Unit 4

Question 1

What are the 7 vital signs & why are these important to RA’s

Answer 1

1. Heart Rate
2. BP (Blood Pressure).
3. RR (Respiratory Rate).
4. O2 Saturation.
5. Body Temperature.
6. Pain.
7. Exertion

Vital signs are an indicator of general health & physiological status “signs that show life’

Question 2

What are 3 other signs that could be important in rehabilitation?

Answer 2

Height
Weight
Walking speed

Question 3

What would you include in a chart entry when you have measured a client’s HR?

Answer 3

Beats per minute
Age
Pulse point (radial or carotid)
Quality of pulse (regular or ampltude)
Past Medical History (PMHX) 
Treatment (tx) currently 
Clients condition

Question 4

What is a normal pulse rate for an adult? Is a child’s typically slower or faster?

Answer 4

60-100 bpm (Adult)
100-130 bpm (new borns)
80-120 bpm (1-7 yr old)

A child’s is faster

Question 5

What pulse point do we usually use to measure a client’s pulse at rest & during activity?

Answer 5

Radial

Question 6

What are 4 factors that affect HR

Answer 6

1. Age (Over 65 = lower HR)
2. Gender
3. Environment
4. Infection

Question 7

What is the upper number in the measurement of BP? What does it mean?

Answer 7

Systolic Pressure.
It is the pressure exerted by blood against arterial walls when the heart is contracting.
Diastolic - same as above but heart is not contracting

Question 8

What is considered to be normal BP for an adult?

Answer 8

130/80

Question 9

Is a child’s BP typically higher or lower than an adult?

Answer 9

Lower

Question 10

What is considered hypertension?

Answer 10

Greater than 140/90

Question 11

How can we minimize inaccuracy when measuring RR?

Answer 11

By not telling the client you are counting.

And by not counting long enough

Question 12

What can cause an increase RR?

Answer 12

Physical activity.
Being very young (0-3) or elderly (65+).
Poor air quality

Question 13

What body temperature is considered a fever?

Answer 13

99.3 of/ 38oC or higher

Question 14

Why is pain hard to measure?

Answer 14

It is very subjective

Question 15

What is the name of one tool used to measure the quantity of a client’s pain?

Answer 15

Initial pain assessment tool

Question 16

T or F: Pulse oximetry is a very accurate way in which to measure the level of oxygen in blood?

Answer 16

False:

Taking a blood sample is more accurate

Question 17

What is the borg scale? When would you use it?

Answer 17

Measure exertion based on clients perception using a 6-20 point scale on how hard it is to exercise. (Used when the client is exercising).

Question 18

What is the dyspnea scale? how is it different from the Borg scale?

Answer 18

Dyspnea scale is a 4 point scale based on client perception & observer evaluation.
It differs from the borg scale b/c instead of only the clients perception, observer evaluation is also used.
Dyspnea uses a 4 point scale where as borg is a 6-20 scale.

Question 19

What is a safe HR to mobilize?

Answer 19

Over 40

Under 130

Question 20

What is a safe RR to mobilize?

Answer 20

Over 5

under 40

Question 21

What is a normal O2 Saturation?

Answer 21

98-100%

Question 22

Pain scales: Numeric

Answer 22

On a scale of 1-10, as a percentage

Question 23

VAS

Answer 23

Visual analogue scale

Question 24

Pictures of…

Answer 24

faces (Pain faces scale)