Systolic Pressure: 120
Diastolic: 80
When measuring blood pressure, describe when you would hear the systolic and diastolic readings.
Systolic Pressure Sound: faint but clear tapping sounds, first tapping is systolic pressure
Diastolic Pressure: last sound heard before continuous silence, diastolic pressure
Describe the procedure for counting respirations.
Best to count respirations right after pulse with your fingers still on the wrist; it is easy for the patient or reside
breathing; watching the chest rise and fall or the stomach
Define the rhythm of a pulse and the quality. Give examples.
Pulse Rhythm: The pattern of pulsations and pauses between them
Quality: smooth and regular with the same amount of time in between each pulsation
Example: irregular pulse- dysrhythmia
,Describe the procedure for taking an apical pulse.
taken by listening over the apex of the heart with a stethoscope (pulse point is the chest)
What is a normal adult pulse rate and what would be reported to the nurse?
adult: 60- 100 beats
A pulse rate that is more than a 100 beats and less than 60 beets
In taking a resident's temperature, describe 5 instances in which an oral temperature route cannot be
Is unconscious
Is unable to keep his mouth closed (necessary in order to keep the thermometer in place)
Is unable to breathe through his nose
Is likely to bite the oral thermometer (for example, a child younger than 5 years, a disoriented person, or a pe
history of seizures)
Is coughing or sneezing
Has recently had mouth surgery or an injury to the mouth
Is receiving oxygen by a face mask (because the oxygen may cause the temperature measurement to be ina
Where is a tympanic thermometer inserted and what is another name for the tympanic membrane?
,Tympanic Thermometer or ear thermometer
it is inserted into the ear
Define the term asepsis
involves physically removing or killing pathogens
Define immunity
The ability of organisms to resist infection by protecting against disease-causing microorganisms or their toxi
invade their bodies.
Define a healthcare acquired infection. What is another name for this infection?
Healthcare Acquired Infection: Infections people get while a patient or resident
Another name: nosocomial infections
In the chain of infection: what starts the infection?
Pathogen
Name ways to prevent the spread of infection.
, oMedical asepsis
oSurgical asepsis
oBarrier methods
oIsolation precautions
- washing our hands
-sanitizing hands
Name some signs and symptoms of an infection
Fever, inflammation, warmth, and redness at the site of infection
Name at least 4 nursing assistant responsibilities and why wouldn't discussing the resident's conditi
family be one of them
dressing
bathing
grooming
feeding
exercising
assessment
It is not apart of our responsibility and out of our scope of practice
Name the 5 steps of the nursing process and in which step the nursing assistant would participate.