Chapter 13: Vital Signs and Monitoring Devices Flashcards

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1
Q

Which of the following is NOT a vital sign?
- 1. Pulse
- 2. Mental status
- 3. Temperature
- 4. Blood pressure

A

Mental status

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2
Q

You should obtain the first vital signs:

A

During the secondary assessment

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3
Q

The vital sign that is least useful in adults is:

A

Capillary refill

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4
Q

The patient that you would expect to have the slowest at-rest pulse rate is a(n):

A

Athlete

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5
Q

An EMT should be most concerned with a pulse rate maintained above:

A

120 beats per minute

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6
Q

In case of shock or later stages of blood loss, an EMT would expect the pulse to be:

A

Rapid and thready

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7
Q

The first pulse taken by an EMT on patients one year old and older is the:

A

Radial pulse

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8
Q

If an EMT has trouble finding the radial pulse on a conscious patient, they should first:

A

Try the wrist on the other arm

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8
Q

A rapid pulse, or any pulse over 100 beats per minute, is called:

A

Tachycardia

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9
Q

A person is considered febrile if they have a temperature greater than:

A

101.3 F

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10
Q

All of the following are signs of labored breathing EXCEPT:
- 1. Nasal flaring
- 2. Retractions
- 3. Grunting
- 4. Palpitations

A

Palpitations

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10
Q

In cases of children and infants, an EMT can expect to find the highest normal respiration rates in a(n):

A

Newborn

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11
Q

The respiratory sound that points toward medical problems such as asthma is:

A

Wheezing

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12
Q

The respiratory sound that indicates a patient might need suctioning is:

A

Gurgling

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13
Q

The skin color that indicates poor circulation is

A

Pale

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14
Q

The skin color that indicates inadequate breathing or heart function is:

A

Cyanotic

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15
Q

For skin to be called “clammy”, it must be:

A

Cool and moist

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16
Q

When checking pupils, an EMT should look for all of the following EXCEPT:
- 1. Size
- 2. Reactivity
- 3. Equality
- 4. Color

A

Color

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17
Q

In cases of stroke or head injury, the pupils are likely to be:

A

Unequal

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18
Q

A normal systolic blood pressure for a 40-year-old female would be:

A

100

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19
Q

When deflating the cuff of a sphygmomanometer, the “systolic” blood pressure is the:

A

First sound

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20
Q

A normal pulse oximeter reading is at least:

A

96%

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21
Q

For unstable patients, an EMT should take vital signs every:

A

5 minutes

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22
Q

What is a normal vital sign in a light-skinned patient?

A

Pink, warm skin

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23
Q

A normal blood glucose level is usually at least:

A

70 to 100 mg/dL

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24
Q

The most important part of the patient assessment is the [_________].

A

Chief complaint

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25
Q

The outward signs of what is going on inside a patients body are the [_________].

A

Vital signs

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26
Q

The first set of vital signs an EMT obtains is called [_______] vital signs.

A

Baseline

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26
Q

The rhythmic beats felt as the heart pumps blood through the arteries is called the [_____].

A

Pulse

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27
Q

A rapid pulse, usually over 100 beats per minute, is known as [___________].

A

Tachycardia

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28
Q

A slow pulse, usually below 60 beats per minute, is known as [___________].

A

Bradycardia

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29
Q

Pressing too hard on the [_______] artery can result in a slowing of the heart.

A

Carotid

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30
Q

If the pulse rate, rhythm, or character is not normal, an EMT should continue taking the pulse for [____] seconds.

A

60

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31
Q

For determination of vital signs, an EMT is concerned with two respiratory factors: [_____] and [________].

A

Rate; Quality

32
Q

An EMT should be concerned with an adult patient with a respiratory rate above [_____] breaths per minute or below [______] breaths per minute.

A

24; 10

33
Q

Snoring, wheezing, gurgling, and crowing are examples of [______] breathing.

A

Noisy

34
Q

[__________] sounds usually mean that an EMT needs to suction the patients airway.

A

Gurgling

35
Q

A good place for an EMT to assess a patients skin temperature is a patients [________].

A

Forehead

35
Q

The best places for an EMT to assess the skin color of a dark-skinned patient are the inner eyelids, lips, and [__________].

A

Nail beds

36
Q

“Goose pimples” or “goose bumps” are associated with exposure to [_____], [______], or [_____].

A

Cold; Pain; Fear

37
Q

In cases of stroke, a patients pupils will probably be [_________].

A

Unequal

38
Q

The proper term for a blood pressure cuff is [_____________].

A

Sphygmomanometer

39
Q

The force of blood against the walls of the blood vessels is known as [_____] [______].

A

Blood pressure

40
Q

The center of the bladder of the blood pressure cuff should be over the [________] artery.

A

Brachial

41
Q

Taking blood pressure by use of the fingertips is known as [___________].

A

Palpitation

42
Q

Blue-grey skin is [_________].

A

Cyanotic

43
Q

Yellow skin is [________].

A

Jaundiced

44
Q

A person with a pulse oximetry level less than [_____] is considered to be in [_______] hypoxia.

A

85; Severe

45
Q

A blood glucose level less than [_______] is considered to be low.

A

70 mg/dL

46
Q

Capnography measures end-tidal carbon dioxide, or [______].

A

ETCO2

47
Q

Pressure created when the heart contracts:

A

Systolic

48
Q

Pulse felt in the major artery in the neck:

A

Carotid

49
Q

Rapid pulse, usually above 100 beats per minute:

A

Tachycardia

50
Q

Force of blood against the walls of blood vessels:

A

Blood pressure

51
Q

Number of breaths taken in one minute:

A

Respiratory rate

52
Q

Pulse felt in the major artery of the upper arm:

A

Brachial

53
Q

To get smaller, as in the pupils of the eyes:

A

Constrict

54
Q

Slow pulse rate, usually below 60 beats per minute:

A

Bradycardia

55
Q

Act of breathing in and out:

A

Respiration

56
Q

Normal or abnormal character of breathing:

A

Respiratory quality

57
Q

Outward signs of what is going on inside the body:

A

Vital signs

58
Q

Black center of the eye:

A

Pupil

59
Q

Listening, as in use of a stethoscope for characteristic sounds:

A

Auscultation

60
Q

To get larger, as in the pupil of the eyes:

A

Dilate

61
Q

Pulse felt at the wrist:

A

Radial

62
Q

Respiratory System: Sign
- Snoring

A

Respiratory System: Probable Cause
- Blocked airway

63
Q

Respiratory System: Sign
- Wheezing

A

Respiratory System: Probable Cause
- Asthma

64
Q

Respiratory System: Sign
- Crowing

A

Respiratory System: Probable Cause
- Medical problem that cannot be treated on the scene

64
Q

Respiratory System: Sign
- Gurgling

A

Respiratory System: Probable Cause
- Fluids in the airway

65
Q

Skin Temperature: Sign
- Cool, clammy

A

Skin Temperature: Probable Cause
- Shock

66
Q

Skin Temperature: Sign
- Hot, dry

A

Skin Temperature: Probable Cause
- High fever

66
Q

Skin Temperature: Sign
- Cold, dry

A

Skin Temperature: Probable Cause
- Exposure to cold

66
Q

Skin Temperature: Sign
- “Goose pimples/bumps”

A

Skin Temperature: Probable Cause
- Fear

67
Q

Skin Color: Sign
- Cyanotic

A

Skin Color: Probable Cause
- Hypoxia

68
Q

Skin Color: Sign
- Flushed

A

Skin Color: Probable Cause
- Exposure to heat

68
Q

Skin Color: Sign
- Pale

A

Skin Color: Probable Cause
- Shock

68
Q

Skin Color: Sign
- Jaundiced

A

Skin Color: Probable Cause
- Liver problems

68
Q

Pupils: Sign
- Dilated

A

Pupils: Probable Cause
- Blood loss

69
Q

Pupils: Sign
- Constricted

A

Pupils: Probable Cause
- Narcotics

69
Q

Pupils: Sign
- Unequal

A

Pupils: Probable Cause
- Stroke

69
Q

Temperature: Signs
- 101 F, patient inside

A

Temperature: Probable Cause
- Infection

70
Q

Temperature: Signs
- 105 F, patient in hot environment

A

Temperature: Probable Cause
- Heat stroke

71
Q

Temperature: Signs
- 93 F, patient in cold environment

A

Temperature: Probable Cause
- Hypothermia