NHA vital signs

Question 1

before taking any vital signs, what should you verify

Answer 1

patient identity (name and dob)

Question 2

to obtain the most accurate weight which things should the patient be asked to remove

Answer 2

-coat, shoes, heavy things in pockets

Question 3

when taking height, the bar should be at what angle on the top of the patients head

Answer 3

90

Question 4

when taking oral temperature, you have to make sure the patient has not done what

Answer 4

no food, drink or smoking within 15 to 30 min.

Question 5

when taking oral temperature, where do you place the thermometer

Answer 5

Under tongue in posterior sublingual pocket on either side of the frenulum

Question 6

when taking auxillary temperature, you dry with a paper towel in what way

Answer 6

pat (do not rub)

Question 7

when taking temporal artery temp, where is it placed

Answer 7

Gently move thermometer probe across forehead from midline to just in front of the hairline
- then to back of the ear

Question 8

number of heart beats per minute

Answer 8

pulse rate

Question 9

you usually use the _____ artery to take pulse rate

Answer 9

radial (by wrist)

Question 10

the pulse rate rhythm should be described as either

Answer 10

Normal or abnormal

Question 11

the pulse rate volume should be described as

Answer 11

Normal,
bounding (strong)
thready (weak)

Question 12

If patient has an _________- pulse, count for full minute.

Answer 12

abnormal

Question 13

what is a bounding pulse volume

Answer 13

strong

Question 14

what is a thready pulse volume

Answer 14

weak

Question 15

average heart rate for adults is

Answer 15

60 to 100 beats per minute

Question 16

increase in volume of breathing

Answer 16

hyperpnea

Question 17

A decrease in the volume of breathing and is often related to sleep apnea

Answer 17

hypopnea

Question 18

the rhythm of a pulse is which characteristics

Answer 18

time between breaths; consistency (regular or irregular

Question 19

where do you locate pulse on the patient

Answer 19

Place tips of your first, second and third fingers over the radial artery
- thumb side of the wrist

Question 20

when counting pulse and respiratory rate, you count for 30 seconds then

Answer 20

multiply by 2

Question 21

Observe rise and fall of chest for a full respiratory cycle while doing what

Answer 21

acting like you’re taking the pulse

Question 22

the depth of a respiration is characterized by its

Answer 22

amount of air inhaled or exhaled (normal, deep or shallow)

Question 23

when describing respiratory rate in EHR, what two things are included

Answer 23

depth and rhythm

Question 24

top number of a blood pressure

Answer 24

systolic

Question 25

bottom number of a blood pressure.

Answer 25

diastolic

Question 26

normal blood pressure range is between

Answer 26

90/60mmHg and 120/80 mmHg

Question 27

high blood pressure (hypertension stage 1) is

Answer 27

systolic: 130-139 mmHg diastolic: 80-89 mmHg

Question 28

High blood pressure(hypertension) stage 2

Answer 28

systolic: 140 mmHg or higher diastolic: 90mmHg or higher

Question 29

Hypertensive crisis(consult your provider immediately)

Answer 29

systolic: over 180 mmHg diastolic: over 120mmHg

Question 30

before touching patient ask what

Answer 30

"i am going to take your temp, BP, etc... is that okay with you?"

Question 31

when positioning the patient for BP reading, what should the patient do

Answer 31

Feet flat on floor, arm at heart level, palm up on a table or chair next to them, elbow should be slightly flexed at a 90-degree angle

Question 32

A properly fitted cuff should cover____ of patient’s upper arm

Answer 32

2/3

Question 33

which artery do you find for the BP reading

Answer 33

brachial - space in front of elbow where arm bends

Question 34

Keep lower edge of BP cuff at least _____ above bend of elbow

Answer 34

1 inch

Question 35

Using your dominant hand, tighten the pressure-release valve on the air pump and rapidly inflate the cuff ___________ the patient’s previous highest reading

Answer 35

30 mm hg above

Question 36

when documenting BP, include what

Answer 36

Include the location of the measurement (la, ra, thigh) and the position of the patient

Question 37

_________ refers to the interval timing between measured beats. The intervals between each beat should be consistent and symmetric

Answer 37

Pulse rhythm

Question 38

As you deflate the blood-pressure cuff, you’ll hear the first sound - a clear, rhythmic tapping sound that coincides with the patient’s______ blood pressure

Answer 38

systolic

Question 39

fifth sound, which is actually the disappearance of sound, is the ________ blood pressure

Answer 39

diastolic

Question 40

normal result for pulse oximetry

Answer 40

95%

Question 41

percentage of oxygen saturation in the blood.

Answer 41

pulse oximetry