Vital Signs

Question 1

What are the 6 vital signs

Answer 1

temperature
pulse
blood pressure
respirations
oxygen saturation
— pain assessment is considered the 6th

Question 2

Nurses are responsible for ______ and_____ vital signs.

Answer 2

Measuring
analyzing

Question 3

Do you document if the vitals are on baseline?

Answer 3

Yes

Question 4

Why Is It Necessary To Check Vital Signs?

Answer 4

-Establish baseline
-Monitor client’s condition
-Evaluate and response to treatment
-Identify actual or potential health problems

Question 5

What is temperature?

Answer 5

Body temperature is the difference between the amount of heat produced by body processes and the amount of heat lost to the external environment.

Question 6

What is the normal core temperature?

Answer 6

35.8 to 37.3°

Question 7

What are you also assessing for when taking temperature of a client?

Answer 7

Skin
Behavior
Respirations
Level of activity
Clients perceptions

Question 8

What is a pulse?

Answer 8

The pulse is the palpable bounding of the blood flow.

Question 9

What is the goal of taking a pulse?

Answer 9

to assess the integrity of the cardiovascular system

Question 10

______ and ______ arteries are commonly used.

Answer 10

Radial and carotid

Question 11

What is the normal range for pulse?

Answer 11

50-90-100/min

Question 12

In the pulse assessment how three things are doumented?

Answer 12

Rate- per minute
Rhythm-regular or irregular
Force- strong/normal

Question 13

The vital signs include _____ , _____ , _____ , _____ , _____ , and _____ .

Answer 13

temperature, pulse, blood pressure, respirations, oxygen saturation, pain

Question 14

Patients should be informed of _____ .

Answer 14

Their vital signs

Question 15

Nurses must be sensitive to _____ for privacy due to cultural norms.

Answer 15

Each patient needs

Question 16

_____ may sometimes produce anxiety due to cultural variables.

Answer 16

Noninvasive procedures

Question 17

Deep breathing and talking can affect _____ .

Answer 17

Blood pressure

Question 18

_____ ensures accurate results when taking vital signs.

Answer 18

Systematic approach

Question 19

The nurse should know the patient’s baseline measurements to determine _____ and _____ .

Answer 19

abnormalities, nursing diagnoses

Question 20

The most reliable assessment of cardiac function is the _____ .

Answer 20

Apical Pulse

Question 21

The three processes of respiration are _____ , _____ , and _____ .

Answer 21

ventilation, diffusion, perfusion

Question 22

Blood pressure is defined as the force by blood on _____ .

Answer 22

Vessel walls

Question 23

Hypertension is defined as a blood pressure greater than _____ .

Answer 23

140/90 mm Hg

Question 24

_____ is defined as a systolic blood pressure less than 90 mm Hg.

Answer 24

Hypotension

Question 25

_____ measures arterial blood oxygen saturation.

Answer 25

Pulse oximetry

Question 26

Normal SpO2 levels are greater than ___%

Answer 26

are greater than 95%.

Question 27

A clinical emergency in terms of _____ occurs when levels are less than 90%.

Answer 27

Sp02

Question 28

Hypertension is defined as a systolic blood pressure (SBP) of 140 or higher and a diastolic blood pressure ( _____ ) of 90 or higher.

Answer 28

Dbp