Ch20 Measuring And Recording Vital Signs, Height, And Weight

Question 1

Vital signs

Answer 1

1-internal body temp
2-heartbeat rate (pulse)
3-breathing rate (respiration)
4-blood pressure

Question 2

Causes of changes in vital measurements

Answer 2

Pain
Exercise
Strong emotions such as excitement

Question 3

Normal temp ranges for adult (°F)

Answer 3

Oral 97.6-99.6
Rectal 98.6-100.6
Axillary 96.6-98.6
Tympanic 98.6
Temporal 99.6

Question 4

Normal temp ranges for adult (°C)

Answer 4

Oral 36.5-37.5
Rectal 37-38.1
Axillary 36-37
Tympanic 37
Temporal 37.5

Question 5

Pulse deficit

Answer 5

The difference between apical pulse rate and radial pulse rate
Apical=84beats/min Radial=80beats/min
Pulse deficit=4

Question 6

Normal pulse rate for adults

Answer 6

60-100 beats per minute

Question 7

Taking blood pressure

Answer 7

1-Let patient relax for 5min
2-properly sized cuff
Note!
3-Do not take BP on arm of person who did mastectomy, have an IV, hemodialysis process
4-Do not partially deflate cuff and reinflate it if made mistake, deflate everything and rest for 1min before trying again

Question 8

Normal blood pressure

Answer 8

Systolic pressure is 90-120 mm Hg

Diastolic pressure is 60-80 mm Hg

Question 9

Normal reasons BP fluctuates

Answer 9

BP is 10mm Hg higher later in day than morning
BP is higher when lying down
BP is higher after eating (wait an hour after eating to take BP)
Systolic is higher after excessive
BP is higher when experiencing strong emotions

Question 10

Hypertension

Answer 10

BP is consistently too high
Systolic is over 140 and diastolic is over 90
Results in stroke, kidney failure, and heart attack

Question 11

Hypotension

Answer 11

BP too low

Systolic less than 90 Diastolic less than 60

Question 12

Orthostatic hypotension

Answer 12

Sudden decrease in BP after standing up from sitting/lying down