Chapter 31 Flashcards
Vital signs of the body function are?
- Temperature
- Pulse
- Respiration
- Blood Pressure
- Pulse Oximetry
- Pain
What are the 4 “As” that affect vital signs?
- Activity
- Age
- Anger
- Anxiety, fear
T/F: Bio. Sex, drugs, eating, and illness don’t affect vital signs
FASE: All do
What are the 2 “Ws” affecting vital signs?
Weather and weight
T/F: Pain, sleep, stress, smoking affect vital signs
True
T/F: A patient under the 4 or 5 years of age can receive oral temp.
FALSE: Anyone under 4 or 5 years of age are not taken
A person who is unconscious, receiving oxygen, and had surgery or injury to the face, neck, nose, or mouth cannot have _______ temperature taken
Oral
A person who breathes through the mouth, has a sore mouth, or has a convulsive disorder, cannot have _______ temperature taken
Oral
Persons who are paralyzed on 1 side of the body, has a naso-gastric tube, or may be confused, restless, or disoriented, cannot have their _______ temperature taken
Oral
Rectal sites is used for _______ and children under _____ years old
- Infant
- 3 years old
A patient who is confused or agitated, and has a heart disease cannot have their _______ temperature taken
rectal
T/F: You can take the axillary temperature after bathing
FALSE
What is the baseline temperature for oral and rectal?
- Oral: 98.6 F (37.0C)
- Rectal: 99.6 F (37.5C)
What is the basline temperature for Axillary and Tympanic membrane
- Axillary 97.6F (36.5C)
- Tympanic membrane 98.6F (37.0C)
What is the temporal artery basline and normal range?
99.6 F (37.5C) for both
What is the normal range for oral temperature?
97.6F to 99.6F
What is the normal range for rectal temperature?
98.6 F to 100.6 F
What is the normal range for axillary temperature?
96.6F to 98.6F
Rectal probes are what color?
Red
Oral and axillary probes or stems are what color?
Blue
For a glass thermometer, the ______ part is held. The _____ is inserted at the measurement site
- Stem
- Tip
How long does it take to measure oral temperature with a glass thermometer?
2 to 3 minutes
How long does it take to measure rectal temperature with a glass thermometer?
2 minutes
How long does it take to measure axillary temperature with a glass thermometer?
5 to 10 minutes
When taking a tympanic membrane temperature, what part of the body should you touch?
Pull up and back on the adult’s ear to straighten ear canal
The _____ pulse is used most often
radial
The ______ pulse is over the tip of the heart
apical
_______ is a rapid heart rate.
Tachycardia
______ is when the heart rate is more than 100 beats per minute
Tachycardia
_____ is the beat of the heart felt at an artery as a wave of blood passes through the artery
Pulse
______ is a slow heart rate
Brachycardia
______ is when the heart rate is less than 60 beats per minute
Brachycardia
The ____ pulse is used for routine vital signs
radial
The apical pulse is located where?
2 to 3 inches left of the sternum
______ means breathing air into and out of the lungs
respiration
Healthy adult has __ to __ respirations per minute
12 to 20 respirations
_________ is the amount of force exerted against the walls of an artery by the blood
Blood pressure
______ pressure is the pressure in the arteries when the heart contracts
Systolic pressure
_______ pressure is the pressure in the arteries when the heart is at rest
Diastolic pressure
How is BP measured?
Millimeters (mm) of mercury (Hg)
What is the normal range for systolic pressure?
90 mm Hg or higher but lower than 120 mm Hg
What is the normal range for diastolic pressure?
- 60 mm Hg or higher but lower than 80 mm Hg
- (60-80 mm Hg)
What is hypotension?
low blood pressure
What is hypertension?
high blood pressure
What is the normal range for blood pressure?
120 over 80 mm Hg
If the systolic pressure is below 90 mm Hg and the diastolic pressure is below 60 mm Hg, this is considered?
Hypotension
Let the person sit __ to __ minutes before measuring BP
10 to 20 minutes
Inflate the cuff ____ mm Hg to ___ mm Hg
180 mm Hg to 200 mm Hg
Deflate the cuff at an even rate of __ to __ millimeters per second
2 to 4
What is pulse oximetry?
Measures the oxygen level in the blood
_______ _______ is often measured with temperature, pulse, respiration, and blood pressure
Pulse oximetry
_______ and _______ are measured on admission to the agency
Height & weight
Have the person void before being ______
Weighed
What should you place on the scale platform, other than the patient?
Paper towel
- Report pulse rate if it’s less than ____ mm Hg.
- What is this called?
- 60 mm Hg
- Brachycardia
- Report pulse rate if it’s more than _____ mm Hg.
- What is this called?
- 100
- Tachycardia
What is the normal range for tympanic membrane?
98.6 F
