VitalSigns

Question 1

Temperature Adult

Answer 1

36-38º

Question 1

Temperature Older Adult

Answer 1

35-36º

Question 1

Pulse

Answer 1

60-100 BPM

Question 1

Pulse regular

Answer 1

count for 30 seconds X 2

Question 1

Plus 4

Answer 1

bounding

Question 1

Plus 3

Answer 1

strong

Question 1

Plus 2

Answer 1

weak

Question 1

Plus 1

Answer 1

thready

Question 1

Zero

Answer 1

absent

Question 1

Absent

Answer 1

0

Question 1

Thready

Answer 1

Plus 1

Question 1

Weak

Answer 1

Plus 2

Question 1

Strong

Answer 1

Plus 3

Question 1

Bounding

Answer 1

Plus 4

Question 1

Respiration Adult

Answer 1

12-20 breaths/minute

Question 1

Respiration Older Adult

Answer 1

15-22 breaths/minute

Question 1

BP Optimal

Answer 1

120/80

Question 1

BP Normal

Answer 1

130/85

Question 1

BP High Normal

Answer 1

130-139 / 85-89

Question 1

Grade 1 Hypertension

Answer 1

140-159 / 90-99

Question 1

Grade 2 Hypertension

Answer 1

160-179 / 100-109

Question 1

Grade 3 Hypertension

Answer 1

≥180/≥110

Question 1

Hypotension

Answer 1

Systolic below 90

Question 1

Orthostatic Hypotension

Answer 1

Drop of 20 mmHg or more systolic, 10 mmHg diastolic

Question 1

Assess orthostatic hypotension

Answer 1

supine, sitting, standing 1-3 minutes after each position change

Question 1

120/80

Answer 1

BP Optimal

Question 1

130/85

Answer 1

BP Normal

Question 1

130-139 / 85-89

Answer 1

BP High Normal

Question 1

140-159 / 90-99

Answer 1

Grade 1 Hypertension

Question 1

160-179 / 100-109

Answer 1

Grade 2 Hypertension

Question 1

≥180/≥110

Answer 1

Grade 3 Hypertension

Question 5

Pulse irregular

Answer 5

count for 60 seconds
assess frequency
assess pattern of irregularity
compare bilateral radial pulses