Unit 4 Vital Signs

Front 1

how often should you come in for a physical?

Back 1

annualy

Front 2

The determination of the cause and nature of a disease

Back 2

diagnosis

Front 3

the determination of the cause and nature of a disease after all tests, procedures, and examinations

Back 3

medical diagnosis

Front 4

this is also called "working diagnosis"

Back 4

clinical diagnosis

Front 5

a preliminary presumptive diagnosis made by the physician based on the health history and physical examination

Back 5

clinical diagnosis

Front 6

the determination of which of several diseases is the cause of a problem

Back 6

differential diagnosis

Front 7

the prediction of the course of a disease and the recovery rate

Back 7

prognosis

Front 8

the patient's medical history is a legal document (true/false)

Back 8

true

Front 9

the patient's bill of rights reminds health care workers that patients have the right to ______, ______

Back 9

respectful, considerate care

Front 10

the federal government's _______ mandates that facilities make every effort to preserve confidentiality of patient information

Back 10

HIPAA - health insurance portability and accountability act

Front 11

the patient history should include the following six areas:

Back 11

1. chief complaint
2. present illness
3. past medical history
4. familty medical history
5. social history or personal history
6. assessment of body system preformed by physician

Front 12

complaints that are felt by a patient but are not apparent to observers or measurable

Back 12

subjective symptoms

Front 13

what the patient tells you whether you can measure it or not

Back 13

subjective symptoms

Front 14

complaints that are felt by the patient and are apparent to observers, such as rash or fever, and they can be measured

Back 14

objective symptoms

Front 15

a more complete chief complaint, including a detailed description of symptoms, is called

Back 15

present illness (PI)

Front 16

what are the six C's of charting

Back 16

1. client's own words in quotes
2. clarity must be used, proper spelling and medical terminology
3. completeness is essential for all information recorded in the medical record
4. conciseness of the entry saves time both writing and reading entries in the chart
5. chronological order of information is imperative
6. confidentiality of patient information is mandatory

Front 17

for correct documentation you must date and time every entry (true / false)

Back 17

true

Front 18

you must use dark ink on documentation (true / false)

Back 18

true

Front 19

you must sign or initial every entry on health documentation true / false

Back 19

true

Front 20

correct errors by whiting out entry and initializing it (true / false)

Back 20

false - single line and initial

Front 21

to convert kilograms to pounds
1kg = ?lbs

Back 21

2.2

Front 22

convert pounds to kilograms
1 lb = ? kg

Back 22

0.45

Front 23

the science of size, proportion, weight, and height

Back 23

anthropometry

Front 24

a patient's height is measured while wearing shoes, with the heel, buttocks, and back of head touching measuring stick
(true / false)

Back 24

false - no shoes

Front 25

to convert centimeters to inches divide by -

Back 25

2.5

Front 26

the pulse, blood pressure, body temperature, and rate, rhythm, and depth of respirations

Back 26

vital signs

Front 27

T, P, R, BP =

Back 27

vital signs

Front 28

this is considered the fifth vital sign

Back 28

pain

Front 29

the sum of all physical and chemical changes that take place within the human body

Back 29

metabolism

Front 30

4 specific enzymes required to maintain metabolism are

Back 30

amino acids, carbohydrates, vitamins, and essential trace minerals

Front 31

this controls the autonomic nervous system and body temperature

Back 31

hypothalamus

Front 32

normal body temp is ?F

Back 32

98.6

Front 33

body temp may vary _ or _ degrees during the day

Back 33

1 or 2

Front 34

another term for fever is

Back 34

pyrexia

Front 35

a body temp above 100.4 degrees

Back 35

pyrexia (fever)

Front 36

having a body temp above 100.4 at which point the body is producing more heat than it is losing

Back 36

febrile

Front 37

absense of fever

Back 37

afebrile

Front 38

name 4 types of fever

Back 38

1. intermitent
2. remittent
3. relapsing
4. constant

Front 39

body temperature alternates between fever and normal or subnormal

Back 39

intermittent fever

Front 40

wide range of temp fluctuations over a 24hr period

Back 40

remittent fever

Front 41

short febrile periods of a few days with a few days of normal temp readings

Back 41

relapsing fever

Front 42

body temp fluctuates small amount but is always above normal

Back 42

constant fever

Front 43

body temp below 97 degrees is called

Back 43

hypothermia

Front 44

hypothermia menas the body temp has dropped below __degrees

Back 44

97 degrees

Front 45

a fatal body temp is below __degrees

Back 45

93.2 degrees

Front 46

4 places to take body temp

Back 46

oral, aural (tympanic), axillary (under arm), rectal

Front 47

oral and aural normal body temp is __degrees

Back 47

98.6 degrees

Front 48

normal axillary body temp is __degrees

Back 48

97.6 degrees

Front 49

normal rectal body temp is __degrees

Back 49

99.6 degrees

Front 50

the least accurate spot to measure body temp is

Back 50

axillary (under arm)

Front 51

the most accurate place to take body temp is

Back 51

rectal

Front 52

state the formula to convert farenheit and celcius

Back 52

9c=5f-160

Front 53

when reading a non-mercury glass thermometer, it should be held how?

Back 53

between thumb and index finger, at eye level, by the stem end

Front 54

the non-mercury glass thermometer must be cleaned and _____ after each use

Back 54

soaked in a disinfectant

Front 55

the tympanic thermometer is almost as accurate as a rectal thermometer (true/false)

Back 55

true

Front 56

measurement of the number of times the heart beats per minute

Back 56

pulse

Front 57

a pulse rate of __ to __ is normal

Back 57

60 to 80 bpm

Front 58

a pulse above 100 bpm is ___

Back 58

tachycardia

Front 59

a pulse below 60 bpm is ____

Back 59

bradycardia

Front 60

tachycardia is a pulse rate above ___ bpm

Back 60

100 bpm

Front 61

bradycardia is a pulse below ___ bpm

Back 61

60 bpm

Front 62

an increased volume or force in the pulse

Back 62

bounding pulse

Front 63

barely perceptible volume or force in the pulse

Back 63

thready pulse

Front 64

name the nine areas you can get a pulse

Back 64

1. radial 2. brachial 3. carotid 4. temporal 5. fermoral 6. popliteal 7. posterior 8. dorsalis 9. apical

Front 65

radial pulse is on __ side of wrist

Back 65

thumb side

Front 66

inner aspect of elbow pulse

Back 66

brachial pulse

Front 67

side of neck pulse

Back 67

carotid

Front 68

side of head above ear pulse

Back 68

temporal

Front 69

groin pulse

Back 69

femoral

Front 70

behind the knee pulse

Back 70

popliteal pulse

Front 71

medial surface of ankle near tibial ankle bone pulse

Back 71

posterior

Front 72

on top of foot pulse

Back 72

dorsalis

Front 73

apex of heart left of sternum below nipple pulse

Back 73

apical

Front 74

this pulse is taken in infants and young children, and requires __ people

Back 74

apical, 2 people

Front 75

the difference between the radial pulse and the apical pulse

Back 75

pulse deficit

Front 76

the normal range of respiratinos is __ to __ cycles per minute

Back 76

14 to 20

Front 77

a respiratory rate below 12 is called

Back 77

bradypnea

Front 78

a respiratory rate above 40 is called

Back 78

tachypnea

Front 79

bradypnea is a respiratory rate below __

Back 79

12

Front 80

tachypnea is a respiratory rate above __

Back 80

40

Front 81

lack of breathing is called

Back 81

apnea

Front 82

normal breathing is called

Back 82

eupnea

Front 83

difficulty breathing is called

Back 83

dyspnea

Front 84

this refers to the volume of air being inhaled and exhaled

Back 84

depth of respiration

Front 85

this refers to deep rapid respirations

Back 85

hyperventilation

Front 86

this refers to shallow respiration

Back 86

hypoventilation

Front 87

condition in which a patient does not take in enough oxygen during inhalation

Back 87

cyanosis

Front 88

a shrill, harsh sound heard more clearly during inspiration

Back 88

stridor

Front 89

noisy breathing such as those heard in snoring

Back 89

stertorous sounds

Front 90

sounds resembling crushing tissue paper, caused by fluid accumulation

Back 90

crackles or rales

Front 91

sounds caused by fluid accumulation which do not clear

Back 91

crackles or rales

Front 92

rattling, whistling sounds, sometimes heard in patients with a tracheostomy, which clears

Back 92

rhonchi, aka gurgles

Front 93

irregular breathing that may be slow and shallow at first, then becomes faster and deeper, then may stop before beginning pattern again

Back 93

cheyne-stokes breathing

Front 94

this is not a breathing sound but a pattern

Back 94

cheyne-stokes breathing

Front 95

this breathing sounds like gurgling sounds

Back 95

bubbling breathings

Front 96

normal oxygen saturation is from __ to __ percent

Back 96

95 to 100 percent

Front 97

below __ percent oxygen saturation is life threatening

Back 97

70 percent

Front 98

means without symptoms

Back 98

asymptomatic

Front 99

blood pressure is __ over __

Back 99

systolic over diastolic

Front 100

blood pressure readings should routinely be started at age __

Back 100

5

Front 101

normal blood pressure is __ over __ or below

Back 101

119/79

Front 102

prehypertension is __/__ to __/__

Back 102

120/80 to 139/89

Front 103

hypertension is __/__ or above

Back 103

140/90

Front 104

average normal blood pressure for a newborn is __/__

Back 104

75/55

Front 105

average normal blood pressure for a child 6-9 yrs of age is __/__

Back 105

90/55

Front 106

average normal blood pressure for a child 10-15 yrs of age is __/__

Back 106

100/65

Front 107

average normal blood pressure for a person 16 yrs to adulthood __/__

Back 107

118/76

Front 108

average normal blood pressure for an adult is __/__

Back 108

120/80

Front 109

this refers to the lowered blood pressure that occurs when a patient moves from a lying down to an erect position

Back 109

orthostatic hypotension

Front 110

a hemorrhage causes volume and blood pressure to ___

Back 110

drop

Front 111

cholesterol deposits result in __ blood pressure due to narrowing of the lumen

Back 111

high

Front 112

a weak heart muscle can cause a ___ or ___ in blood pressure

Back 112

increase or decrease

Front 113

nonelastic blood vessels, as in arteriosclerosis cause an ___ blood pressure

Back 113

elevated

Front 114

the components of this instrument are manometer, inflatable rubber bladder, cuff, and bulb

Back 114

sphygmomanometer

Front 115

this instrument consists of a chestpiece containing a deaphragm and a bell, tubing, binaurals, and earpieces

Back 115

stethoscope

Front 116

the feeling of the radial pulse while the blood pressure cuff is deflating, used to determine systolic pressure

Back 116

palpatory method

Front 117

the universal symptom is

Back 117

pain

Front 118

name the six kinds of pain

Back 118

1. acute 2. chronic 3. radiating 4. referred 5. intractable 6. phantom

Front 119

pain associated with trauma or surgery that is to be expected and lasts through the recovery

Back 119

acute pain

Front 120

long term pain, persisting for more than six months

Back 120

chronic pain

Front 121

cholesterol deposits result in __ blood pressure due to narrowing of the lumen

Back 121

high

Front 122

a weak heart muscle can cause a ___ or ___ in blood pressure

Back 122

increase or decrease

Front 123

nonelastic blood vessels, as in arteriosclerosis cause an ___ blood pressure

Back 123

elevated

Front 124

the components of this instrument are manometer, inflatable rubber bladder, cuff, and bulb

Back 124

sphygmomanometer

Front 125

this instrument consists of a chestpiece containing a deaphragm and a bell, tubing, binaurals, and earpieces

Back 125

stethoscope

Front 126

the feeling of the radial pulse while the blood pressure cuff is deflating, used to determine systolic pressure

Back 126

palpatory method

Front 127

the universal symptom is

Back 127

pain

Front 128

name the six kinds of pain

Back 128

1. acute 2. chronic 3. radiating 4. referred 5. intractable 6. phantom

Front 129

cholesterol deposits result in __ blood pressure due to narrowing of the lumen

Back 129

high

Front 130

pain associated with trauma or surgery that is to be expected and lasts through the recovery

Back 130

acute pain

Front 131

a weak heart muscle can cause a ___ or ___ in blood pressure

Back 131

increase or decrease

Front 132

long term pain, persisting for more than six months

Back 132

chronic pain

Front 133

nonelastic blood vessels, as in arteriosclerosis cause an ___ blood pressure

Back 133

elevated

Front 134

cholesterol deposits result in __ blood pressure due to narrowing of the lumen

Back 134

high

Front 135

the components of this instrument are manometer, inflatable rubber bladder, cuff, and bulb

Back 135

sphygmomanometer

Front 136

a weak heart muscle can cause a ___ or ___ in blood pressure

Back 136

increase or decrease

Front 137

this instrument consists of a chestpiece containing a deaphragm and a bell, tubing, binaurals, and earpieces

Back 137

stethoscope

Front 138

the feeling of the radial pulse while the blood pressure cuff is deflating, used to determine systolic pressure

Back 138

palpatory method

Front 139

nonelastic blood vessels, as in arteriosclerosis cause an ___ blood pressure

Back 139

elevated

Front 140

cholesterol deposits result in __ blood pressure due to narrowing of the lumen

Back 140

high

Front 141

the components of this instrument are manometer, inflatable rubber bladder, cuff, and bulb

Back 141

sphygmomanometer

Front 142

the universal symptom is

Back 142

pain

Front 143

name the six kinds of pain

Back 143

1. acute 2. chronic 3. radiating 4. referred 5. intractable 6. phantom

Front 144

a weak heart muscle can cause a ___ or ___ in blood pressure

Back 144

increase or decrease

Front 145

this instrument consists of a chestpiece containing a deaphragm and a bell, tubing, binaurals, and earpieces

Back 145

stethoscope

Front 146

pain associated with trauma or surgery that is to be expected and lasts through the recovery

Back 146

acute pain

Front 147

the feeling of the radial pulse while the blood pressure cuff is deflating, used to determine systolic pressure

Back 147

palpatory method

Front 148

nonelastic blood vessels, as in arteriosclerosis cause an ___ blood pressure

Back 148

elevated

Front 149

long term pain, persisting for more than six months

Back 149

chronic pain

Front 150

the components of this instrument are manometer, inflatable rubber bladder, cuff, and bulb

Back 150

sphygmomanometer

Front 151

the universal symptom is

Back 151

pain

Front 152

cholesterol deposits result in __ blood pressure due to narrowing of the lumen

Back 152

high

Front 153

name the six kinds of pain

Back 153

1. acute 2. chronic 3. radiating 4. referred 5. intractable 6. phantom

Front 154

this instrument consists of a chestpiece containing a deaphragm and a bell, tubing, binaurals, and earpieces

Back 154

stethoscope

Front 155

a weak heart muscle can cause a ___ or ___ in blood pressure

Back 155

increase or decrease

Front 156

pain associated with trauma or surgery that is to be expected and lasts through the recovery

Back 156

acute pain

Front 157

the feeling of the radial pulse while the blood pressure cuff is deflating, used to determine systolic pressure

Back 157

palpatory method

Front 158

nonelastic blood vessels, as in arteriosclerosis cause an ___ blood pressure

Back 158

elevated

Front 159

long term pain, persisting for more than six months

Back 159

chronic pain

Front 160

the universal symptom is

Back 160

pain

Front 161

the components of this instrument are manometer, inflatable rubber bladder, cuff, and bulb

Back 161

sphygmomanometer

Front 162

name the six kinds of pain

Back 162

1. acute 2. chronic 3. radiating 4. referred 5. intractable 6. phantom

Front 163

this instrument consists of a chestpiece containing a diaphragm and a bell, tubing, binaurals, and earpieces

Back 163

stethoscope

Front 164

pain associated with trauma or surgery that is to be expected and lasts through the recovery

Back 164

acute pain

Front 165

the feeling of the radial pulse while the blood pressure cuff is deflating, used to determine systolic pressure

Back 165

palpatory method

Front 166

long term pain, persisting for more than six months

Back 166

chronic pain

Front 167

the universal symptom is

Back 167

pain

Front 168

name the six kinds of pain

Back 168

1. acute 2. chronic 3. radiating 4. referred 5. intractable 6. phantom

Front 169

pain associated with trauma or surgery that is to be expected and lasts through the recovery

Back 169

acute pain

Front 170

long term pain, persisting for more than six months

Back 170

chronic pain

Front 171

pain that spreads out from an originating area

Back 171

radiating pain

Front 172

pain that is overwhelming, difficult to relieve, and all consuming

Back 172

intractable pain

Front 173

a sensation felt in a missing body part after it has been removed

Back 173

phantom pain

Front 174

measurement of body fat involving special skin calipers

Back 174

skin-fold fat measurement

Front 175

patient's weight divided by the patient's height gives you the ___

Back 175

BMI - body mass index