Questions and Correct
Answers | New Update
Purpose of vital signs - ANSWER ✔✔Vital signs are a basic but very
important component of physiologic assessment of the patient .
They are used to monitor the functioning of body systems.
Assessment of vital signs allows the nurse to detect changes in the
health status of the patient, identify early warning signs of life -
threatening health conditions , evaluate the effectiveness of
interventions.
,alterations in vital signs - ANSWER ✔✔Sudden alterations in vital
signs or values outside the normal range are indicators of a priority
situation for the nurse.
Further assessments and emergency measures should be initiated as
indicated by the patient's status.
The primary care provider is notified of alterations in vital signs.
Situations that require vital sign assessment - ANSWER ✔✔On the
admission: To baseline
As part of physical assessment
During inpatient stay as monitoring
Any change in health status
Before and after sx or invasive procedures to establish baseline and
monitoring effects
Before and after admission of medication or interventions that could
change health status in respiratory, cardiac, or thermal regulations
systems
To detect improvement in patient condition
Before discharge or transfer to another unit
,delegating tasks - ANSWER ✔✔UAP May take vital signs as long as
the nurse initially assess the patient to determine they are medically
stable.
UAP may measure, record, and report V/S
RN must initially assess patient
RN must interpret V/S
RN must ensures that the UAP knows the proper technique and knows
what V/S to report immediately
RN must report abnormal V/S to physician
RN must double check vital signs to verify abnormal data.
Types of Vital Signs - ANSWER ✔✔temperature, pulse, respiration,
blood pressure and pain.
Temperature (T) - ANSWER ✔✔The measurable heat of the human
body
Pulse (P) - ANSWER ✔✔the detectable rhythmic expansion of an
artery that occurs with the pumping action of the beating heart. Pulse
rate is the number of heartbeats per minute
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, Respiration (R) - ANSWER ✔✔Breaths per minute, one respiration =
inhalation AND expiration
Blood pressure (BP) - ANSWER ✔✔The measurable pressure of
blood in the systemic arteries.
Pain - ANSWER ✔✔Subjective
Scale of 0-10 (What patient says it is)
Normal Temperature rate for adults ages 18-65 - ANSWER ✔✔97.6 -
99.5
A person who maintains a normal body temperature is: - ANSWER
✔✔Afebrile
Factors Affecting Temperature - ANSWER ✔✔Age, Hormone,
Exercise, Stress, circadian Rhythms, Environment and Smoking.
Temperature Regulation - ANSWER ✔✔When the body becomes too
cold it is called Hypothermia: Shivering increases heat production,
sweating is inhibited to decrease heat loss, Vasoconstriction decreases
heat loss.
What is Hyperthermia? - ANSWER ✔✔Elevated body temperature