Vital Signs Flashcards
What are the 6 vital signs
temperature
pulse
blood pressure
respirations
oxygen saturation
— pain assessment is considered the 6th
Nurses are responsible for ______ and_____ vital signs.
Measuring
analyzing
Do you document if the vitals are on baseline?
Yes
Why Is It Necessary To Check Vital Signs?
-Establish baseline
-Monitor client’s condition
-Evaluate and response to treatment
-Identify actual or potential health problems
What is temperature?
Body temperature is the difference between the amount of heat produced by body processes and the amount of heat lost to the external environment.
What is the normal core temperature?
35.8 to 37.3°
What are you also assessing for when taking temperature of a client?
Skin
Behavior
Respirations
Level of activity
Clients perceptions
What is a pulse?
The pulse is the palpable bounding of the blood flow.
What is the goal of taking a pulse?
to assess the integrity of the cardiovascular system
______ and ______ arteries are commonly used.
Radial and carotid
What is the normal range for pulse?
50-90-100/min
In the pulse assessment how three things are doumented?
Rate- per minute
Rhythm-regular or irregular
Force- strong/normal
The vital signs include _____ , _____ , _____ , _____ , _____ , and _____ .
temperature, pulse, blood pressure, respirations, oxygen saturation, pain
Patients should be informed of _____ .
Their vital signs
Nurses must be sensitive to _____ for privacy due to cultural norms.
Each patient needs
_____ may sometimes produce anxiety due to cultural variables.
Noninvasive procedures
Deep breathing and talking can affect _____ .
Blood pressure
_____ ensures accurate results when taking vital signs.
Systematic approach
The nurse should know the patient’s baseline measurements to determine _____ and _____ .
abnormalities, nursing diagnoses
The most reliable assessment of cardiac function is the _____ .
Apical Pulse
The three processes of respiration are _____ , _____ , and _____ .
ventilation, diffusion, perfusion
Blood pressure is defined as the force by blood on _____ .
Vessel walls
Hypertension is defined as a blood pressure greater than _____ .
140/90 mm Hg
_____ is defined as a systolic blood pressure less than 90 mm Hg.
Hypotension
