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NURS 310 > VIITAL SIGNS > Flashcards

VIITAL SIGNS Flashcards

1
Q

indicators of body function

A

vital signs

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2
Q

represent health status

A

vital signs

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3
Q

5 vital signs

A
  • temperature
  • pulse
  • respirations
  • BP
  • pain
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4
Q

who takes vital sings?

A

CNA
RN
TECHS

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5
Q

who is responsible for ensuring the accuracy of data?

A

RN

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6
Q

heat of the body

A

temperature

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7
Q

temperature in the morning?

A

cooler

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8
Q

temperature in the evening?

A

warmer

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9
Q

which part of the body does temperature vary?

A

rectal temperature (warmer)

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10
Q

facts about infants and elderly temperature.

A

lose heat easier

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11
Q

blue probe used for?

A

mouth

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12
Q

red probe used for?

A

rectal

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13
Q

temperature sites

A 
oral
tympanic
rectal
axillary
forehead
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14
Q

what do you always ask before taking an oral temperature?

A

anything to eat, drink, or smoke in the last 30 minutes?

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15
Q

least accurate type of temperature reading?

A

tympanic

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16
Q

when should a rectal temperature no be used?

A

infants or hemorrhoids

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17
Q

different types of thermometers?

A 
electronic
tympanic
glass
non-mercury glass
disposable
temporal artery
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18
Q
  • measures emitted from under skin over temporal artery
  • takes 1000 readings/second and selects the most accurate
  • go from forehead to behind ear
A

temporal artery

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19
Q

what can affect temperature?

A

times of the day
activity
environment

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20
Q

measure of the heart rate

A

pulse

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21
Q

may be palpated or auscultated

A

pulse

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22
Q

when palpating where do you feel?

A

peripheral artery

23
Q

when auscultating where do you listen?

A

apex of the heart

24
Q

if a patient has an irregular heart rate you must use

A

manual machine

25
Q

normal pules for adults

A

60-100 BPM

26
Q

sites for pulse

A

peripheral or apical

27
Q

bradycardia

A

slow heart rate

28
Q

tachycardia

A

fast heart rate

29
Q

when checking pulse, check what?

A

rhythm

amplitude (0-4)

30
Q

what affects pulse rate?

A 
activity
age
disease processes 
fear
anger
anxiety
31
Q

movement of air in and out of the lungs

A

respirations

32
Q

normal respirations for adults?

A

12-20 breaths per minute

33
Q

always check to see the —– of respirations?

A

depth and pattern

34
Q

what affects respirations?

A 
activity
fear
anxiety
fever
drugs
35
Q

force of blood against arterial walls

A

blood pressure

36
Q

BP is measured in?

A

mm Hg

37
Q

contraction of left ventricle

A

systolic pressure

38
Q

heart is at rest

A

diastolic pressure

39
Q

if BP cuff is too narrow

A

false high pressure

40
Q

if it is too wide

A

false low

41
Q

series of sounds that correspond to changes in blood flow through an artery when assessing BP

A

korotkoff sounds

42
Q

temporary disappearance of sound

A

auscultatory gap

43
Q

for BP you must use

A

even numbers

44
Q

what is an adults normal BP?

A

120/80

45
Q

prehypertension

A

120/80 - 139/89

46
Q

stage 1 hypertension

A

140/90 - 159/99

47
Q

stage 2 hypertension

A

greater than 160/100

48
Q

patient with BP restrictions are

A

radical mastectomy

dialysis patients

49
Q

what can affect blood pressure

A

smoking
anger
activity

50
Q

low BP associated with weakness or fainting when one rises

A

orthostatic hypotension

51
Q

results when peripheral vasodilation occurs without cardiac compensating

A

orthostatic hypotension

52
Q

causes of orthostatic hypotension

A

dehydration
bed rest
medication
age

53
Q

to assess for orthostatic hypotension take BP and pulse while patient is

A

supine
sitting
standing

NURS 310 (2 decks)

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