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Vital Signs Examination Chapter 2

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38 Questions

What do vital signs collectively represent?

Indicators of the body's physiological status and response to physical activity, environmental conditions, and emotional stressors

What is hypoxemia often associated with?

Pulmonary disorders that impair ventilation of the lungs

What do variations in vital signs indicate?

Some change in the patient's physiological status has occurred

What is pulse oximetry used to monitor?

Hypoxemia

Why is accuracy essential in vital signs?

Because many important clinical decisions are based on these measures

What is referred to as cardinal signs?

Vital signs

What is an example of a test used to characterize or quantify circulatory status?

Pulse oximetry

What do vital signs provide?

Quantitative measures of the status of the cardiovascular/pulmonary system

What is the primary purpose of measuring vital signs in a physical therapy setting?

To provide important data about the status of the cardiovascular/pulmonary system

What is the recommended element for documentation of vital signs data?

Describing the recommended elements for documentation

What is the term used to describe the level of oxygen saturation in arterial blood?

Arterial oxygen saturation levels

What is the primary factor that influences heart rate?

Cardiovascular/pulmonary practice patterns

What is the purpose of measuring popliteal blood pressure?

To provide important data about the status of the cardiovascular/pulmonary system

What is the term used to describe the sounds heard during blood pressure measurement?

Korotkoff's sounds

What is the rationale for using pulse oximetry in the presence of unstable hemoglobin oxygenation levels?

To ensure accurate measurement of vital signs

What is the primary vital sign that is not considered a primary vital sign?

Pulse oximetry

What is the primary reason for including vital sign measures in the patient examination?

To assign a diagnostic label and determine the prognosis

Which of the following is a factor that influences body temperature?

Culture and ethnicity

What is the primary function of the thermoregulatory system?

To regulate body temperature

What is the purpose of measuring hemoglobin oxygenation?

To assess the patient's respiratory function

What is the term used to describe the process of measuring vital signs?

Patient observation

What is the primary purpose of monitoring respiratory patterns?

To assess the patient's respiratory function

What is the term used to describe the process of regulating blood pressure?

Blood pressure regulation

What is the purpose of differentiating between normal and abnormal vital sign values?

To identify potential health problems

What is the primary purpose of taking vital sign measures in physical therapy?

To assist in making clinical judgments and determine which vital signs to measure

Who is responsible for evaluating and determining the significance of vital sign data?

Physical therapist

What is the purpose of normative vital sign data?

To provide a range of normal values for comparison

At which intervals should a physical therapist evaluate patient progress?

At periodic intervals during an episode of care

What is the primary purpose of assigning a diagnostic label and classifying patient findings?

To assign a specific practice pattern

Who can take vital sign measures?

A physical therapist or a physical therapist assistant (PTA)

What is the purpose of reexamination during an episode of care?

To evaluate patient progress

What is the ultimate goal of selecting specific interventions in physical therapy?

To achieve anticipated goals and expected outcomes

What is the normal respiratory rate for a 3-year-old?

16-22 breaths/min

What is the normal temperature range for a newborn in Celsius?

37-37.7

What is the normal systolic blood pressure range for a 10-year-old?

90-132 mmHg

What is the normal diastolic blood pressure range for a newborn?

25-30 mmHg

What is the normal pulse rate range for a 16-year-old?

55-100 beats/min

What is the normal temperature range for an adult in Fahrenheit?

96.8-99.5°F

Study Notes

Vital Signs and Physical Therapy

  • Vital signs are measures that provide important data about the status of the cardiovascular/pulmonary system.
  • Vital signs include body temperature, heart (pulse) rate, respiratory rate, and blood pressure.
  • Pulse oximetry is an important related measure that provides information on arterial blood (hemoglobin) oxygen saturation levels.

Importance of Vital Signs in Physical Therapy

  • Vital signs are essential for physical therapists to make clinical decisions.
  • Vital signs help physical therapists to:
    • Assign a diagnostic label and classify patient findings.
    • Determine the prognosis and plan of care.
    • Evaluate patient progress.
    • Determine the effectiveness of selected interventions.
    • Decide if a referral to another practitioner is warranted.

Normative Vital Signs Data

  • Normative data are typically presented as averages or ranges of values for each age group.
  • Table 2.1 provides normative vital signs data for various ages, including temperature, pulse rate, respiratory rate, and blood pressure.
  • Table 2.2 provides normative vital signs data for adults, including temperature, pulse rate, respiratory rate, and blood pressure.

Physical Therapist's Role in Vital Signs Examination

  • The physical therapist is responsible for determining which vital signs should be measured and the frequency of measurement.
  • The physical therapist evaluates and determines the significance of the data.
  • Taking vital sign measures may be delegated to a physical therapist assistant (PTA) or other support personnel.

This quiz covers the importance of vital signs in patient examination, including normal values and alterations. It also explores the relevance of vital signs data to patient assessment.

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