Study Guide
What does vital signs include? - correct answer ✔✔-temperature
-pulse
-respiration
-blood pressure
Normal ranges for adult (vital signs) - correct answer ✔✔-oral temperature = 98.6 F
-pulse rate = 60 to 100 (80 average)
-respiration = 12 to 20 breaths/ min
-blood pressure = 120/ 180
Factors affecting frequency of vital sign assessment - correct answer ✔✔- patient medical
diagnosis
- co-morbities
-types of treatments recieved
-patients level of acquity
*need to know patients baseline!
Oral normal range: - correct answer ✔✔- 97.7-99.5
-not used if under 5
-assess hot/ cold
-if recieving oxygen by mask assess different way
Tympanic and temporal artery: - correct answer ✔✔-not used if drainage or ear pain or
infection. Can use opposite side
,-temporal artery: 98.7-100.5
Axillary temperature: - correct answer ✔✔-normal range: 96.7-99.5
-least perferred method; less accurate... used on neonates
Rectal Temperature: - correct answer ✔✔-normal range: 98.7-100.5
-vagus nerve
-contradicted neutropenic
Factors affecting body temperature: - correct answer ✔✔-circadian rhythms
-age and gender
-physical activity
-state of health
-environmental temperature
Characteristics of pulse: - correct answer ✔✔rate:
-normal = 60-100
-tachycardia = 100-180
-bradycardia = below 60
-pulse deficit = difference between radial and apical pulse
rhythm:
-regular
-irregular... dysrthymia
quality:
-0 to +3
, Abnormal temperature: - correct answer ✔✔-hyperthermia/ pyrexia
-hypothermia... pulse physiology
-regulated by the autonomic NS through cardiac sinotrial node
-parasympathetic stimulation... decreased heart rate
-sympathetic stimulation... increased heart rate
pulse rate - correct answer ✔✔number of contractions over a peripheral artery in 1 minute
What causes tachycardia? - correct answer ✔✔-decreased blood pressure
-elevated temperature
-inadequate oxygenation
-exercise
-prolonged app. of heat
-pain
-strong emotions
-some medications
What Causes Bradycardia? - correct answer ✔✔-aging
-medications
-hypothermia
-vagal stimulation
-suctioning
-SA node block
-MI
- increased ICP