Vital Signs and Pain Flashcards
What is the adult blood pressure expected reference range?
Systolic 90-119 mm Hg, Diastolic 60-79 mm Hg
What is the adult pulse expected range?
60 to 100 beats/minute
What is the adult body temperature expected range?
36 C to 38 C (96.8F to 100.4F)
What is the adult respiration expected range?
12 to 20 breaths per minute
Adult oxygen saturation expected range?
95% to 100%
What are the sites for measuring blood pressure?
Upper arm and Thigh
What is the expected location of an adult’s apical pulse?
Over the apex of the heart; at the 5th intercostal space to the left of the sternum?
Common body sites for measuring body temperature?
Oral; tympanic membrane; Temporal artery; Axillary, Rectal
What are the manifestations of bradypnea
Dizziness, fatigue, confusion, impaired coordination.
Bradypnea = less than 12 breaths per minute.
Percentage of Client’s arm the blood pressure cuff should encircle?
0.8 (???)
What is the length of time to avoid taking an oral temperature after a client has had a warm drink?
10-30 minutes
Expected respiratory rate for a newborn
30-60 breaths per minute
Expected capillary refill time
Less than 2 seconds
What is nociceptive pain?
Pain that is felt in a tissue, an organ, or a damaged part of the body, or as referred pain.
What is neuropathic pain?
Nerve pain that arises from the somatosensory system.
The four ethical principles related to pain management?
Beneficence, nonmaleficence, autonomy, justice
What are the five pain scales?
Numeric Rating Scale, Visual Analog Scale, Wong-Baker FACES Pain rating scale, Nonverbal pain scale (NVPS), Cries
What is the principle for heat and cold therapy (Minutes on and off)
20 minutes on and 20 minutes off after when heat or cold therapy is applied
What are some examples of opioid medications
Morphine, hydromorphone, fentanyl.
When is the best time to use the Wong-Baker FACES Pain rating scale?
The Wong-Baker Faces Pain Rating Scale is best used when assessing pain in children aged 3 years and older, as it utilizes visual facial expressions to help them communicate their pain level, especially when they might not be able to accurately describe their pain using a numerical scale; making it particularly useful for younger children or those with cognitive impairments who struggle with abstract concepts like pain intensity.
When is the best to use the NVPS pain rating scale?
With a patient that is nonverbal.
What does the PQRST Mnemonic stand for?
Precipitating Cause
Quality
Region
Severity
Timing
What question would you ask to figure out the precipitating cause of pain?
“What were you doing when the pain started?”
What question would you ask to figure out the quality of pain?
“Can you describe what your pain feels like?”
