ECPI NUR 165 Ch 17 Vital Signs UPDATED ACTUAL Questions
and CORRECT Answers
6 vital signs temperature, pulse, respirations, blood pressure, oxygen saturation, and pain
, when to assess vital signs -On admission to any health care agency or institution
-at each visit to a clinic or ER
-home health and hospice visit
-every 8 hours or according to policy
-health care provider's orders
-patient complaints
-suspect a change in condition
-before, after, and during rx administration
-before, during and after blood product transfusion
-before, during, and after procedure
-at least every 4 hours or whenever signs are abnormal
-a second time when finding is significantlyl different than last assessment
-every 5-15 min when condition is unstable
Guideline for assessment of vital signs -use appropriate equipment
-be familiar w ranges
-compare vital signs
-know patient history
-understand and interpret
-record and communicate
-minimize effects on vital signs
when you shouldn't delegate vital signs -after administrating IV
-when vital signs are remarkably different
-change of level of consciousness
-when the patient is in an unstable postoperative condition
-hemorrhaging
-patient is pale, cold, clammy skin
-anytime you suspect a serious condition
-anytime you suspect validity of vital signs
-gut feeling
body temperature the difference between the amount of heat the body produces and the amount of
heat that is gained
thermogenesis production of heat
BMR
thermoregulation is Process of maintaining an internal temperature within a tolerable range.
controlled by hypothalamus
factors affecting body temperature Environment, time of day, gender, Physical Activity and Exercise, Medications,
food intake, Stress, Illness
Contact thermometers most common
uses electronic heat sensors
fast recording and appropriate for many people
need to wait 15 minutes after eating or drinking
and CORRECT Answers
6 vital signs temperature, pulse, respirations, blood pressure, oxygen saturation, and pain
, when to assess vital signs -On admission to any health care agency or institution
-at each visit to a clinic or ER
-home health and hospice visit
-every 8 hours or according to policy
-health care provider's orders
-patient complaints
-suspect a change in condition
-before, after, and during rx administration
-before, during and after blood product transfusion
-before, during, and after procedure
-at least every 4 hours or whenever signs are abnormal
-a second time when finding is significantlyl different than last assessment
-every 5-15 min when condition is unstable
Guideline for assessment of vital signs -use appropriate equipment
-be familiar w ranges
-compare vital signs
-know patient history
-understand and interpret
-record and communicate
-minimize effects on vital signs
when you shouldn't delegate vital signs -after administrating IV
-when vital signs are remarkably different
-change of level of consciousness
-when the patient is in an unstable postoperative condition
-hemorrhaging
-patient is pale, cold, clammy skin
-anytime you suspect a serious condition
-anytime you suspect validity of vital signs
-gut feeling
body temperature the difference between the amount of heat the body produces and the amount of
heat that is gained
thermogenesis production of heat
BMR
thermoregulation is Process of maintaining an internal temperature within a tolerable range.
controlled by hypothalamus
factors affecting body temperature Environment, time of day, gender, Physical Activity and Exercise, Medications,
food intake, Stress, Illness
Contact thermometers most common
uses electronic heat sensors
fast recording and appropriate for many people
need to wait 15 minutes after eating or drinking
