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Vital Signs and Basic Assessment Flashcards

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  1. A resting heart rate above 100 beats per minute in an adult is termed:

    Answer: Tachycardia

    Tachycardia is defined as a heart rate exceeding 100 bpm at rest and may indicate fever, dehydration, pain, cardiac conditions, or other underlying problems.

  2. A blood pressure of 180/120 mmHg is classified as a hypertensive crisis. What is the priority action?

    Answer: Notify the nurse or provider immediately for urgent evaluation

    A reading of 180/120 mmHg or higher is a hypertensive crisis requiring immediate clinical evaluation to prevent end-organ damage.

  3. An adult patient has a temperature of 104°F (40°C). What is the most appropriate priority action?

    Answer: Notify the nurse or physician and initiate cooling measures as ordered

    A temperature of 104°F indicates high-grade fever requiring prompt notification and active cooling measures to prevent febrile seizures or organ damage.

  4. A respiratory rate of 28 breaths per minute in a resting adult is classified as:

    Answer: Tachypnea

    Tachypnea is defined as a respiratory rate above 20 breaths per minute at rest; it may indicate respiratory distress, fever, anxiety, or metabolic acidosis.

  5. Hypotension in adults is generally defined as a systolic blood pressure below:

    Answer: 90 mmHg

    Hypotension is typically defined as systolic BP below 90 mmHg, though clinical context and the patient's baseline must also be considered.

  6. A pulse oximetry reading of 88% in a patient breathing room air indicates:

    Answer: Significant hypoxemia requiring immediate intervention

    An SpO₂ of 88% represents significant hypoxemia; supplemental oxygen and immediate clinical assessment are required to prevent respiratory failure.

  7. An adult heart rate of 48 beats per minute at rest, without symptoms, is classified as:

    Answer: Bradycardia

    Bradycardia is a heart rate below 60 bpm; while it can be normal in well-trained athletes, it always warrants documentation and clinical correlation.

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