Vital Signs

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of the following is the most reliable method used to measure heart rate?

  • Auscultation and palpation
  • Observation
  • Auscultation (correct)
  • Palpation

Which pulse site is commonly used during routine measurement of heart rate?

  • Radial (correct)
  • Brachial
  • Carotid
  • Femoral

Which of the following is true about the respiratory rate?

  • Normal respiratory rate is 30-40 rpm
  • Normal respiratory rate is 20-30 rpm
  • Normal respiratory rate is 12-20 rpm (correct)
  • Normal respiratory rate is 8-12 rpm

Which pulse site is used to measure blood pressure?

<p>Brachial (B)</p> Signup and view all the answers

Which pulse site is used when the radial pulse is not accessible?

<p>Temporal (D)</p> Signup and view all the answers

Which pulse site determines leg circulation?

<p>Femoral (A)</p> Signup and view all the answers

Which of the following is true about fever?

<p>Fever is the term to indicate an elevated body temperature (B)</p> Signup and view all the answers

Which of the following is NOT considered a vital sign?

<p>Oxygen Saturation (SpO2) (C)</p> Signup and view all the answers

When should vital signs be measured?

<p>All of the above (D)</p> Signup and view all the answers

What is the normal range for body temperature in Fahrenheit?

<p>97.0° to 99.5°F (B)</p> Signup and view all the answers

What is the normal range for body temperature in Celsius?

<p>36.0° to 37.5°C (B)</p> Signup and view all the answers

Which site is commonly used to measure body temperature?

<p>Oral (C)</p> Signup and view all the answers

What is the equivalent temperature range for axillary measurement in Fahrenheit?

<p>97.5° (B)</p> Signup and view all the answers

What is the equivalent temperature range for tympanic membrane measurement in Celsius?

<p>36.4° (C)</p> Signup and view all the answers

Which one of the following is a characteristic of hypotension?

<p>Blood pressure suddenly falls 20 mm Hg to 30 mm Hg below the patient's normal BP (B)</p> Signup and view all the answers

What is the normal range for oxygen saturation?

<p>96-100% (D)</p> Signup and view all the answers

What does a CRT longer than 2 seconds suggest?

<p>Poor perfusion due to peripheral vasoconstriction (B)</p> Signup and view all the answers

Which of the following is a life-threatening breathing pattern characterized by alternating periods of apnea and deep rapid breathing?

<p>Cheyne-Stokes (C)</p> Signup and view all the answers

What are two widely used pain scales?

<p>Numerical Scale and Wong-Baker FACES Pain Rating Scale (D)</p> Signup and view all the answers

What is the correct formula for calculating the respiratory rate?

<p>Count the number of breaths for 1 minute (B)</p> Signup and view all the answers

What is the purpose of a medical record?

<p>All of the above (D)</p> Signup and view all the answers

What is the difference between systolic and diastolic blood pressure readings?

<p>Systolic pressure is the pressure during the active phase of ventricular contraction, while diastolic pressure is the pressure of blood within the arteries when the ventricles are at rest (A)</p> Signup and view all the answers

What is the purpose of the SBAR technique?

<p>All of the above (D)</p> Signup and view all the answers

What are Korotkoff sounds?

<p>Sounds heard while taking blood pressure with a sphygmomanometer over the brachial artery (D)</p> Signup and view all the answers

What does SOAP charting stand for?

<p>Subjective, Objective, Assessment, Plan (D)</p> Signup and view all the answers

Where should the cuff be placed when measuring blood pressure?

<p>On the brachial pulse site (B)</p> Signup and view all the answers

What does charting by exception involve?

<p>Charting only abnormal assessment findings or care that deviates from a standard norm (A)</p> Signup and view all the answers

How should the cuff be inflated when measuring blood pressure?

<p>Inflate the cuff 30 mmHg beyond the previously obtained baseline measurement (C)</p> Signup and view all the answers

What is a Kardex used for?

<p>To provide a quick reference for current information centrally at the nursing station (D)</p> Signup and view all the answers

What is considered high blood pressure?

<p>Systolic reading consistently above 130 or a diastolic reading consistently over 80 (B)</p> Signup and view all the answers

What is the normal range for heart rate in beats per minute (bpm)?

<p>80-100 bpm (A)</p> Signup and view all the answers

Which pulse site is commonly used to measure blood pressure?

<p>Brachial pulse (C)</p> Signup and view all the answers

What is the most reliable method used to measure heart rate?

<p>Auscultation (A)</p> Signup and view all the answers

What is the normal range for respiratory rate in ventilations per minute (rpm)?

<p>16-20 rpm (D)</p> Signup and view all the answers

Which of the following is NOT a factor to assess in respiratory rate?

<p>Temperature (D)</p> Signup and view all the answers

What is the equivalent temperature range for oral measurement in Fahrenheit?

<p>98-100°F (A)</p> Signup and view all the answers

What is the correct formula for calculating pulse deficit?

<p>Apical pulse rate - Radial pulse rate (A)</p> Signup and view all the answers

Which of the following is NOT considered a vital sign?

<p>Temperature (D)</p> Signup and view all the answers

What is the normal range for body temperature in Celsius?

<p>36.0°C to 37.5°C (B)</p> Signup and view all the answers

What is the equivalent temperature range for rectal measurement in Fahrenheit?

<p>98.5°F to 99.0°F (A)</p> Signup and view all the answers

Which pulse site is commonly used during routine measurement of heart rate?

<p>Radial (A)</p> Signup and view all the answers

What is the purpose of a medical record?

<p>To communicate with other healthcare providers (B)</p> Signup and view all the answers

What does a CRT longer than 2 seconds suggest?

<p>Dehydration (B)</p> Signup and view all the answers

What is the correct formula for converting Fahrenheit to Celsius?

<p>$C = (F - 32) \times \frac{5}{9}$ (A)</p> Signup and view all the answers

Which of the following is a characteristic of Cheyne-Stokes respiration?

<p>Periods of apnea and deep rapid breathing (B)</p> Signup and view all the answers

What is the correct formula for calculating the respiratory rate?

<p>Count the number of breaths for 1 minute (A)</p> Signup and view all the answers

What is the purpose of a sphygmomanometer in measuring blood pressure?

<p>To listen to Korotkoff sounds (B)</p> Signup and view all the answers

What is the correct procedure for measuring blood pressure?

<p>Deflate the cuff at a rate of 2-3 mmHg per second (B)</p> Signup and view all the answers

What is the systolic blood pressure?

<p>The measurement of the first audible sound (A)</p> Signup and view all the answers

What is the diastolic blood pressure?

<p>The measurement of the last audible sound (A)</p> Signup and view all the answers

What is considered high blood pressure?

<p>Systolic reading consistently above 130 (C)</p> Signup and view all the answers

Which of the following is NOT a method of charting?

<p>Vital Signs charting (C)</p> Signup and view all the answers

What is the purpose of the SBAR technique?

<p>To improve nurse-physician communication (C)</p> Signup and view all the answers

Which of the following is NOT a component of nursing documentation?

<p>Medical treatments prescribed by the physician (A)</p> Signup and view all the answers

What is the normal range for oxygen saturation?

<p>96-100% (B)</p> Signup and view all the answers

What does a CRT longer than 2 seconds suggest?

<p>Poor perfusion due to peripheral vasoconstriction (C)</p> Signup and view all the answers

What is the purpose of the Written Record?

<p>All of the above (D)</p> Signup and view all the answers

What is the normal range for body temperature in Fahrenheit?

<p>98.6-100.4°F (B)</p> Signup and view all the answers

What is considered high blood pressure?

<p>140/90 mm Hg (A)</p> Signup and view all the answers

What is the difference between systolic and diastolic blood pressure readings?

<p>Systolic pressure is the pressure in the arteries when the heart is contracting, while diastolic pressure is the pressure in the arteries when the heart is at rest. (A)</p> Signup and view all the answers

Which of the following is a life-threatening breathing pattern characterized by alternating periods of apnea and deep rapid breathing?

<p>Cheyne-Stokes (D)</p> Signup and view all the answers

What is the normal range for blood pressure readings?

<p>Systolic: 120-139 mmHg, Diastolic: 80-89 mmHg (B)</p> Signup and view all the answers

What is the purpose of a sphygmomanometer in measuring blood pressure?

<p>To listen to the Korotkoff sounds (B)</p> Signup and view all the answers

What is the correct procedure for measuring blood pressure?

<p>Deflate the cuff at a rate of 1-2 mmHg per second (B)</p> Signup and view all the answers

What is the normal range for respiratory rate in ventilations per minute (rpm)?

<p>12-20 rpm (B)</p> Signup and view all the answers

What is the purpose of the Written Record?

<p>To record medical history (D)</p> Signup and view all the answers

Which pulse site is commonly used to measure blood pressure?

<p>Brachial artery (A)</p> Signup and view all the answers

Which of the following is NOT considered a vital sign?

<p>Oxygen Saturation (D)</p> Signup and view all the answers

What is the normal range for body temperature in Celsius?

<p>36.0°C to 37.5°C (A)</p> Signup and view all the answers

Which site is commonly used to measure body temperature?

<p>Oral (D)</p> Signup and view all the answers

What is the equivalent temperature range for rectal measurement in Fahrenheit?

<p>99.5°F to 37.0°F (A)</p> Signup and view all the answers

What is the most reliable method used to measure heart rate?

<p>Listening to the apical pulse with a stethoscope (D)</p> Signup and view all the answers

What is the correct formula for converting Fahrenheit to Celsius?

<p>(°C = (°F - 32) \times \frac{5},{9}) (B)</p> Signup and view all the answers

What is the normal range for oxygen saturation?

<p>97.0% to 99.5% (A)</p> Signup and view all the answers

Which of the following is NOT a commonly used route for measuring body temperature?

<p>Axillary (A)</p> Signup and view all the answers

What is the normal range for respiratory rate in ventilations per minute (rpm)?

<p>12-20 rpm (B)</p> Signup and view all the answers

Which of the following is NOT a factor to assess in respiratory rate?

<p>Frequency (A)</p> Signup and view all the answers

What is the normal range for heart rate in beats per minute (bpm)?

<p>60-100 bpm (C)</p> Signup and view all the answers

Which of the following is NOT a pulse site commonly used to measure heart rate?

<p>Femoral (A)</p> Signup and view all the answers

What is the correct formula for calculating pulse deficit?

<p>Pulse deficit = Apical pulse - Radial pulse (D)</p> Signup and view all the answers

What is the correct formula for converting Fahrenheit to Celsius?

<p>C = (F - 32) / 1.8 (C)</p> Signup and view all the answers

Which of the following is NOT a method of charting?

<p>Cardex (C)</p> Signup and view all the answers

What is the purpose of the SBAR technique?

<p>To improve the effectiveness of communication through standardization (D)</p> Signup and view all the answers

What is the normal range for oxygen saturation?

<p>96-100% (C)</p> Signup and view all the answers

What is the normal range for body temperature in Celsius?

<p>35-37°C (A)</p> Signup and view all the answers

What does a CRT longer than 2 seconds suggest?

<p>Poor perfusion due to peripheral vasoconstriction (C)</p> Signup and view all the answers

Which pulse site is commonly used to measure blood pressure?

<p>Radial pulse (D)</p> Signup and view all the answers

What is the purpose of the Written Record?

<p>All of the above (D)</p> Signup and view all the answers

What is the equivalent temperature range for rectal measurement in Fahrenheit?

<p>99-101°F (B)</p> Signup and view all the answers

What is the equivalent temperature range for oral measurement in Fahrenheit?

<p>97-99°F (D)</p> Signup and view all the answers

Which of the following is NOT a method of charting?

<p>Source-oriented records (D)</p> Signup and view all the answers

What is the purpose of the SBAR technique?

<p>To improve the effectiveness of communication through standardization of communication process (B)</p> Signup and view all the answers

What is the normal range for heart rate in beats per minute (bpm)?

<p>60-100 bpm (A)</p> Signup and view all the answers

What is the normal range for oxygen saturation?

<blockquote> <p>95% (D)</p> </blockquote> Signup and view all the answers

What does a CRT longer than 2 seconds suggest?

<p>Poor perfusion due to peripheral vasoconstriction (D)</p> Signup and view all the answers

Which of the following is a method of charting that involves writing information about the client and client care in chronological order?

<p>Narrative charting (D)</p> Signup and view all the answers

What is the purpose of the SBAR technique?

<p>All of the above (D)</p> Signup and view all the answers

Which pulse site is commonly used during routine measurement of heart rate?

<p>Radial (A)</p> Signup and view all the answers

What does a CRT longer than 2 seconds suggest?

<p>Poor perfusion due to peripheral vasoconstriction (C)</p> Signup and view all the answers

Which of the following is a characteristic of Cheyne-Stokes respiration?

<p>Life-threatening breathing pattern characterized by alternating periods of apnea and deep rapid breathing (C)</p> Signup and view all the answers

What is the normal range for body temperature in Celsius?

<p>36.5-37.5°C (B)</p> Signup and view all the answers

What is the equivalent temperature range for rectal measurement in Fahrenheit?

<p>98.6-100.4°F (C)</p> Signup and view all the answers

What is the correct formula for calculating pulse deficit?

<p>Pulse deficit = Apical pulse rate - Radial pulse rate (A)</p> Signup and view all the answers

What does charting by exception involve?

<p>Charting only abnormal assessment findings or care that deviates from a standard norm (B)</p> Signup and view all the answers

What is a Kardex used for?

<p>Quick reference for current information centrally at the nursing station (A)</p> Signup and view all the answers

Flashcards

Reliable heart rate measurement

Auscultation is the most reliable method for measuring heart rate.

Common pulse site (heart rate)

Radial pulse is commonly used to measure heart rate.

Normal respiratory rate

The normal respiratory rate is 12-20 breaths per minute.

Blood pressure pulse site

Brachial pulse is used for blood pressure measurement.

Signup and view all the flashcards

Alternative pulse site

Temporal pulse is used when radial pulse is not accessible.

Signup and view all the flashcards

Leg Circulation pulse site

Femoral pulse is used to evaluate leg circulation.

Signup and view all the flashcards

Fever definition

Fever indicates an elevated body temperature.

Signup and view all the flashcards

Vital sign (not)

Oxygen saturation (SpO2) is not considered a vital sign.

Signup and view all the flashcards

Vital sign measurement frequency

Vital signs should be measured as part of routine patient care as needed.

Signup and view all the flashcards

Normal oral body temperature (F)

97.0°F to 99.5°F is the normal oral body temperature range.

Signup and view all the flashcards

Normal oral body temperature (C)

36.0°C to 37.5°C is the normal oral body temperature range in Celsius.

Signup and view all the flashcards

Common body temperature measurement site

Oral temperature measurement is a common clinical practice.

Signup and view all the flashcards

Axillary temperature (F)

Axillary measurement is about 97.5°F.

Signup and view all the flashcards

Tympanic temperature (C)

Tympanic measurement is about 36.4°C.

Signup and view all the flashcards

Hypotension characteristic

Hypotension is characterized by a sudden drop of 20-30 mmHg from the baseline blood pressure.

Signup and view all the flashcards

Normal oxygen saturation

Normal oxygen saturation range is 96-100%.

Signup and view all the flashcards

CRT > 2 seconds

A capillary refill time (CRT) longer than 2 seconds suggests poor perfusion.

Signup and view all the flashcards

Cheyne-Stokes respiration

Cheyne-Stokes is a life-threatening breathing pattern, alternating apnea and deep rapid breathing.

Signup and view all the flashcards

Pain scales used

Numerical scale and Wong-Baker FACES pain rating scale are common pain scales.

Signup and view all the flashcards

Medical record purpose

A medical record serves to document patient care and communicate with healthcare providers.

Signup and view all the flashcards

Respiratory rate calculation

Calculate respiratory rate by counting breaths per minute.

Signup and view all the flashcards

Systolic vs Diastolic BP

Systolic BP reflects ventricular contraction, diastolic BP reflects rest period.

Signup and view all the flashcards

SBAR technique purpose

SBAR facilitates clear communication among healthcare providers.

Signup and view all the flashcards

Study Notes

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

More Like This

Human Heart Anatomy Quiz
3 questions

Human Heart Anatomy Quiz

ExceedingTaiga avatar
ExceedingTaiga
Human Cardiovascular Physiology Quiz
19 questions

Human Cardiovascular Physiology Quiz

SafeMilwaukee avatar
SafeMilwaukee
Biology Quiz: Heart Rate & Anemia
5 questions

Biology Quiz: Heart Rate & Anemia

IndulgentSolarSystem6373 avatar
IndulgentSolarSystem6373
Physiologie Cardiaque - Volume et Fréquence
45 questions

Physiologie Cardiaque - Volume et Fréquence

ProudInsight1524 avatar
ProudInsight1524
Use Quizgecko on...
Browser
Open
Browser
Browser