7. Vital Signs and Patient Assessment Flashcards

1
Q

measurement of temperature, pulse rate, respiratory rate, and blood pressure

A

Vital Signs

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2
Q

4 Vital Signs

A
  1. Temperature
  2. Pulse
  3. Respiration
  4. Blood Pressure
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3
Q

may be obtained by the oral, rectal, axillary, tympanic, and temporal artery routes

A

Temperature

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4
Q

Temperature is ____ in the morning and ____ in the evening

A

lowest (am),

highest (pm)

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5
Q

is a sign of increased body metabolism (energy use), usually in response to an infectious process

A

fever (pyrexia or hyperthermia)

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6
Q

not appropriate when the patient has recently has a hot or cold beverage, is receiving oxygen, or is breathing through the mouth

A

Oral Temperature

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7
Q

temperature site that is accurate and faster

A

Rectal Temperature

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8
Q

temperature site that is slower and least accurate

A

Axillary Temperature

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9
Q

temperature site that is reliable and accurate

A

Tympanic Temperature

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10
Q

the palpable rhythmic throbbing caused by the alternating expansion and contraction of an artery as a wave of blood passes through it

A

Pulse

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11
Q

occurs when the heart rate is greater than 100 BPM

A

Tachycardia (abnormal radial pulse)

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12
Q

Pulse sites

A
  • Temporal
  • Carotid
  • Brachial
  • Radial
  • Femoral
  • Popliteal
  • Posterior tibial
  • Dorsalis pedis
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13
Q

if the radial pulse is weak or difficult to count, you can use the _____,
place your fingers just below the angle of the mandible

A

Carotid artery

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14
Q

easily accessible pulse site

A

Carotid Artery

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15
Q

particularly important if a patient loses consciousness

A

Carotid Artery

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16
Q

if the pulse is not palpable at this site, the heart is not beating effectively and emergency measures are necessary

A

Carotid Artery

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17
Q

a measurement taken by listening to the heartbeat through a stethoscope that is placed over the apex of the heart

A

Apical Pulse

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18
Q

taken over the instep of the foot pulse site

A

Dorsalis pedis Pulse

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19
Q

this measurement is significant if the peripheral circulation is compromised

A

Dorsalis pedis Pulse

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20
Q

when a patient shows evidence of respiratory distress, a respiratory rate will help in making an assessment

A

Respiration (rpm)

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21
Q

number of inhalations per minute

A

Respiration (rpm)

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22
Q

slow breathing with fewer than 12 breaths per minute

A

Bradypnea

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23
Q

rapid breathing in excess of 20 breaths per minute

A

Tachypnea

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24
Q

difficulty breathing (DOF), abnormal respiration

A

Dyspnea

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25
patients in shock or with significant blood loss have marked ______ in pulse rate and in rapid, shallow breathing as the body attempts to supply oxygen to the tissues by increasing the speed of circulation
increase
26
critical condition brought by a sudden drop in blood flow of the body
Shock
27
the force of circulating blood on the walls of the arteries
Blood Pressure (mmHg)
28
measured when the heart beats, when blood pressure is at its highest, contraction
Systolic
29
measured between heart beats, when blood pressure is at its lowest, relaxation
Diastolic
30
abnormally high blood pressure
Hypertension
31
abnormally low blood pressure
Hypotension
32
results in a potentially life-threatening condition called shock
Hypotension
33
pressure exerted when blood is ejected into arteries
Systolic Blood Pressure
34
pressure blood exerts within arteries between heartbeats
Diastolic Blood Pressure
35
normal systolic blood pressure is
120 mmHg or below
36
normal diastolic blood pressure is
80 mmHg or below
37
equipment for measuring blood pressure
Sphygmomanometer or Blood Pressure Cuff and Stethoscope
38
normal oral temperature (5 years old to adult male)
98.6 °F (37 °C)
39
normal rectal temperature
99.6 °F (37.5°C)
40
normal pulse for premature newborn
140 bpm
41
normal pulse for full-term newborn
125 bpm
42
normal pulse for 6 months
120 bpm
43
normal pulse for 1 year
120 bpm
44
normal pulse for 3 years
110 bpm
45
normal pulse for 5 years
100 bpm
46
normal pulse for 6 years
100 bpm
47
normal pulse for 8 years
90 bpm
48
normal pulse for 12 years
85-90 bpm
49
normal pulse for 16 years
75-80 bpm
50
normal pulse for adult male and female
60-100 bpm
51
normal respiration for premature and full-term newborn
<60 rpm
52
normal respiration for 6 months
24-36 rpm
53
normal respiration for 1 year
22-30 rpm
54
normal respiration for 3 years
20-26 rpm
55
normal respiration for 5 years
20-24 rpm
56
normal respiration for 6 years
20-24 rpm
57
normal respiration for 8 years
18-22 rpm
58
normal respiration for 12 years
16-22 rpm
59
normal respiration for 16 years
14-20 rpm
60
normal respiration for adult female and male
12-20 rpm
61
normal systolic bp for premature newborn
50-60
62
normal systolic bp for full-term newborn
70
63
normal systolic bp for 6 months
90
64
normal systolic bp for 1 year
96
65
normal systolic bp for 3 years
100
66
normal systolic bp for 5 years
100
67
normal systolic bp for 6 years`
100
68
normal systolic bp for 8 years
105
69
normal systolic bp for 12 years
115
70
normal systolic bp for 16 years
below 120
71
normal systolic bp for adult male and female
below 120
72
Assessing Current Physical Status
- Checking the Chart - Physical Assessment - Skin Color - Skin Temperature - Level of Consciousness - Breathing
73
review the requisition
Checking the Chart
74
assess the patient’s current physical status and determine whether the preparation for the examination has been done successfully
Checking the Chart
75
is an ongoing process of observation, comparison, and measurement to note and evaluate changes in a patient’s condition before, during, and after procedures in the radiographic suite
Physical Assessment
76
eyeballing the patient
Physical Assessment
77
one of the easiest signs to recognize is
Skin Color
78
a bluish coloration in the skin and indicates a lack of sufficient oxygen in the tissues
Cyanotic
79
cyan/o
blue
80
low oxygen levels in the blood cause the lips, fingers, and toes to look blue •lips/lining of the mouth •nail beds
Cyanotic
81
acute anxiety can cause cool, moist skin with wet palms and shaking hands
Skin Temperature
82
acutely ill patient in pain may be pale and cool
Diaphoretic
83
cool sweat
Diaphoretic
84
may indicate a fever
Hot, Dry Skin
85
may only be a response to the weather or the room temperature
Warm, Moist Skin
86
Four level of consciousness (LOCs) are generally recognized and may be described as:
1. Alert and conscious 2. Drowsy but responsive 3. Unconscious but reactive to painful stimuli 4. Comatose
87
_____ breathing is quiet and calm and requires no particular attention
normal
88
breathing that is audible, such as _____, or appears to present a struggle for the patient, may require further assessment
wheezing, gasping, or coughing
89
a marked increase in the depth and rate of respiration is usually the first sign of _____
respiratory distress
90
inability to breathe when recumbent
Orthopnea