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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

Who is responsible for delegated tasks?

A

the nurse (you)

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6
Q

Normal temperature range for adults?

A

36.1-38.2C
97-100F

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7
Q

When are our temps the lowest? the highest?

A

L-in the morning
H- mid-afternoon

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8
Q

At what temperature is it considered a fever?

A

100.1F
37.8C

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9
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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10
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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11
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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12
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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13
Q

Pros & Cons of axillary temperatures?

A

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

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14
Q

Normal heart rate for infants?

A

120-160bpm

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15
Q

Normal heart rate for toddler?

A

90-140bpm

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16
Q

Normal heart rate for preschoolers?

A

80-110 bpm

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17
Q

Normal heart rate for adolescents?

A

60-90bpm

18
Q

What is cardiac output?

A

Amount of blood coming out of heart every minute

19
Q

What is stroke volume?

A

Amount of blood ejected from the ventricles during each beat

20
Q

What is the cardiac output formula?

A

heart rate x stroke volume=cardiac output

21
Q

What is the apical pulse?

A

the most accurate area for auscultation of the pulse

22
Q

Where can you find the apical pulse?

A

mid-clavicular line
5th intercostal space L side

23
Q

What is Eupnea?

A

normal resp. w/ equal rate and depth

24
Q

What are Kussmaul respirations

A

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

25
Q

What are blots respirations

A

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

26
Q

what are cheyne-stokes respirations?

A

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

27
Q

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

A

N- 95-100
MA-90-95
CC- <90%

28
Q

What is systolic pressure? diastolic?

A

S- the peak pressure- when heart is filling
D- heart is at rest

29
Q

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

A

B- too low of a BP
S- too high

30
Q

What is considered hypotension?

A

systolic <90mmhg
diastolic<50mmhg

31
Q

What is considered hypertension?

A

a systolic >140mmhg
a diastolic >90mmhg

32
Q

What is difficulty breathing?

A

Dyspnea

33
Q

what affects both pulse and blood pressure?

A

Autonomic nervous system

34
Q

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

A

Tidal volume

35
Q

What is the bodys thermostat?

A

Hypothalamus

36
Q

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

A

Decreased respiratory rate

37
Q

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

A

30 mins

38
Q

To assess a client’s blood pressure, the nurse will do which of the following?

A

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

39
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

40
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.

41
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.

42
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

Nursing 1 (10 decks)

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