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NUR 109 VITAL SIGNS EXAM 1 QUESTIONS WITH CORRECT ANSWERS

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NUR 109 VITAL SIGNS EXAM 1 QUESTIONS WITH CORRECT ANSWERS

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Respiration: inhalation & Exhalation. What is respiratory rate?


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Inhalation - expansion of lungs; diaphragm contracts & pulls down=> air
moves into lungs
•Active: 1 to 1.5 seconds

Exhalation - diaphragm & inter-costal muscles relax => air is expelled
•Passive: takes 2/3 seconds

1 Breath = 1 inhalation and 1 exhalation

Respiratory Rate = Number breaths/minute




Ways to decrease temperature


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, •Vasodilation; sweating




Assessment of pulse: define: palpation and auscultation


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•Palpation - feel
•Peripheral pulses

•Auscultation - listen with stethoscope
•Apical pulse




orthostatic hypotension (postural hypotension)


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•AKA: Postural Hypotension
•How to Measure:
•Client supine: Take BP & HR
•Client siting up/standing for approx. 2-3 min: Retake
•Normal Results:
•SBP doesn't vary by > 20 points
•DBP doesn't vary by > 10 points
•Why?
•Assess for hypovolemia and/or dizziness/syncope




What are the pulse access points?


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, •Radial
•Pedal
•Dorsalis pedis
•Posterior tibial
•Brachial
•Palpate when measuring BP
•Carotid
•Popliteal
•Femoral




Pulse character: rate


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# Beats per minute (BPM) palpated or auscultated

Norm: 60-100 bpm
•Bradycardia? Tachycardia?




Define blood pressure


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Blood pressure-
the amount of force exerted by the blood on the peripheral arterial walls
(the difference between systolic and diastolic)
Systolic - diastolic
Should be no more than 1/3 of systolic




Sites for measuring true core temperature. What is the GOLD Standard?

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