Vital Signs (Alford)

Question 1

When should you obtain vital signs?

Answer 1

admission, per policy or orders, change in condition, change in level of consciousness, pre- and post-op, prior to administering certain medications

Question 2

what is normal temperature?

Answer 2

97-99 F
100.4 or greater = fever

Question 3

what is a normal pulse rate?

Answer 3

60-100 bpm

Question 4

what is a normal respiratory rate?

Answer 4

12-20 bpm

Question 5

what is normal blood pressure?

Answer 5

120/80 mm Hg

Question 6

what is normal O2 sat?

Answer 6

95-100%

Question 7

what are some things that can cause your temperature to go up?

Answer 7

infection, heat exhaustion, sunburn, inflammatory conditions, immunizations, illicit drugs, autoimmune conditions, teething

Question 8

what are some things that can make your temperature go down?

Answer 8

inadequate clothing, exposure to cold, wet clothing, and aging

Question 9

what are some nursing interventions for increased temperature?

Answer 9

cool, damp cloth, fan, open windows, remove clothing/blankets, cool bath/shower, ice packs, administer antipyretics

Question 10

what are some nursing interventions for decreased temperature?

Answer 10

apply clothing/blankets, activity, warm bath/shower, change damp clothing, warming device

Question 11

what are the different routes to take temperature?

Answer 11

oral, tympanic, temporal, axillary, rectal