OSU-Okc Nursing (1st Semester)
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Vital Signs Temperature, Respiration, Pulse, Blood Pressure, and Oxygen Saturation
Temperature ranges for adult Average Range: 96.8 - 100 degrees F.
Oral: 98.6 degrees F.
Rectal: 99.5 degrees F.
Axillary: 97.7degrees F.
Pulse for adult 60-100 beats/min
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, Respirations for adult 12-20 breaths/min
Blood Pressure for adult Systolic<120 mm Hg
Diastolic<80 mm Hg
When should you measure vital signs? -On admission to a health care facility.
-When assessing a patient during home care visits.
-In a hospital on a routine schedule according to orders.
Purposes of the physical examination -Gather baseline data about the patient's health status.
-Supplement, confirm, or refute data obtained in the nursing history.
-Identify and Confirm nursing diagnosis.
-Make clinical decisions.
-Evaluate the outcomes of care.
How does one prep for examination? A disorganized approach causes incomplete findings and errors.
-Infection Control: Follow hygiene policies
-Environment: Patient needs privacy and comfort. Make the room comfortable
by adjusting temperatures, adding or taking off blankets, providing
appropriate furniture, etc.
-Equipment: Arrange equipment so that it is readily available and make sure it is
working properly.
-Physically prep patient: positioning the patient, make sure they are
comfortable, and make sure the environment is good.
-Psychologically prep patient: explanations, be professional, have a good
attitude, do not rush, pay attention to who is in the room.
Examine facia expressions and remain calm. If the patient is uncomfortable,
postpone assessment.
What are the techniques of physical examination? -Inspection: look, listen, smell. Watch for nonverbal expressions of emotional
or mental status.
-Palpation: Use touch to gather information. Palpate for temperature, moisture,
texture, turgor, tenderness, and thickness. Check abdomen for tenderness,
distention, or masses.
-Percussion: Tapping skin with fingertips to vibrate underlying tissues or organs.
-Auscultation: Listening to sounds. Use stethoscope for internal body sounds.
What are the levels of communication? -Intrapersonal: Occurs within the individual.
-Interpersonal: One-to-one interaction between two people.
-Transpersonal: Interaction within a person's spiritual domain (Example:
Praying).
-Small Group: Interactions within a small group of people (Example: nursing
class, a working crew).
-Public: Interaction with an audience.
-Electronic: Use of technology to create an ongoing relationship with patients
and health care system.
Basic Elements of the Communication Process 1. Referent: Motivates one to communicate.
2.Sender & Receiver: One who encodes and one who decodes the message.
3.Message: Content of the communication.
4.Channels: Means of conveying and receiving messages.
5.Feedback: Message the receiver returns.
6.Interpersonal Variables: Factors that influence communication.
7. Environment: The setting for sender-receiver interaction.
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