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Health Assessment > WEEK 3 -VITAL SIGNS > Flashcards

WEEK 3 -VITAL SIGNS Flashcards

1
Q

A non-invasive physical assessment procedure performs to a client?

A

VITAL SIGNS

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2
Q

Includes assessment of the cardiovascular, neurologic, peripheral vascular and
respiratory system?

A

VITALSIGNS

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3
Q

Measure the client’s temperature, followed by pulse, respirations, and blood
pressure?

A

VITAL SIGNS

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4
Q

___ reflect the body’s physiologic status and provide information critical to
evaluating homeostatic balance. The term “vital” is used because information
gathered is the clearest indicator of overall health status?

A

VITAL SIGNS

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5
Q

It is the measurement of heat inside a person’s body (core
temperature); it is the balance between heat produced and heat lost?

A

BODY TEMPERATURE

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6
Q

Normal body temperature using oral (O; or per os, PO) measurement remains
as appropriately at?

A

37 Celsius or 98.6 F

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7
Q

It is the Temperature of the deep tissues of the body, such as the cranium, thorax, abdominal cavity, and pelvic cavity.  Remains relatively constant  Is the Temperature that we measure with thermometer?

A

CORE TEMPERATURE

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7
Q

What are the two kinds of body temperature?

A
  1. CORE TEMPERATURE
  2. SURFACE TEMPERATURE
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8
Q

The temperature of the skin, the subcutaneous tissue and fat?

A

SURFACE TEMPERATURE

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9
Q

It is a body temperature above the normal ranges 38 c – 41 c (100.4 – 105.8F)?

A

PYREXIA

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10
Q

A very high fever, such as 41 C > 42 0 c leads to death?

A

HYPERPYREXIA

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11
Q

The one who has not having a fever is called?

A

AFEBRILE

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11
Q

A client who has a fever is referred to as?

A

FEBRILE

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12
Q

It is a body temperature between 34 c – 35 c, < 34 is death?

A

HYPOTHERMIA

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13
Q

What are the 4 common types of fever?

A
  1. INTERMITTENT FEVER
    2, REMITTENT FEVER
  2. RELAPSING FEVER
  3. CONSTANT FEVER
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14
Q

the body temperature alternates at regular intervals
between periods of fever and periods of normal or subnormal
temperature?

A

INTERMITTENT FEVER

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15
Q

the body temperature fluctuates minimally but always
remains above normal?

A

CONSTANT FEVER

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15
Q

a wide range of temperature fluctuation (more than 2 0
c) occurs over the 24 hr period, all of which are above normal?

A

REMITTENT FEVER

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16
Q

short febrile periods of a few days are interspersed with
periods of 1 or 2 days of normal temperature.?

A

RELAPSING FEVER

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17
Q

What are the 6 factors affecting body temperature?

A
  1. AGE
  2. DIURNAL VARIATION (CIRCADIAN RHYTHMS)
  3. EXERCISE
  4. HORMONES
  5. STRESS
  6. ENVIRONMENT
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18
Q

What are the 4 common sites to measure body temperature?

A
  1. ORAL
  2. RECTAL
  3. AXILLARY
  4. TYMPANIC
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19
Q

It is an instrument used to measure body temperature?

A

THERMOMETER

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20
Q

What is the type of thermometer that has long slender tips?

A

ORAL THERMOMETER

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21
Q

What is the type of thermometer that has short, rounded tips?

A

RECTAL THERMOMETER

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22
Q

Thermometer that is long and slender tip?

A

AXILLARY THERMOMETER

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23
Q

Readings are more accurate, most reliable, is > 0.65 c (1 F) higher than the oral
temperature?

A

RECTAL TEMPERATURE

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24
Q

What are the contraindications of rectal temperature?

A
  1. Rectal or perineal surgery
  2. Fecal impaction – the depth of the thermometer insertion may be
    insufficient.
  3. Rectal infection.
  4. Neonates –can cause rectal perforation and ulceration
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25
Q

How deep should the thermometer inserted rectally for an infant?

A

2.5 cm

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26
Q

How deep should the thermometer inserted rectally for a child?

A

3.7 cm

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27
Q

How deep should the thermometer inserted rectally for an adult?

A

4 cm

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28
Q

Rectal temperature should be measure for at least how many minutes?

A

2-3 minutes

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28
Q

What are the contraindication of Oral temperature?

A
  1. Child below 7 yrs
  2. If the patient is delirious, mentally ill
  3. Unconscious
  4. Uncooperative or in severe pain
  5. Surgery of the mouth
  6. Nasal obstruction
  7. If the patient has nasal or gastric tubes in place
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29
Q

It is placed snugly into the client’s outer ear
canal. Its records temperature in 1 to 2 seconds. Many pediatric and
intensive care units use this type of thermometer because it records a
temperature so rapidly?

A

TYMPANIC TEMPERATURE

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30
Q

It is a wave of blood created by contraction of the left ventricle of the heart?

A

PULSE

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31
Q

is a pulse located in the periphery of the body e.g. in the foot, and or neck?

A

PERIPHERAL PULSE

32
Q

it is located at the apex of the heart. The PR is
expressed in beats/ minute (BPM)?

A

APICAL PULSE (CENTRAL PULSE)

33
Q
  • It is a difference that exists between the apical and radial pulse?
A

PULSE DEFICIT

34
Q

WHAT ARE THE 8 FACTORS AFFECTING PULSE RATES?

A
  1. AGE
  2. SEX
  3. EXERCISE
  4. FEVER
  5. MEDICATIONS
  6. HEAT
  7. STRESS
  8. POSITION CHANGES
35
Q

What are the 9 pulse sites?

A
  1. CAROTID
  2. TEMPORAL
  3. APICAL
  4. BRACHIAL
  5. RADIAL
  6. FEMORAL
  7. POPLITEAL
  8. POSTERIOR TIBIAL
  9. PEDAL (DORSALIS PEDIS)
36
Q

Assess the Pulse for?

A
  1. Rate
  2. Rhythm
  3. Volume
  4. Elasticity of the arterial wall
37
Q

Normal adult pulse rate?

A

60- 100 bpm

37
Q

Normal 2 year old bpm?

A

80-130 bpm

37
Q

Normal 1 year old bpm?

A

80-140 bpm

38
Q

Normal 6 year old bpm?

A

75-120 bpm

38
Q

< 60/m pulse rate?

A

BRADYCARDIA

39
Q

Normal 10 year old bpm?

A

60-90 bpm

39
Q

The pattern and interval between the beats, random, irregular beats?

A

DYSRYTHYMIA

39
Q

excessively fast heart rate (>100/m)?

A

TACHYCARDIA

40
Q

The force of blood with each beat?

A

PULSE VOLUME

40
Q

It is the act of breathing (includes intake of oxygen removal of
carbon dioxide)?

A

RESPIRATION

41
Q

It is another word, which refers to the movement of air in and out of
the lungs

A

VENTILATION

41
Q

It is a very deep, rapid respiration?

A

HYPERVENTILATION

41
Q

It is a very shallow respiration?

A

HYPOVENTILATION

42
Q

Fast breathing?

A

TACHYPNEA

42
Q

What are the tow types of breathing?

A
  1. COSTAL(THORACIC)
  2. DIAPHRAGMATIC (ABDOMINAL)
42
Q

Involves the external muscles and other accessory muscles
(sternocleidomastoid)  Observed by the movement of the chest upward and downward. Commonly used for adults?

A

COSTAL(THORACIC)

42
Q

Involves the contraction and relaxation of the diaphragm, observed by
the movement of the abdomen. Commonly used for children?

A

DIAPHRAGMATIC (ABDOMINAL)

42
Q

normal breathing rate and depth?

A

EUPNEA

42
Q

Slow respiration?

A

BRADYPNEA

43
Q

temporary cessation of breathing?

A

APNEA

44
Q

It is described in rate per minute (RPM). Healthy adult RR = 15- 20/
min. is measured for full minute, if regular for 30 seconds. As the age
decreases the respiratory rate increases?

A

RATE

45
Q

It is the regularity of expiration and inspiration. Normal breathing is
automatic & effortless?

A

RHYTHM

46
Q

described as normal, deep, or shallow?

A

DEPTH

47
Q

It is the pressure exerted by blood against the wall of blood
vessels. It includes arterial, venous, and capillary pressures?

A

BLOOD PRESSURE

47
Q

What are the two types of blood pressure?

A

SYSTOLIC PRESSURE AND DIASTOLIC PRESSURE

47
Q

What is the formula of Arterial blood Pressure?

A

Arterial blood pressure (BP) = cardiac output (CO) x total
peripheral resistance (TPR)

48
Q

it is a measure of the pressure exerted by the blood as it flows
through the arteries?

A

ARTERIAL BP

49
Q

is the pressure of the blood as a result of the contraction of
the ventricle (is the pressure of the blood at the height of the blood wave?

A

SYSTOLIC PRESSURE

50
Q

is the difference between systolic and diastolic pressure?

A

PULSE PRESSURE

50
Q

is the pressure when the ventricles are at rest?

A

DIASTOLIC BLOOD PRESSURE

51
Q

An increase in blood pressure is called?

A

HYPERTENSION

52
Q

A decrease in blood pressure is called?

A

HYPOTENSION

53
Q

Conditions affecting blood pressure: FEVER

A

INCREASE

53
Q

Conditions affecting blood pressure: STRESS

A

INCREASE

54
Q

Conditions affecting blood pressure: OBESITY

A

INCREASE

55
Q

Conditions affecting blood pressure: ARTERIOSCLEROSIS

A

INCREASE

56
Q

Conditions affecting blood pressure: EXPOSURE TO COLD

A

INCREASE

57
Q

Conditions affecting blood pressure: HEMORRHAGE

A

DECREASE

57
Q

Conditions affecting blood pressure: LOW HEMATOCRIT

A

DECREASE

58
Q

Conditions affecting blood pressure: EXTERNAL HEAT

A

DECREASE

59
Q

What are the sites for measuring blood pressure?

A
  1. Upper arm using brachial artery (commonest)
  2. Thigh around popliteal artery
  3. Forearm using radial artery
  4. Leg using posterior tibial or dorsal pedis
59
Q

What are the methods of measuring blood pressure?

A

DIRECT AND INDIRECT

60
Q

Method of measuring BP (invasive monitoring) measurement involves the insertion of
catheter in to the brachial, radial, or femoral artery. The physician
inserts the catheter and the nurse monitors the pressure reading. With
the use of correct placement, it is highly accurate?

A

DIRECT

60
Q

Method of measuring BP(non-invasive methods)
a. The auscultatory
b. The palpatory, and
The auscultatory method is the most common method used in health activities?

A

INDIRECT

61
Q

What is the five phases in series of sounds called?

A

KOROTKOFF’S SOUND

Health Assessment (5 decks)

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