Chapter 27

When using an electronic thermometer, you can prevent the spread of infection by

discarding the probe cover after each use

Each respiration involves

one inhalation and one exhalation

When taking the blood pressure, you place the stethoscope diaphragm

over the brachial artery at the inner aspect of the elbow

Electronic blood pressure equipment will not give you information about

pulse force

Which is usually used to take an adult's pulse?

radial pulse

pulse

the beat of the heart felt at an artery as a wave of blood passes through the artery

The apical pulse can be greater than the radial pulse

true

A ____________ pulse is taken during CPR

Cartotid

The blood pressure should not be taken on an arm

If the person has had breast surgery on that side

When counting respiration, the best way is to

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

Which pulse is most commonly used?

Radial

apical-radial pulse

Taking the apical and radial pulses at the same time

Blood pressure (BP)

The amount of force exerted against the walls of an artery by the blood

Diastole

The period of heart muscle relaxation; the heart is at rest

Which gives the least accurate measurement of body temperature?

Tympanic membrane site

The systolic pressure is the point

Where the first sound is heard

sphygmomanometer

a cuff and measuring device used to measure blood pressure

stethoscope

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

tachycardia

a rapid (tachy) heart rate (cardia); more than 100 beats per minutes

hypertension

blood pressure measurement remaining above (hyper) a systolic pressure of 120 mm Hg or a diastolic pressure of 80 mm Hg

Respiration

breathing air into and out of the lungs

You will find out the size of blood pressure cuff needed

by asking the nurse

pulse deficit

difference between the apical and radial pulse rates

fever

elevated body temperature

The radial pulse can be greater than the apical pulse

false

Body temperature is lower

in the morning

Unless otherwise ordered, take vital signs when the person

is lying or sitting

normal blood pressure

less than 120/80

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

level with the heart

If you were taking the temperature of an older person, you would expect it to be

lower than the normal range

You are not sure of hearing an accurate B. What should you do?

measure BP again after 60 seconds

mm Hg

millimeters of mercury

TPR

temperature, pulse, respiration

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

systole

the period of heart muscle contraction; the heart is pumping blood

diastolic pressure

the pressure in the arteries when the heart is at rest

When taking a temperature on a resident with dementia, the best choice is to

use a tympanic membrane or temporal artery thermometer

`hypotension

when the systolic blood pressure is below 90 mm Hg and the diastolic pressure is below 60 mm Hg

When using a stethoscope you can help to prevent infection by

wiping the earpieces and diaphragm with antiseptic wipes before and after use

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

you take the pulse and respiration at one time and the temp and BP at another time

The apical pulse if counted for

1 full minute

The pulse rate is the number of heartbeats or pulses felt in

1 minute

In an adult, normal respirations are

12-20 per minute

The blood pressure cuff is inflated between

160 mm Hg and 180 mm Hg

When taking the radial pulse, place

2-3 fingers on the thumb side of the wrist

An apical pulse of 72 is recorded as

72Ap

When recording an axillary temperature of 97.6, it is written

97.6 Ax

rectal temperature range

98.6-100.6 F (37.0-38.1 C)

Respirations are usually counted

After taking the pulse

Vital signs change only during illness

False

BP

blood pressure

vital signs

temperature, pulse, respiration, and blood pressure

Rectal temperature is taken when the person is

unconscious

Normal respiration are

quiet

Bradycardia

slow heart rate (less than 60 bpm)

systolic pressure

Blood pressure in the arteries during contraction of the ventricles.

An apical-radial pulse is taken by

Having one staff member take the apical pulse and a second staff member take the radial pulse at the same time.

When a pulse rate is 120 beats per minute, you

Report that the person has tachycardia