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CCMA > NHA vital signs > Flashcards

NHA vital signs Flashcards

1
Q

before taking any vital signs, what should you verify

A

patient identity (name and dob)

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2
Q

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

A

-coat, shoes, heavy things in pockets

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3
Q

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

A

90

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4
Q

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

A

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

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5
Q

when taking oral temperature, where do you place the thermometer

A

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

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6
Q

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

A

pat (do not rub)

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7
Q

when taking temporal artery temp, where is it placed

A

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

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8
Q

number of heart beats per minute

A

pulse rate

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9
Q

you usually use the _____ artery to take pulse rate

A

radial (by wrist)

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10
Q

the pulse rate rhythm should be described as either

A

Normal or abnormal

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11
Q

the pulse rate volume should be described as

A

Normal,
bounding (strong)
thready (weak)

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12
Q

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

A

abnormal

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13
Q

what is a bounding pulse volume

A

strong

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14
Q

what is a thready pulse volume

A

weak

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15
Q

average heart rate for adults is

A

60 to 100 beats per minute

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16
Q

increase in volume of breathing

A

hyperpnea

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17
Q

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

A

hypopnea

18
Q

the rhythm of a pulse is which characteristics

A

time between breaths; consistency (regular or irregular

19
Q

where do you locate pulse on the patient

A

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

20
Q

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

A

multiply by 2

21
Q

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

A

acting like you’re taking the pulse

22
Q

the depth of a respiration is characterized by its

A

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

23
Q

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

A

depth and rhythm

24
Q

top number of a blood pressure

A

systolic

25
Q

bottom number of a blood pressure.

A

diastolic

26
Q

normal blood pressure range is between

A

90/60mmHg and 120/80 mmHg

27
Q

high blood pressure (hypertension stage 1) is

A

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

28
Q

High blood pressure(hypertension) stage 2

A

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

29
Q

Hypertensive crisis(consult your provider immediately)

A

systolic: over 180 mmHg
diastolic: over 120mmHg

30
Q

before touching patient ask what

A

“i am going to take your temp, BP, etc… is that okay with you?”

31
Q

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

A

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

32
Q

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

A

2/3

33
Q

which artery do you find for the BP reading

A

brachial
- space in front of elbow where arm bends

34
Q

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

A

1 inch

35
Q

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

A

30 mm hg above

36
Q

when documenting BP, include what

A

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

37
Q

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

A

Pulse rhythm

38
Q

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

A

systolic

39
Q

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

A

diastolic

40
Q

normal result for pulse oximetry

A

95%

41
Q

percentage of oxygen saturation in the blood.

A

pulse oximetry

CCMA (15 decks)

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