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Chicken Coop > Vital Signs > Flashcards

Vital Signs Flashcards

1
Q

Normal oral temp for adults (F)

A

98-98.6

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2
Q

Normal oral temp for adults (C)

A

36.2-37.6

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3
Q

Normal pulse range

A

60-100bpm

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4
Q

Pulse average

A

80 bpm

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5
Q

Blood Pressure normal range

A

<120mm Hg systolic and <80 mm Hg diastolic

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6
Q

Normal Respirations range

A

12-20 breaths per minute

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7
Q

Thermoregulation is the process of

A

Maintaining a stable internal body temperature

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8
Q

Production of body heat

A

Metabolism
Skeletal muscle movement
Non- shivering thermogenesis

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9
Q

Radiation

A

Loss of heat from surfaces that are warmer than the surrounding air

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10
Q

Convection

A

Transfer of heat through currents of air or water

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11
Q

Evaporation

A

Occurs when water is converted to vapor and lost from the skin or mucous

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12
Q

Conduction

A

Process where heat is transferred from a warm to a cool surface by direct contact

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13
Q

Factors that influence body temp

A

Developmental level
Environment
Gender
Exercise
Emotions and stress
Circadian rhythm

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14
Q

Fever is also known as

A

Pyrexia

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15
Q

Hyperpyrexia

A

Fever greater than 105.8 degrees Fahrenheit
Dangerous level

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16
Q

Hyperthermia

A

Body temperature higher than normal

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17
Q

Why does hyperthermia occur?

A

Because the body cannot promote heat loss fast enough to balance heat production or high environmental temperatures

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18
Q

Examples of hypothermia

A

Core temperature below normal

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19
Q

Why does hypothermia occur and what are some examples?

A

Exposure to cold, ex. Extreme weather, immersion in cold water, or lack of shelter and clothing.

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20
Q

Perfusion

A

The continuous supply of oxygenated blood through the blood vessels to the vital organs

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21
Q

Pulse

A

The rhythmic expansion of an artery produced, when a bolus of oxygenated blood is forced into it by contraction of the heart.

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22
Q

How is pulse rate measured?

A

Bpms

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23
Q

Bradycardia

A

<60 bpm

24
Q

Tachycardia

A

<100 bpm

25
Q

Irregular pulse rhythm

A

Dysrhythmia

26
Q

Pulse quality

A

0- absent pulse
1- weak or thread pulse
2- normal quality
3- bounding or full

27
Q

List factors that influence pulse rate

A

Developmental level, gender, exercise, food, stress, disease, blood loss, position, changes, and medication‘s.

28
Q

Pallor

A

Paleness of skin, when compared with another part of the body

29
Q

Cyanosis

A

Bluish or gray is discoloration of the skin due to excessive carbon dioxide and defficient oxygen in the blood

30
Q

Two signs of inadequate perfusion

A

Pallor, cyanosis

31
Q

Respiration

A

The exchange of oxygen and carbon dioxide in the body

32
Q

What are the two separate processes of respiration

A

Mechanical
Chemical
External respiration
Gas transport
Internal respiration

33
Q

During inspiration the lungs ____ and the diaphragm _____

A

Expand; contract

34
Q

During expiration the lungs ______ and the diaphragm ______

A

Recoil; relax

35
Q

Apnea

A

Cessation of breathing

36
Q

Bradypnea

A

Abnormally slow breathing

37
Q

Tachypnea

A

Abnormally fast breathing

38
Q

Examples of irregular/ abnormal breathing patterns

A

Cheyenne-strokes, Biot, Kussmals

39
Q

Dyspnea

A

Labored breathing

40
Q

Orthopnea

A

Inability to breathe when horizontal

41
Q

Hypoxia

A

Inadequate cellular respiration

42
Q

Signs of hypoxia include:

A

Pallor or cyanosis
Confusion, restlessness
Dizziness
Fatigue
Change in Vitals

43
Q

Hyperventilation

A

Rapid and deep breathing in excess loss of CO2

44
Q

Hypoventilation

A

The rate and depth of respiration are decreased and CO2 is retained

45
Q

Oxygenation

A

Measuring the amount of oxygen in the blood

46
Q

Perfusion

A

Blood pressure

47
Q

BP

A

Pressure of the blood as it is forced against arterial walls during cardiac contraction
Measured in millimeters of mercury (mm Mg)
Recorded as systolic pressure over diastolic pressure

48
Q

Why is adequate BP necessary

A

To support tissue perfusion

49
Q

BP regulation factors

A

Cardiac function/ output
Peripheral vascular resistance
Blood volume

50
Q

Non modifiable factors that influence BP

A

Developmental stage, gender, family history, race, diseases, genetics

51
Q

Modifiable factors that influence BP

A

Lifestyle/exercise, body position, stress, pain, obesity, daily variations, medications

52
Q

Nurses can delegate the ______ of taking vital signs, but the nurse is responsible for ________ of vital signs and decisions based on abnormal vital sign findings.

A

Activity;interpretation

53
Q

Do you have delegated vital signs to the unlicensed assistive personnel. The assistant informs you that the patient has just finished a bowl of hot soup. The nurses appropriate advice would be to do which of the following?
A. Take a rectal temperature.
B. Take oral temp as planned.
C. Advised the patient to drink a glass of cold water.
D. Wait 30 minutes and take an oral temp.

A

D. Wait 30 minutes and take an oral temp.

54
Q

Do you notice that a teenager has an irregular pulse. What should the nurse do first?
A. Read the history and physical.
B. Assess the apical pulse rate for one full minute.
C. Auscultate strength and depth of pulse
D. Ask whether the patient feels any palpitation or shortness of breath.

A

B. Asses the apocalypse pulse rate for one full minute

55
Q

A postoperative patient is breathing rapidly. You should immediately do which of the following?
A. A call the physician.
B. count respirations.
C. Assess the oxygen saturation.
D ask the patient if he feels uncomfortable.

A

B. Count respirations

56
Q

When assessing the blood pressure of a school, aged child, using an adult cuff of normal size, will affect the reading, and produce a value that is which of the following?
A. Accurate
B. Indistinct.
C. Falsely low.
D. Falsely high

A

D. Falsely hiGh

Chicken Coop (3 decks)

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