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Test #4 Chap 21
Vital signs
71
Nursing
Not Applicable
02/05/2012

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Term
What are the 5 vital signs?
Definition
BP, PULSE, TEMP,RESP, PAIN
Term
BY-PRODUCT OF NORMAL METABOLISM
Definition
HEAT
Term
BMR IS AFFECTED BY WHAT HORMONE?
Definition
THE TYROID HORMONE
Term
WHAT IS THE BMR?
Definition
BASAL METABOLIC RATE (RESTING STATE TEMP)
Term
INCREASED TYROID HORMONE RESULTS IN...
CLUE: REFERENCE TO BMR
Definition
INCREASED METABOLIC RATE& INCREASED TEMP
Term
DECREASED THYROID HORMONE RESULTS IN...
Definition
DECREASE METABOLIC RATE & INCREASED TEMP
Term
WHY DO MEN HAVE A HIGHER BMR?
Definition
b/C OF TESTOSTERONE
Term
HORMONES OTHER THAN THYROID THAT CONTRIBUTE TO CHANGE IN METABOLIC RATE ARE..
Definition
EPINEPHRINE, NOR-EPINEPHRINE, TESTOSTERONE
Term
THERMOSTAT TO CONTROL BODY TEMP IS..
Definition
HYPOTHALAMUS
Term
DECREASE METABOLIC RATE...
Definition
PERIPHERAL VASOCONTRICTION AND SHIVERING
Term
INCREASED METABOLIC RATE...
Definition
PERIPHERAL VASODIALATION AND DIAPORESIS
Term
BODY TEMP REGULATION HAPPENS IN THE ENVIRONMENT BY WHAT 4 METHODS
Definition
CONDUCTION, CONVECTION, EVAPORATION, AND RADIATION
Term
EVAPORATION RESULTS IN HOW MUCH NATURAL LOSS OF WATER EACH DAY?
Definition
800 ML
Term
TEMP NORMAL RANGE
Definition
97.5 - 99.5 F
Term
TEMP ABOVE NORMAL RANGE IS CALLED
Definition
HYPERTHERMIA
Term
TEMP ABOVE 100.2 F IS CONSIDERED
Definition
PYREXIA, FEVER, FEBRILE STATE
Term
WHICH TEMP MEASUREMENT IS CONSIDERED CLOSES TO BODY'S CORE TEMP AND WHY?
Definition
TYMPANIC MEMBRANE B/C SAME BLOOD VESSEL AND IT IS CLOSEST TO THE HYPOTHALAMUS
Term
WHAT SHOULD YOU ALWAYS ASK PT. B4 TAKING AN ORAL TEMP?
Definition
HAVE THEY HAD ANYTHING TO EAT, DRINK, OR SMOKE IN THE LAST 15-30 MINS
Term
HOW LONG SHOULD YOU WAIT TO GET THE READING OFF OF A GLASS THERMOMETER?
Definition
5-7 MINS
Term
INSERT THERMOMETER HOW FAR INTO RECTUM FOR TEMP
Definition
1/2 TO 1 1/2 INCH
Term
BEFORE USING GLASS THERMOMETER ALWAYS...
Definition
SHAKE DOWN BELOW 98.6
Term
WHICH THERMOMETER GIVES LEAST ACCURATE READING?
Definition
DISPOSABLE
Term
INCREASES OR DECREASES TEMP??
1.AWAKE 2.SLEEP 3. B4 MENSTRUAL CYCLE 4. PREGNANCY
Definition
1.INCREASE 2. DECREASE 3. DECREASES
4. INCREASES
Term
STAGES OF FEVER
Definition
PRODROMAL, ONSET OR INVASION, STATIONARY,RESOLUTION OR DEFERVESCENCE
Term
HIGH TEMPS CAUSE WHAT IN ADULTS?
Definition
CONFUSION
Term
HIGH TEMPS CAUSE WHAT IN CHILDREN? KIDS CAN HANDLE HIGHER TEMPS BUT OVER 102F
Definition
SEIZURES (103-104F)
Term
TEMP LOWER THAN 94F IS
Definition
HYPOTHERMIA
Term
PRODUCED BY CARDIAC CONTRACTIONS CAUSING PRESSURE WAVES ON ARTERIAL WALLS
Definition
PULSE
Term
CARDIAC CONTRACTIONS A NORMALLY INITIATED BY...
Definition
SINOATRIAL NODE
Term
Each contraction propelling 60 to 70 mL of blood into the aorta is called
Definition
STROKE VOLUME
Term
WHAT DOES STOKE VOLUME AFFECT
Definition
PULSE CHARACTER
Term
Stroke volume x heart rate =
Definition
Cardiac output
(approximately 5 L/min for the average adult) CHILDREN HIGHER THAN ADULTS, WOMEN MORE THAN MEN
Term
PULSE IS NORMALLY FOUND BY WHAT METHOD?
Definition
palpation or by auscultation
Term
PULSE Strength determined by??
Definition
force of cardiac contractions and the circulating volume
Term
PULSE RATE IS AFFECTED BY
Definition
fever, pain, hypoxia, anxiety, exercise, and cardiac disease
Term
PULSE RATE AVERAGE BPM FOR ADULT IS
Definition
72
Term
Pulse greater than 100 bpm
Definition
Tachycardia
Term
Slow pulse, less than 60 bpm
Definition
Bradycardia
Term
Difference between apical and radial pulse
Definition
Pulse deficit
Term
A period of normal rhythm broken by periods of irregularity or skipped beats WITHIN PULSE IS??
Definition
Dysrhythmia
Term
NAME DIFFERENT TYPE OF WAYS TO DESCRIBE THE STRENGTH OF A PULSE
Definition
Weak and regular(even beats with poor force), or 1+
Strong and regular (even beats with moderate force), or 2+
Full and bounding (even beats with strong force), or 3+
Feeble (barely palpable)
Irregular (both strong and weak beats occur within 1 minute)
Thready (indicates that it is weak and may be irregular)
Absent (no pulse palpable or heard on auscultation)
Term
NAME ALL PULSE SITES AND LOCATION
Definition
RADIAL: artery in the wrist at base of the thumb
TEMPORAL: artery just in front of the ear
CAROTID: artery on the front side of the neck
FEMORAL: artery in the groin
APICAL: pulse over the apex of the heart
POPLITEAL: pulse behind the knee
PEDAL: pulse of the posterior tibial artery on the inside of the ankle behind the malleolus
Term
WHAT AREA IN THE BRAIN CONTROLS RESPIRATION?
Definition
respiratory center in the pons and medulla in the brainstem

Triggered by increased levels of CO2 or serum hydrogen ion concentration or by decreased levels of O2
Term
NAME 6 Organs of respiration
Definition
Nose, pharynx, larynx, trachea, bronchi, lungs
Term
A normal, relaxed breathing pattern IS CALLED??
Definition
Eupnea
Term
Difficult and labored breathing IS CALLED??
Definition
Dyspnea
Term
Increased or rapid breathing IS CALLED??
Definition
Tachypnea
Term
Slow and shallow breathing IS CALLED??
Definition
Bradypnea
Term
Breathing in which there is an increase in the rate and the depth of breaths IS CALLED??
Definition
Hyperventilation
Term
Dyspnea followed by a short period of apnea IS CALLED??
Definition
Cheyne-Stokes respirations
Term
Increased rate and depth with panting and long, grunting exhalation IS CALLED??
Definition
Kussmaul’s respirations
Term
Shallow for two or three breaths with a period of variable apnea IS CALLED??
Definition
Biot’s respirations
Term
NAME 5 TYPES OF NOISY RESPIRATIONS
Definition
Crackles:
Abnormal, nonmusical sound heard on auscultation of the lungs during inspiration
Rhonchi:
Continuous dry, rattling sounds heard on auscultation of the lungs caused by partial obstruction
Stertor:
Snoring sound produced when patient unable to cough up secretions from the trachea or bronchi
Stridor:
Crowing sound on inspiration caused by obstruction of the upper air passages, as occurs in croup or laryngitis
Wheeze:
Whistling sound of air forced past a partial obstruction
Term
Machine that measures oxygen in the blood
IS CALLED? AND SITE USED?
Definition
PULSE OXIMETER
FINGER,TOE,EARLOBE,NOSE,FOREHEAD
Term
The pressure exerted on arterial walls by pumping action of the heart
Definition
BLOOD PRESSURE
Term
TRUE OR FALSE??
BP DOES NOT CHANGE WITH AGE
Definition
FALSE...Changes with aging are normal
Term
Exerted on the arterial wall during cardiac contraction
Average is 120mm Hg in healthy young adult.
Definition
Systolic pressure
Term
Exerted on the arterial wall between contractions
Average is 70 mm Hg in healthy young adult
Definition
Diastolic pressure
Term
THE DIFFERENCE BETWEEN SYSTOLIC AND DIASTOLIC PRESSURE
Definition
PULSE PRESSURE
Term
BP ASSESSMENT SITES
Definition
*Over the brachial artery
*Lower arm and radial artery
*Over the popliteal artery behind the knee in case:
Client’s arms are missing
Both of a client’s breasts have been removed
Client has had vascular surgery
Term
NAME PHASES OF KOROTKOFF SOUNDS AND HOW THEY MAY SOUND?
Definition
Phase I: tapping
Auscultatory gap: no sound
Phase II: swishing
Phase III: knocking
Phase IV: muffling
Phase V: silence
Term
WHICH PHASE DETERMINES THE SYSTOLE?
ADULT & CHILD
Definition
P1 FOR BOTH
Term
WHICH PHASE DETERMINES THE DIASTOLE?
ADULT & CHILD
Definition
P5 FOR ADULTS AND P5 FOR CHILDREN
Term
WHAT WOULD THIS BE CALLED??
Systolic pressure above 140 and a diastolic pressure above 90 are outside the normal range
Definition
HYPERTENTION
Term
Prolonged hypertension can cause ??
Definition
permanent damage to the brain, the kidneys, the heart, and the retinas
Term
Hypertension or high blood pressure is associated with:
Definition
Anxiety
Obesity
Vascular diseases
Stroke, heart failure
Kidney diseases
Term
Low blood pressure; less than 90/60
WOULD BE CALLED?
Definition
HYPOTENSION
Term
Drop in blood pressure occurring with change from supine to standing or from sitting to standing position
Definition
Postural hypotension
Term
WHO RECOGNIZED PAIN AS THE 5TH VITAL SIGN?
Definition
JOINT COMMISSION
Term
ASSESSMENT OF PAIN SHOULD INCLUDE
Definition
Location
Intensity
Character
Frequency
Duration
Term
PAIN IS MEASURES ON SCALE
Definition
1-10
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