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NUR 110 SKILLS LAB > Ch. 29 Vital Signs > Flashcards

Ch. 29 Vital Signs Flashcards

1
Q

6 types vital signs

A 
Temperature 
Pulse
Respirations
Blood pressure
Oxygen saturation 
Pain
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2
Q

Vital signs monitor what?

A

functions taking place in the body

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3
Q

What gives the healthcare provider the baseline data of a clients healthcare status?

A

Vital signs

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4
Q

Vital signs measure the effectiveness of what body functions?

A

Circulatory
Respiratory
Neural
Endocrine

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5
Q

T/F

Vital signs are a nursing intervention

A

True

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6
Q

T/F

Vital signs cannot be done without a physicians order

A

False

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7
Q

Shivering does what?

A

Increases heat production

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8
Q

Sweating is also known as

A

Diaphoresis

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9
Q

Sweating is inhibited to do what?

A

Decrease heat loss

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10
Q

Vasoconstriction does what?

A

Decreases heat loss

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11
Q

Vasoconstriction

A

Narrowing of the blood vessels resulting from contraction of the muscular walls of the vessels

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12
Q

WAYS HEAT LEAVES THE BODY

Radiation

A

Transfer of heat from surface of one object to another without contact

Ex. Infrared rays

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13
Q

WAYS HEAT LEAVES THE BODY

Conduction

A

Applying an ice pack to decrease edema

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14
Q

WAYS HEAT LEAVES THE BODY

Convection

A

A fan blowing air on patient who is perspiring

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15
Q

WAYS HEAT LEAVES THE BODY

Evaporation

A

Perspiration

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16
Q

WAYS HEAT LEAVES THE BODY

Insensible water loss

A

Breathing

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17
Q

Have an immature thermoregulatory system, influenced by environment

A

Infants

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18
Q

At risk for hypothermia (loss of subcutaneous fat; reduced thermoregulatory efficiency)

A

Elderly

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19
Q

Circadian rhythm

A

Temp varies throughout the day, temp is highest at about 6pm; lowest at 1am-4am

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20
Q

TF

hormones can increase temp

A

True

Ex. Estrogen

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21
Q

TF

Stress can increase temp

A

True

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22
Q

TF

Disease or trauma to the hypothalamus can effect body temp

A

True

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23
Q

Pyrexia

A

Fever

100.4+

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24
Q

Hyperrexia

A

Very high temp

Above 105.8F

25
Q

Febrile

A

Fever

100.4+

26
Q

Afebrile

A

No fever

27
Q

Intermittent (fever)

A

Temp alternates between periods of fever and normal/subnormal temp

28
Q

Remittent (fever)

A

Wide range of temp fluctuation

Ex. Cold or flu

29
Q

Relapsing (fever)

A

Short febrile periods with 1 or 2 days of normal temp

30
Q

Sustained (fever)

A

Temp remains constant

31
Q

Fever spikes

A

Temp rises to fever level rapidly and then returns to normal within a few hours
Eg. bacterial blood infections

32
Q

8 Clinical manifestations of fever

A 
Shivering
Lethargy 
Convulsions 
Pale, cold skin
Goose bump look to flesh
Flushed face
Increased heart rate
Increased respiratory rate
33
Q

Hypothermia

A

Core body temp below 95F

34
Q

Causes of hypothermia

A

Immersion in water
Lack of heat to body
Lack of appropriate cover/shelter
Impaired hypothalamic thermoregulation

35
Q

Frostbite

A

Skin and underlying tissues are damaged by freezing cold

Usually hands, feet, nose, ears

36
Q

temp check in Sublingual area under the tongue

A

Oral

37
Q

Temp taken in the ear

A

Tympanic

38
Q

Temp taken in anal canal

A

Rectal

39
Q

Temp taken in armpit

A

Auxiliary

40
Q

Temp taken on forehead

A

Skin/temporal/artery

41
Q

How far do you insert probe when taking rectal temp in adult?

A

1 1/2”

42
Q

Tympanic temp reading in child ages 3+

A

Pull pinna up and back

43
Q

Tympanic temp reading in child under 3 y.o.

A

Pull pinna down and back

44
Q

Pulse

A

Palpable blinding of blood flow in a peripheral artery; indicator of circulatory status

45
Q

Peripheral pulses

A

Located away from the heart

46
Q

Apical pulse

A

At apex of heart; use stethoscope. Pulse recorded as BPM

47
Q

Carotid pulse site

A

Neck

48
Q

Brachial pulse site

A

Forearm

49
Q

Radial pulse side

A

Wrist (lateral)

50
Q

Ulnar pulse site

A

Wrist (medial)

51
Q

Femoral pulse site

A

groin

52
Q

Popliteal pulse site

A

Back of knee

53
Q

Posterior tibial pulse site

A

Ankle

54
Q

Dorsalis pedis pulse site

A

Foot

55
Q

What is the normal respiration range

A

12-20 per minute

56
Q

Perfect blood pressure reading

A

120/80

57
Q

Top number in blood pressure reading

A

Systolic

58
Q

Bottom number in blood pressure reading

A

Diastolic

59
Q

What is the normal pulse range?

A

60-100 BPM

NUR 110 SKILLS LAB (1 decks)

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