ATI- Vital Signs Test Questions with Complete Solutions

ATI- Vital Signs Test Questions with Complete Solutions When auscaltating a pt's apical pulse, you listen until you hear the S1 and S2 heart sounds clearly and regularly. S2 is produced when the semilunar valve closes When preparing to use a tympanic thermometer, what step is most important for accuracy?> gently pulling the pinna up and back. When assessing a newly admitted pt, establish an accurate baseline for respirations by... observing the pt's chest movements while appearing to assess his pulse. What could affect your process of taking v/s? if the pt is 60 lbs over weight. pt with a stuffy nose pt on digoxin pt with mastectomy When assessing a pt's respirations, it is recommended that the pt have the head of the bed elevates 45-60 degrees. Where is the PMI aka apical pulse located? at the 5th intercostal space as the left midclavicular line. The difference between a pt's systolic and diastolic BP is called the pulse pressure The best way to determine the depth of a pt's respirations is to... observe the degree of chest-wall movement during inspiration and expiration. When taking an adults rectal temperature insert the probe about an inch and a half into the pt;s anus. the most important part in measuring the BP accurately is using a cuff of the appropriate sizw What do you expect with an elevated temperature elevated pulse Why is it important to hear the 4th korotkoff sound? the 5th sound might not be audible Which V/s should you attend to first? RR 30/min When measuring a pt's temo orally, where do you place the probe? in the posterior lingual pocket lateral to the midline. Antipryetic reduces fever Apnea cessation of creating Ausculatory gap pertaining to the axilla, the cavity beneath the junction of a forelimb and the body, also called the armpit or the underarm Brachial pulse pulse at elbow Bradycardia pulse under 60 bpm Cardiac output the amount of blood pumped into the arteries by the heart during one minute. the product of the heart rare and stroke volume. Celsius relating to the international thermometric scale on which 0 degree is one freezing point and 100 degrees is the boiling point, centigrade core temperature the amount of heat in the deep tissue and structures of the body, such as liver Diastolic pressure the force exerted when the heart is at rest in between each beat. the lowest pressure exerted against the arterial walls at all times. Dyspnea difficult or labored breathing Eupnea normal respirations Febrile feverish, pertaining to fever Fever an elevated body temperature Hypertension a common cardiovascular disorder, often with no symptoms, in which the blood exerts an abnormal amount of force on the inside walls of the arteries persistently and blood pressure readings are elevated Hypotension a condition in which blood pressure falls below the normal range; not usually considered a problem unless it causes symptoms, such as dizziness or fainting Korotkoff sounds a series of five sounds (four sounds followed by an absence of sound) heard during the auscultatory determination of blood pressure and produced by sudden distention of the artery because of the proximally placed pneumatic cuff Orthopnea ability to breathe without difficulty only when in an upright position Orthostatic hypotension sudden drop in BP resulting from a change imposition, usually hen standing up from a sitting or reclining position and often causing dizziness Oximetry determination of the oxygen saturation of arterial blood using a photoelectric device called an oximeter Oxygen saturation a clinical measurement of the percentage of hemoglobin that is bound with oxygen in the blood Pulse deficit the difference between the apical and the radial pulse rates Pulse pressure the differences between the systolic and the diastolic blood pressure S1 the first heart sound, heard when the atrioventricular (mitral/tricuspid)valve close S2 the second heart sound, heard when the semilunar (aortic and pulmonic) valves close Stroke volume the amount of blood entering the aorta with each ventricular contraction Systolic pressure the amount of force exerted within the arteries while the heart is actively pumping or contracting. the maximum pressure exerted against the arterial wall.