vital signs

Question 1

vital signs

Answer 1

provide critical info about pt physiological status

Question 2

4 internationally recognized vial signs and 3 other measure

Answer 2

HR
BP
RR
Temp

pain
Pulse OX
perceived exertion rating

Question 3

basal HR

Answer 3

pulse rate measured after an extended period of rest

Question 4

Resting HR

Answer 4

without imposed stress

Question 5

periactivity HR

Answer 5

HR during intervention

Question 6

Recovery pulse rate

Answer 6

1-3 min following intervention

Question 7

Patency

Answer 7

the openness of the peripheral portion of the CV system

presence or absence of pulse at.a given site

Question 8

red flag for patency

Answer 8

patent with lack of patency without known pathology immediate referral to MD

Question 9

max HR

target HR

Answer 9

220-age

max HR*desired intensity

Question 10

0-4 assessing pulse

Answer 10

0 - absent
1 - theady (barely)
2 - weak
3 - normal
4 - bounding

Question 11

Heart rate norms

Answer 11

Newborn 120-160
infant 100-120
children 80 - 100
adult 60-100

Question 12

manual palpation

Answer 12

pads of index and middle finger over x site

don’t use thumb

Question 13

Auscultation

Answer 13

Hr with stethoscope

Question 14

common HR spots

Answer 14

brachial 
carotid
radial
popliteal
femoral
dorsal pedis
ant tib

Question 15

systole vs diastole

Answer 15

systolic/diastolic
systole - ventricles

diastolic - ventricles relaxed

Question 16

BP where

Answer 16

left arm except if stroke lymphedema or otherwise noted

Question 17

Normal resting BP

Answer 17

Neonates 1-28 days systolic below 60 diastolic HV

infants 1-12 months systolic 70-95 diastolic HV

children 1-8 yrs old systolic 80-110 diastolic HV

Adults systolic 90-120 diastolic 60-80

Question 18

Ankle Brachial Index ABI

Answer 18

systolic BP is measure both in tibial or dorsal and divided by brachial

.9 or less = peripheral arterial disease

> 1.5 abnormal finding

Question 19

pulse pressure

Answer 19

difference between systolic and diastolic

Question 20

Respiration Norms

Answer 20

Newborn (1-28days) 40-60

Infant (2month-1yr) 25-50

Children (1-8) 15-30

Adults 12-20

elderly may increase due to decreased elasticity/ efficiency of gas exchange

Question 21

RR rating scales

Answer 21

Borg scale

ATS dyspnea scale

Question 22

temp norms

Answer 22

infants and children 95.9-99.5
.5 higher on tympanic

adults 95.9-98.6

Question 23

Pulse ox

Answer 23

measures oxygen in the blood

Question 24

Perceived exertion rating

Answer 24

6-20 how hard are you working

Question 25

Edema scale

Answer 25

1+ = Barely detectable impression when finger is pressed into skin
2+ = Slight indentation; 15 sec to rebound 
3+ = Deeper indentation; 30 sec to rebound 
4+ = > 30 sec to rebound

Question 26

Integ

Answer 26

color, scar formation, moisture, texture, temp, firmness, elasticity, shape , symmetry

provides info about CV and pulm

Question 27

cyanosis

Answer 27

blue-gray discoloration

Question 28

ecchymosis

Answer 28

bruising

Question 29

erythema

Answer 29

redness

Question 30

jaundice

Answer 30

yellow hue

Question 31

pallor

Answer 31

pale

Question 32

clubbing

Answer 32

bulbous swelling of the fingertip

Question 33

beaus lines

Answer 33

deep indented transverse lines across the nail

Question 34

meees lines

Answer 34

transverse white lines across entire nail

Question 35

balance questions

Answer 35

fallen last 12 months
are you concerned about balance
neurological impairments
over 65