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