chapter 13- vital signs
what is the average temperature of the body?
98.6
medical abbreviation for beats per minute
BPM
the absence of breathing
apnea
96.6 - 98.6 degrees fahrenheit
axillary temperature
site for taking temperature is the armpit
axillary temperature
slow heart rate- under 60 beats per minute
bradycardia
alternating periods of slow, irregular respirations and rapid, shallow respirations, possibly along with periods of apnea
cheyne-stokes respiration
bottom number in a blood pressure reading
diastolic
to widen
dilate
difficulty breathing
dyspnea
true or false- an aneroid sphygmomanometer displays readings digitally
false
true or false- as long as a stethoscope is used, the placement of the blood pressure cuff on the arm does not matter
false
true or false- the apical pulse is the most commonly used pulse site to obtain a blood pressure reading
false
not having hypertension now but being likely to have it in the future
prehypertension
top number in a blood pressure reading
systolic
rapid heart rate- over 100 beats per minute
tachycardia
rapid respirations- over 20 breaths per minute
tachypnea
non-invasive method of measuring temperature
temporal artery
probe is moved straight across the forehead
temporal artery
97.2 - 100.1 degrees fahrenheit
temporal artery temperature
which of the following should an oral temperature not be taken? 1. person is disoriented 2. person has sores in his mouth 3. person is 40 years old 4. person is unconscious 5. person has a broken leg 6. person is likely to have a seizure 7. person has a nasogastric tube 8. person has children
1,2,4,6,7
normal respirations
eupnea
regular amounts usually decrease a person's blood pressure
exercise
exhaling air out of the lungs
expiration
119/79 or lower
normal blood pressure
60 - 100 per minute
normal pulse rate
12-20 per minute
normal respiratory rate
why is it important for a nursing assistant to report changes in vital signs to the nurse?
nurses and doctors make decisions about care based on the reporting done by nursing assistants
97.6 - 99.6 degrees fahrenheit
oral temperature
thermometer is usually color-coded green or blue
oral temperature
shortness of breath when lying down that is relieved by sitting up
orthopnea
sudden drop in blood pressure when a person stands up
orthostatic hypotension
respiration rate is counted directly after taking the pulse because
people tend to breathe more quickly if they know they are being observed
which of the following may be indicated if the radial pulse is less than the apical pulse
poor circulation to extremities
120/80 - 139/89
prehypertensive
the most common site for counting pulse
radial pulse
98.6 - 100.6 degrees fahrenheit
rectal temperature
considered to be the most accurate form of taking temperature
rectal temperature
may be necessary for unconscious residents
rectal temperature
thermometer is inserted no more than one inch
rectal temperature
thermometer is lubricated
rectal temperature
thermometer is usually color-coded red
rectal temperature
the process of inhaling air into the lungs and exhaling air out of the lungs
respiration
inhaling air into the lungs
inspiration
why is pain sometimes referred to as the fifth vital sign?
it is just as important as the other vital signs
below 90/60
low blood pressure/ hypotension
how does a person's age affect body temperature?
an older person has lost protective fatty tissue, which may cause him to feel colder
140/90 or above
high blood pressure/ hypertension
medical term for high blood pressure (140/90 or higher)
hypertension
medical term for low blood pressure (below 90/60)
hypotension
the medical term for severe sub-normal body temperature is
hypothermia
true or false- a blood pressure reading should not be measured on an arm that has a cast or is being used for dialysis
true
true or false- blood pressure is measured with a device called a sphygmomanometer
true
true or false- blood pressure readings may be taken while a resident is lying down, sitting up, and standing if he has orthostatic hypotension
true
ear was may cause an inaccurate reading
tympanic membrane
ear injury is possible when taking temperature this way
tympanic temperature
site for taking temperature is the ear
tympanic temperature
thermometer is inserted only 1/4 to 1/2 inch
tympanic temperature