Lab Values (With correct solutions)

Vital Signs - Resting Values: Heart Rate (HR) correct answers 50-120 Vital Signs - Resting Values: Systolic Blood Pressures (SBP) correct answers 80-180 Vital Signs - Resting Values: Diastolic Blood Pressure (DBP) correct answers 40-110 Vital Signs - Resting Values: SaO2 correct answers = 90% T/F: When a patient has vitals outside of the listed guidelines, do not automatically defer treatment correct answers True If you see a patient whose vitals fall within the values listed in the guidelines, you may decide to modify or defer treatment based on the following: correct answers 1) what has been the trend over the last 24 hours? Has it been consistent? 2) have trends in the first 24 hours significantly changed from baseline measures? Things to consider: correct answers 1) what has been the trend over the last 24 hours? 2) is the patient asymptomatic? 3) are there other factors involved? 4) interventions provided by nursing may help with evaluation and treatment 5) if you mobilize a patient whose vital signs fall outside of "normal" parameters, treatment should be terminated if any symptoms are observed If you mobilize a patient whose vital signs fall outside of "normal" parameters, treatment should be terminated if any of these symptoms are observed: correct answers -numbness or tingling in any body part -dizziness not resolved within 60 seconds of obtaining upright -nausea -blurred vision -dilated pupils -increase in patient's heart rate of 30 bpm over baseline -a change in the patients systolic BP of 30 mmHg or a change in the diastolic BP of 10 mmHg -anginal pain -shortness of breath Monitor and document for orthostatic hypotension (measure HR and BP) with 2 minutes between position changes: correct answers -supine -sitting -standing