Vital signs Exam 1 well
structured questions and answers
List the vital signs - Answer - Temperature
Pulse
Respiration
Blood Pressure
Pain Level
Oxygen Saturation
Vital Signs: What is a normal Temperature - Answer - 35.8-37.5 C
96.4-99.5 F
Vital Signs: What is a normal Pulse - Answer - 60-100 beats/min
Vital Signs: What is normal respiration - Answer - 12-20 breaths/ min
Vital Signs: What is a normal blood pressure - Answer - 120/80 mm hg
Vital Signs: What is a normal Pain level - Answer -
Vital Signs: What is normal Oxygen Saturation (02 sat) - Answer - 95-100%
List when to assess vital signs - Answer - -On admission
-Change in clients health
-Client reports symptoms such as chest pain, feeling hot, or faint
,-Pre & post surgery/invasive procedure
-Pre & post medication administration that could affect CV/ reap. system
-Pre & post nursing intervention that could affect vital signs
-Based on agency institutional policy and procedures
Define Pyrexia - Answer - fever
Define Intermittent Pyrexia - Answer - feverish periods lasting a few hours alternate with periods in
which the temperature is very normal
Define remittent Pyrexia - Answer - elevated body temperature showing fluctuation each day, but never
falling to normal.
Define relapsing Pyrexia - Answer - recurrent acute episodes of fever
Define constant Pyrexia - Answer - constant fever
Define Hyperpyrexia - Answer - Extremelly high body temperature. Above 105
Define Hypothermia - Answer - Extremelly low body temperature. Below 95
List and describe the sites for assessing Temperature - Answer - Oral: mouth
Axillary: armpit
Tympanic: Ear
Rectal
Look up the different Nursing cares for fever on slide - Answer -
List some Nursing Care for Hypothermia - Answer - -Provide warm environment
, -Provide dry clothing
-Apply warm blankets
-Keep limbs close to body
-Cover the client's scalp
-Supply warm oral or intravenous fluids
-Apply warming pads
Define palpation - Answer - Assessment technique that uses the sense of touch
List the sites for Assessing Pulse by palpation (8) - Answer - Temporal (temple)
Carotid (throat)
Brachial (inside elbow)
Radial (wrist)
Femoral (groin)
Popliteal (back side of knee)
Posterior tibial (inside ankle)
Dorsalis Pedis (top of foot)
Pulse by palpation sites: Describe Radial - Answer - Readily accessible
Pulse by palpation sites: Describe Temporal - Answer - When radial pulse is not accessible
Pulse by palpation sites: Describe Carotid - Answer - During cardia arrest/ shock in adults
Determine circulation to the brain
Pulse by palpation sites: Describe Apical (chest) - Answer - Infants and children up to 3 years of age
Discrepancies with radial pulse
structured questions and answers
List the vital signs - Answer - Temperature
Pulse
Respiration
Blood Pressure
Pain Level
Oxygen Saturation
Vital Signs: What is a normal Temperature - Answer - 35.8-37.5 C
96.4-99.5 F
Vital Signs: What is a normal Pulse - Answer - 60-100 beats/min
Vital Signs: What is normal respiration - Answer - 12-20 breaths/ min
Vital Signs: What is a normal blood pressure - Answer - 120/80 mm hg
Vital Signs: What is a normal Pain level - Answer -
Vital Signs: What is normal Oxygen Saturation (02 sat) - Answer - 95-100%
List when to assess vital signs - Answer - -On admission
-Change in clients health
-Client reports symptoms such as chest pain, feeling hot, or faint
,-Pre & post surgery/invasive procedure
-Pre & post medication administration that could affect CV/ reap. system
-Pre & post nursing intervention that could affect vital signs
-Based on agency institutional policy and procedures
Define Pyrexia - Answer - fever
Define Intermittent Pyrexia - Answer - feverish periods lasting a few hours alternate with periods in
which the temperature is very normal
Define remittent Pyrexia - Answer - elevated body temperature showing fluctuation each day, but never
falling to normal.
Define relapsing Pyrexia - Answer - recurrent acute episodes of fever
Define constant Pyrexia - Answer - constant fever
Define Hyperpyrexia - Answer - Extremelly high body temperature. Above 105
Define Hypothermia - Answer - Extremelly low body temperature. Below 95
List and describe the sites for assessing Temperature - Answer - Oral: mouth
Axillary: armpit
Tympanic: Ear
Rectal
Look up the different Nursing cares for fever on slide - Answer -
List some Nursing Care for Hypothermia - Answer - -Provide warm environment
, -Provide dry clothing
-Apply warm blankets
-Keep limbs close to body
-Cover the client's scalp
-Supply warm oral or intravenous fluids
-Apply warming pads
Define palpation - Answer - Assessment technique that uses the sense of touch
List the sites for Assessing Pulse by palpation (8) - Answer - Temporal (temple)
Carotid (throat)
Brachial (inside elbow)
Radial (wrist)
Femoral (groin)
Popliteal (back side of knee)
Posterior tibial (inside ankle)
Dorsalis Pedis (top of foot)
Pulse by palpation sites: Describe Radial - Answer - Readily accessible
Pulse by palpation sites: Describe Temporal - Answer - When radial pulse is not accessible
Pulse by palpation sites: Describe Carotid - Answer - During cardia arrest/ shock in adults
Determine circulation to the brain
Pulse by palpation sites: Describe Apical (chest) - Answer - Infants and children up to 3 years of age
Discrepancies with radial pulse
