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WEEK 3 -VITAL SIGNS Flashcards

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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
Thermometer that is long and slender tip?
AXILLARY THERMOMETER
23
Readings are more accurate, most reliable, is > 0.65 c (1 F) higher than the oral temperature?
RECTAL TEMPERATURE
24
What are the contraindications of rectal temperature?
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
25
How deep should the thermometer inserted rectally for an infant?
2.5 cm
26
How deep should the thermometer inserted rectally for a child?
3.7 cm
27
How deep should the thermometer inserted rectally for an adult?
4 cm
28
Rectal temperature should be measure for at least how many minutes?
2-3 minutes
28
What are the contraindication of Oral temperature?
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
29
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?
TYMPANIC TEMPERATURE
30
It is a wave of blood created by contraction of the left ventricle of the heart?
PULSE
31
is a pulse located in the periphery of the body e.g. in the foot, and or neck?
PERIPHERAL PULSE
32
it is located at the apex of the heart. The PR is expressed in beats/ minute (BPM)?
APICAL PULSE (CENTRAL PULSE)
33
- It is a difference that exists between the apical and radial pulse?
PULSE DEFICIT
34
WHAT ARE THE 8 FACTORS AFFECTING PULSE RATES?
1. AGE 2. SEX 3. EXERCISE 4. FEVER 5. MEDICATIONS 6. HEAT 7. STRESS 8. POSITION CHANGES
35
What are the 9 pulse sites?
1. CAROTID 2. TEMPORAL 3. APICAL 4. BRACHIAL 5. RADIAL 6. FEMORAL 7. POPLITEAL 8. POSTERIOR TIBIAL 9. PEDAL (DORSALIS PEDIS)
36
Assess the Pulse for?
1. Rate 2. Rhythm 3. Volume 4. Elasticity of the arterial wall
37
Normal adult pulse rate?
60- 100 bpm
37
Normal 2 year old bpm?
80-130 bpm
37
Normal 1 year old bpm?
80-140 bpm
38
Normal 6 year old bpm?
75-120 bpm
38
< 60/m pulse rate?
BRADYCARDIA
39
Normal 10 year old bpm?
60-90 bpm
39
The pattern and interval between the beats, random, irregular beats?
DYSRYTHYMIA
39
excessively fast heart rate (>100/m)?
TACHYCARDIA
40
The force of blood with each beat?
PULSE VOLUME
40
It is the act of breathing (includes intake of oxygen removal of carbon dioxide)?
RESPIRATION
41
It is another word, which refers to the movement of air in and out of the lungs
VENTILATION
41
It is a very deep, rapid respiration?
HYPERVENTILATION
41
It is a very shallow respiration?
HYPOVENTILATION
42
Fast breathing?
TACHYPNEA
42
What are the tow types of breathing?
1. COSTAL(THORACIC) 2. DIAPHRAGMATIC (ABDOMINAL)
42
Involves the external muscles and other accessory muscles (sternocleidomastoid)  Observed by the movement of the chest upward and downward. Commonly used for adults?
COSTAL(THORACIC)
42
Involves the contraction and relaxation of the diaphragm, observed by the movement of the abdomen. Commonly used for children?
DIAPHRAGMATIC (ABDOMINAL)
42
normal breathing rate and depth?
EUPNEA
42
Slow respiration?
BRADYPNEA
43
temporary cessation of breathing?
APNEA
44
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?
RATE
45
It is the regularity of expiration and inspiration. Normal breathing is automatic & effortless?
RHYTHM
46
described as normal, deep, or shallow?
DEPTH
47
It is the pressure exerted by blood against the wall of blood vessels. It includes arterial, venous, and capillary pressures?
BLOOD PRESSURE
47
What are the two types of blood pressure?
SYSTOLIC PRESSURE AND DIASTOLIC PRESSURE
47
What is the formula of Arterial blood Pressure?
Arterial blood pressure (BP) = cardiac output (CO) x total peripheral resistance (TPR)
48
it is a measure of the pressure exerted by the blood as it flows through the arteries?
ARTERIAL BP
49
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?
SYSTOLIC PRESSURE
50
is the difference between systolic and diastolic pressure?
PULSE PRESSURE
50
is the pressure when the ventricles are at rest?
DIASTOLIC BLOOD PRESSURE
51
An increase in blood pressure is called?
HYPERTENSION
52
A decrease in blood pressure is called?
HYPOTENSION
53
Conditions affecting blood pressure: FEVER
INCREASE
53
Conditions affecting blood pressure: STRESS
INCREASE
54
Conditions affecting blood pressure: OBESITY
INCREASE
55
Conditions affecting blood pressure: ARTERIOSCLEROSIS
INCREASE
56
Conditions affecting blood pressure: EXPOSURE TO COLD
INCREASE
57
Conditions affecting blood pressure: HEMORRHAGE
DECREASE
57
Conditions affecting blood pressure: LOW HEMATOCRIT
DECREASE
58
Conditions affecting blood pressure: EXTERNAL HEAT
DECREASE
59
What are the sites for measuring blood pressure?
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
What are the methods of measuring blood pressure?
DIRECT AND INDIRECT
60
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?
DIRECT
60
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?
INDIRECT
61
What is the five phases in series of sounds called?
KOROTKOFF'S SOUND

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