Key Concepts- Ch 24

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created 4 years ago by Lexi1108
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1

vital signs are the persons

temp, pulse, respiration, and BP

and

sometimes pain and pulse ox

2

a change in vital signs may indicate

a change in health status

3

how often do nurses obtain vital signs

as often as a patient's condition requires

4

frequency of assessment should be based on what 6 things

policies
orders
diagnosis
comorbidities
treatments received
level of acuity

5

normal body temp

35.9-38

96.7-100.5

6

temp variations

activity
age
gebder
time of day
health

7

what 3 things does a nurse need to know to accurately assess body temp

equipment
sites
methods

8

6 most commonly used sites to asses body temp

oral
tympanic
temporal artery
rectal
axillary

9

a throbbing sensation that can be palpated over a peripheral artery

peripheral pulse

10

characteristics of the peripheral pulse include

rate
quality
rhythm

11

auscultated over the apex of the heart as the heart beats

apical pulse

12

the # of pulsations felt over a peripheral artery or heard over the apex of the heart in 1 minute

pulse rate

13

normal pulse rate for adolescents and adults

60-100 beats/min

14

respirations measure

the rate of ventilation

15

ventilation is

breathing in and out

16

healthy adults breathe about ___times each minute

12-20

17

the force of the moving blood against arterial walls

blood pressure

18

contracting of ventricles

systole

19

relaxing of the ventricles

diastole

20

the highest pressure

systolic pressure

21

when the heart rests between beats during ventricular diastole, the pressure

drops

22

the lowest pressure present on arterial walls during resting is the

diastolic pressure

23

a significant rise or fall in a persons blood pressure is between ___ and __

20-30 mm Hg

24

optimal blood pressure for adults is defined as less than

120/80