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Nursing 1 > Vital Signs > Flashcards

Vital Signs Flashcards

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1
Q

Below what rate is bradycardia?

A

<60 bpm

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2
Q

Normal range for respirations per minute in an adult

A

12-20 bpm

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3
Q

Above what rate is tachycardia?

A

> 100bpm

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4
Q

Normal adult pulse rate range for adults

A

60-100 bpm

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5
Q

Normal temperature range for adults?

A

36.1-38.2C
97-100F

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6
Q

At what temperature is it considered a fever?

A

100.1F
37.8C

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7
Q

Pros & Cons of oral temperatures?

A

Pro- easy, fast
Cons- affected by food and drink, cannot use for infants, cannot use in PT with oral and facial trauma

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8
Q

Pros & Cons of rectal temperatures?

A

Pros- good for infants
Cons- can damage rectum, uncomfortable, not for elderly, not for ppl on thinners

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9
Q

Pros & Cons of tympanic temperatures?

A

Pros- fast, non-invasive
Cons- cannot use for ppl with ear infections, cannot use for kids under 6mo, no hearing aids

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10
Q

Pros & Cons of temporal temperatures?

A

Pro- most accurate**, fast, safe
Cons- cannot use on head traumas, hats/head coverings, sweaty ppl

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11
Q

Pros & Cons of axillary temperatures?

A

Pros- safe, easy, any age
Cons- least accurate, slow

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12
Q

Normal heart rate for infants?

A

120-160bpm

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13
Q

Normal heart rate for toddler?

A

90-140bpm

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14
Q

Normal heart rate for preschoolers?

A

80-110 bpm

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15
Q

Normal heart rate for adolescents?

A

60-90bpm

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16
Q

What is cardiac output?

A

Amount of blood coming out of heart every minute

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17
Q

What is stroke volume?

A

Amount of blood ejected from the ventricles during each beat

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18
Q

What is the apical pulse?

A

the most accurate area for auscultation of the pulse

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19
Q

What is Eupnea?

A

normal resp. w/ equal rate and depth

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20
Q

What are Kussmaul respirations

A

resp. that are regular but abnormally deep and increased in rate

21
Q

What are blots respirations

A

irregular resp of variable depth (usually shallow) alternating with periods of apnea

22
Q

what are cheyne-stokes respirations?

A

gradual increase in depth of resp, followed by gradual decrease and then a period of apnea

23
Q

What is normal pulse oximetry? more assessment needed? cause for concern?

A

Normal- 95-100
More assessment-90-95
Concern- <90%

24
Q

What is systolic pressure? diastolic?

A

S- the peak pressure during ejection - when heart is filling
D- heart is at rest/ventricles relax

25
Q

What can happen if BP cuff is too big? too small?

A

B- too low of a BP
S- too high

26
Q

What is considered hypotension?

A

systolic <90mmhg
diastolic<50mmhg

27
Q

What is considered hypertension?

A

a systolic >140mmhg
a diastolic >90mmhg

28
Q

What is difficulty breathing also called?

A

Dyspnea

29
Q

what affects both pulse and blood pressure?

A

Autonomic nervous system

30
Q

What is the amount of air moving in and out with each breath

A

Tidal volume

31
Q

What is the bodys thermostat?

A

Hypothalamus

32
Q

A client who has received an opioid analgesic will most likely exhibit which of the following vital sign changes?

A

Decreased respiratory rate

33
Q

Your client just finished a cup of hot tea. How long will you wait before checking their temperature?

A

30 mins

34
Q

To assess a client’s blood pressure, the nurse will do which of the following?
A.) Obtain the reading in the early morning.

B.) Inflate the cuff to 30 mm Hg higher than the point they last palpated a pulse.

C.) Assist the client to the bathroom to void.

D.) Apply the cuff loosely around the client’s arm.

A

Inflate the cuff to 30 mm Hg higher than the point they last palpated a pulse

35
Q

Your client is diagnosed with congestive heart failure. The pulse is weak, thready and easily obliterated by light pressure. What is the quality of this pulse?

A

1

36
Q

If you obtain a slow radial pulse, how will you check to make sure your count is accurate?

A

Obtain an apical pulse rate.

37
Q

A client who has been a smoker for 40 years has been diagnosed with pneumonia. What alterations in their vital signs would you expect?

A

Increase in respirations, Spo2 on lower end of normal, possible elevated blood pressure and pulse.

38
Q

Evaluate the following blood pressures. Are they high, low or normal?

116/90

80/50

184/102

140/90

86/32

A

116/90 – high diastolic

80/50 – both low

184/102 – both high

140/90 - both high

86/32 – both low

39
Q

core temperature

A

temp of deep tissues

40
Q

radiation

A

transfer of heat from the surface of one object to the surface of another without direct contact

41
Q

conduction

A

transfer of heat from one object to another with direct contact

42
Q

ability to control temperature depends on:

A

-degree of temperature extreme
-person’s ability to sense feeling comfortable
-thought processes or emotions
-person’s mobility or ability to remove or add clothes

43
Q

pyrexia

A

fever

44
Q

nursing diagnoses related to thermoregulation

A

risk for imbalanced body temperature
-hyperthermia
-hypothermia
-ineffective thermoregulation

45
Q

febrile states in hypersensitive response to drugs are often accompanied by…

A

allergy symptoms such as rash or pruritis

46
Q

pharmacologic type of fever therapy

A

-pharmacologic therapy includes nonsteroidal drugs and corticosteroids

47
Q

nonpharmacologic type of fever therapy

A

nonpharmacologic therapy includes tepid sponge baths, bathing with alcohol water solutions, applying ice packs to the axillae and groin sites, and cooling fans

48
Q

pulse deficit

A

DIFFERENCE BETWEEN APICAL AND RADIAL PULSE

49
Q

pulse pressure

A

difference between systolic and diastolic pressure

Nursing 1 (20 decks)

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