"CNA--- Chapter 33: Vital Signs"

When taking an axillary temperatue, the axilla must be

dry

The apical pulse rate is never less than the

radial pulse rate

If a glass thermometer breaks, ____________ at once because it may contain ___________ which is a ____________________.

report it to the nurse; mercury; hazardous substance

One respiration is counted for each

rise and fall of the chest

When you are taking a blood pressure, the person should be in a ____ or ____position.

sitting;lying

Bradycardia

slow heart rate (less than 60 bpm)

Apical-radical pulse

taking the apical and radical pulses at the same time

vital signs

temperature, pulse, respirations, and blood pressure

Let the person rest for ____________________ before taking the blood pressure.

10 to 20 minutes

A healthy adult has _________ respirations per minute

12 to 20

The adult pulse rate is between

60-100 beats per minute

An apical pulse of 72 is recorded as

72Ap

You counted 40 heartbeats in 30 seconds. What is the person's pulse rate?

80 beats per minute

If you take a rectal temperature , the normal range of the temperature should be

98.6 F to 100.6 F (37.00 C to 38.1 C)

List how long the glass thermometer remains in place for these sites. A. Oral ____________________ or as required by center policy. B. Rectal ___________________ or as required by center policy. C. Axillary ___________________ or as required by center policy.

A. 2 to 3 minutes B. 2 minutes C. 5 to 10 minutes

Write out the abbreviations: a. BP b. C c. F d. Hg e. Id f.IV g. mm h. mm hg j. tpr

A. Blood Pressure B. Centigrade C. Farenhiet D. Mercury E. Identification F. Intravenous G. Millimeter H. Millimeters of Mercury J. Temperature, pulse , and respiration

List words to describe:

A. Forceful pulse -stong,full, bounding B. Hard -to -feel pulse : weak, thready, feeble

What observations should be reported and recorded when counting respirations?

A. Respiratory site B. Equality and depth of respirations C. If respirations are regular or irregular D. If person has experienced pan/difficulty breathing E. Any respiration noises F. Any abnormal respiratory pattern

When you take a pulse, what observations should be reported and recorded?

A. The pulse site B. A pulse rate less than 60 or more than 100 bpm C. Pulse deficit for an apical-radial pulse D. If the pulse is regular or irregular E. Pulse Force

Which site is used to take a pulse during cardiopulmonary resuscitation?

Cartiod

If you are preparing to take an oral temperature, ask the person not to

Eat, drink, smoke,or chew gum for at least 15 to 20 minutes

The nurse tells you to use the person's pulse was thready on the previous shift. What is the nurse describing about the pulse?

Force

An apical-radial pulse is taken by

Having one staff member take the apical pulse at the same time that another staff member takes the radial pulse

The blood pressure may not be taken in the left arm

If person has a dialysis access site in the left arm

When counting respirations, the best way is to

Keep your fingers or stethoscope over the pulse site so the person thinks you are still counting the pulse.

when getting ready to take the blood pressure , position the person's arm's

Level with the heart

If you are taking the temperature of an olderperson, youwould expect the temperatures to be

Lower than the normal range

A pedal pulse is found

Over a foot bone

If you are taking vital signs on aperson with dementia , it may be better if

Pulse and respirations are done; temperature and blood pressure are done later

Which site is most commonly used to check the pulse ?

Radial

Which site site has the highest normal range temperature?

Rectum

Diastole

Relaxation of the heart

Vital signs are taken when the person takes drugs that affect the _____ or ______ systems.

Respiratory ; Circulatory

To read a glass Thermometer you should hold it at the

Stem and bring it to the eye level to read it

When listening to the blood pressure, the first sound you hear is the _______ pressure and the point where the sound disappears is the ______ pressure.

Systolic; diastolic

A pulse rate of 120 beats perminute would be considered

Tachycardia

You may count the radial pulse from 30 seconds and multiply by 2 if

The pulse is easy to locate

When taking a temperature for persons who are confused and resist care, the best choice would be to

Use a tympanic or temporal artery therometer

Persons in nursing centers usually have vital signs measured

Weekly

What should you do if a person asks about their vital signs measurements?

You can tell the person themeasurements if center policy allows

stethoscope

a medical instrument for listening to the sounds generated inside the body

Which site has the lowest baseline temperature?

axilla

The blood pressure may be higher in older persons because

blood pressure increases with age

Respiration

breating air into and out of the lungs

You will find out the size of blood pressure cuff needed

by asking the nurse

If pulse is irregular

count for a full minute

pulse deficit

difference between the apical and radial pulse rates

fever

elevated body temperature

Tympanic memebrane and temporal artery therometers are used for confused persons because they are

fast and comfortable

The apical pulse is taken

for a full minute

Systole

heart muscle contraction; the heart is pumping blood

Hypertension

high blood pressure

Body temperature is lower in the

in the morning

sphygmomanometer

instrument to measure blood pressure

Unless otherwise ordered , take vital signs when the person

is lying or sitting

hypotension

low blood pressure

When taking a blood pressure with aneriod manometer, you place the stethoscope diaphragm

over the brachial artery at the inner aspect of the elbow

Sometimes the doctor orders blood pressure in the

standing position

When taking a tmypanic membrane temperature on an adult, pull up and back on the ear to

straigthen the ear canal

body temperature

the amount of heat in the body that is a balance between the amount of heat produced and the amount lost by the body

pulse rate

the number of heartbeats or pulses felt in 1 minute

diastolic pressure

the pressure in the arteries when the heart is at rest

blood pressure

the pressure that is exerted by the blood against the walls of blood vessels

When taking the radial pulse, place

two or three fingers on the thumb side of the wrist

When taking an oral temperature , place the tip of the therometer

under the tongue and to one side

When using a stethoscope, you can help to prevent infection by

wiping the ear pieces and diaphragm with a antiseptic wipe before and after use

febrile

with fever

Afebrile

without fever

When you read a Fahrenheit thermometer, the short lines mean _________________

0.2 (two-tenths) of a degree

When taking an apical pulse, each lub-dub sound if counted as

1 beat

Each respirationinvolves

1 inhalation and 1 exhalation

respirations are counted for _______________ if they are abnormal or irregular.

1 minute

Sites for measuring temperature are the

- Mouth - Rectum - Axilla (underarm) - Ear (tympanic membrane) - Temporal artery (forehead)

Report blood pressures that have these readings

1. Systolic over 120 mm Hg; systolic below 90 mm Hg 2. Diastolic over 80 mm Hg; diastolic below 60 mm Hg

An electronic ther

1/2 inch

The blood pressure cuff is inflated _______ beyond the point where you last felt the radial pulse

30 mm Hg

When vital signs are taken, report to the nurse at once if

A. Any vital signs has changed fromprior measurement B. Vital Signs are above or below normal range

When using an electronic thermometer, what does the color of the probe mean?

A. Blue used for oral or Auxillary temperature B. Red used for rectal temperature

Blood pessure is controlled by

A. the force of heart contractions B. Amount of blood pumped w/each heartbeat C. How easily blood flowa through the vessels

pulse

Beat of the heart as felt through the walls of the arteries.

systolic pressure

Blood pressure in the arteries during contraction of the ventricles.

Tachycardia

Fast heart rate (HR greater than 100bpm)

Do not use your thmb to take a pulse because

It has a pulse

When you take a rectal temperature, you ___________________ the tip of the thermometer or the end of the covered probe before inserting it into the rectum

Lubricate

themometer

an instrument that measures temperature