7
Q

The amount of heat in the body that is balance between the amount of heat produced and amount lost by the body is

A

Body Temperature

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8
Q

The period of the heart muscle contraction; the heart is pumping blood

A

Systole

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9
Q

High blood pressure

A

hypertension

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10
Q

The cuff and measuring device used to measure blood pressure is

A

Sphygmomanometer

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11
Q

The beat of the heart felt at an artery as a wave of blood passes through the artery is

A

Pulse

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12
Q

Without a fever

A

Afebrile

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13
Q

Temperature, pulse, respirations, and blood pressure are

A

Vital Signs

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14
Q

Slow heart rate, 60 or lower beats

A

Bradycardia

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15
Q

The amount of force it takes to pump blood out of the heart into the arterial circulation

A

Systolic Pressure

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16
Q

The period when the heart rate is at rest

A

Dystolic

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17
Q

The period when the heart is working

A

Systolic

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18
Q

The amount of force exrted against the walls of an artery by the blood

A

BP

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19
Q

Breathing air into and out of the lungs is

A

Respirations

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20
Q

The pressure in the arteries when the heart is at rest

A

Diastolic Pressure

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21
Q

Elevated body temperature is

A

Fever

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22
Q

A device is used to measure temperature

A

Thermometer

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23
Q

Persons in nursing centers usually have vital signs measure

A

Every 4 hours

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24
Q

Unless otherwise ordered, take vital signs when the person

A

Is lying or sitting down

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25
Q

Body temperature is lower in the

A

Morning

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26
Q

If you are taking vital signs on a person with dementia, it may be better if

A

Pulse and respirations are done; temperature and blood pressure are done later.

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27
Q

What should you do if a person asks about their vital signs?

A

You can tell the person measurements if center policy allows it.

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28
Q

If you take a rectal temperature, the normal range of the temperature would be

A

98.6F–100.6F
37.0C–38.1C

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29
Q

If you are taking the temperature of an older person, you would expect the temperature to be

A

Lower than the normal range

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30
Q

For a 1-year old child with an ear infection, which equipment would you use to ensure safe and accurate temperature?

A

Electronic probe with a red stem

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31
Q

To read a glass thermometer, you should hold it at the

A

Stem and bring it to eye label

32
Q

If you are preparing to take an oral temperature, ask the person not to,

A

Eat, drink, smoke, or chew gum for at least 15-20 min

33
Q

An electronic thermometer is inserted into the rectum

A

1/2 inch into the rectum

34
Q

when taking a temperature for persons who are confused and resist care, the best choice is to

A

Use a tympanic and temporal thermometers

35
Q

Which site is most commonly used to check the pulse?

A

Radial pulse

36
Q

Which site is used to take a pulse during CPR?

A

Carotid pulse

37
Q

When using a stethoscope, you can help to prevent infection by

A

Wiping the ear pieces and diaphragm with antiseptic wipes before and after use

38
Q

A pulse rate of 120 bpm would be considered

A

Tachycardia

39
Q

You counted 40 heartbeats in 30 seconds. What is the person’s pulse rate?

A

80 bpm

40
Q

The nurse tells you that the person’s pulse was thready on the previous shift. What is the nurse describing about the pulse?

A

Force

41
Q

When taking the radial pulse, place

A

Two fingers on the thumb side of the wrist

42
Q

You may count the radial pulse for 30 seconds and multiply by 2 if

A

The pulse is regular

43
Q

The apical pulse is taken

A

For a full 1 minute

44
Q

An apical pulse of 72 is recorded as

A

72 – Apical Pulse

45
Q

An apical-radial pulse is taken by

A

Having one staff member take the apical pulse and the second staff member take the radial pulse

46
Q

A pedal pulse is found

A

Over a foot bone

47
Q

When counting respirations, the best way is to

A

Keep fingers on the pulse site while you are counting the respirations

48
Q

Each respiration involves

A

1 inhalation and 1 exhalation

49
Q

The blood pressure may be higher in older persons because

A

Their diet may be high in sodium or blood pressure increases with age

50
Q

The blood pressure may not be taken in the left arm

A

If person has a dialysis access site in the left arm

51
Q

You will find out the size of BP cuff needed

A

By asking the nurse

52
Q

When taking a BP with an aneroid manometer, you place the stethoscope diaphragm

A

Over the brachial artery at the inner aspect of the elbow

53
Q

When getting ready to take BP, position the person’s arm

A

Level with the heart

54
Q

The BP cuff is inflated

A

30 mmHg

55
Q

Vital signs are taken when the person takes drugs that affect the

A

Respiratory & Circulatory Systems

56
Q

Sites for measuring temperature (5)

A
  1. Oral
  2. Axillary
  3. Rectal
  4. Tympanic
  5. Temporal
57
Q

Which site has the highest normal range temperature?

A

Rectal

58
Q

Which site has the lowest normal range temperature?

A

Axillary

59
Q

When you read a Farenheit thermometer, the short lines mean

A

0.2 (two-tenths of a degree)

60
Q

How long does the glass thermometer remains in place for oral site

A

2-3 mins

61
Q

How long does the glass thermometer remains in place for rectal site

A

2 mins

62
Q

How long does the glass thermometer remains in place for axilalry site

A

5-10 mins

63
Q

When taking an oral temperature, place the tip of the thermometer

A

Under the tongue & to one side

64
Q

When taking an axillary temperature, the axilla must be

A

Dry

65
Q

Tympanic and temporal thermometers are used for confused persons because they are

A

Fast & comfortable

66
Q

The color red probe means

A

Rectal

67
Q

The color blue probe means

A

Oral or axillary

68
Q

When you take a rectal temperature, you —————– the tip of the thermometer or the end of the covered probe before inserting it into the rectum

A

lubricate

69
Q

When taking a tympanic memebrane temperature on adult, pull up and back on the ear

A

Straighten the ear canal

70
Q

The adult pulse rate is between

A

60 - 100 min

71
Q

Forceful pulse is

A

Strong, full, bonding

72
Q

Hard-to-feel pulse is

A

Weak, thready, feeble

73
Q

If a pulse is irregular count the pulse for

A

1 min

74
Q

When taking an apical pulse, each lub-lub sound is counted as

A

1 beat

75
Q

The apical pulse rate is never less than

A

Radial pulse rate

76
Q

Blood pressure ranges from

A

120/80

Nursing (3 decks)

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