All Correct & Verified Answers
Taking a client's vital signs Correct answer-__________ is one of the *most frequent assessments*
you will make as a nurse. Even if vital signs are delegated to a nursing assistive personnel (NAP), you
are still responsible for interpreting their meaning and significance.
Vital signs are a means of assessing vital or critical physiological functions. Correct answer-What
are vital signs a means of assessing?
Variations in vital signs reflect a person's state of health and/or functional ability of the body
systems. Correct answer-What do variations in vital signs reflect?
- On admission to the hospital
- For inpatients, at the beginning of a shift
- At a visit to the healthcare provider's office or clinic
- Before, during, and after surgery or certain procedures
- To monitor the effects of certain medications or activities
- Whenever the patients condition changes Correct answer-When should you measure a patient's
vital signs?
The importance of *accurate assessments, interpretation, and documentation* of vital signs cannot
be overemphasized. Correct answer-The importance of *accurate assessments, interpretation, and
documentation* of vital signs cannot be overemphasized.
- Provider's prescription and/or *nursing judgment*
- Client's condition
- Facility standards
<< Instructor: Review these statements with the students emphasizing the importance of *accurate
assessments and regular monitoring*.>> Correct answer-The frequency of taking vital signs is
determined by:
- Hospital: Every 4 to 8 hours
- Home health setting: Each visit
- Clinic: Each visit
- Skilled nursing facilities (SNFs): Weekly to monthly
Frequency determined by agency and setting: *The optimal frequency for assessing vital signs
depends on the patient's condition and the events taking place*. Also, agency policies usually require
that nurses monitor and record vital signs regularly. Correct answer-Facility Standards for
Monitoring Vital Signs:
98° F Correct answer-Average adult *oral* temperature:
98.6° F Correct answer-Average adult *rectal* temperature:
60-100 beats/min Correct answer-Normal *pulse range* for adults:
80 beats/min Correct answer-*Average* adult pulse:
, 12-20 breaths/min Correct answer-Normal respiration range in adults:
100-119 mm Hg systolic or 60-80 mm Hg diastolic
*100-119/60-80* Correct answer-Normal blood pressure range in adults:
120-139/80-89 Correct answer-*Prehypertensive* BP in adults:
110/70 mm Hg Correct answer-*Average BP* in adults:
Temp: 98.2- axillary
Pulse:130 (80-180)
Respirations: 30-60
BP: 80/40 Correct answer-*Newborn* vital signs:
Temp: 99.9- rectal
Pulse: 110 (80-150)
Respirations: 20-40
BP: 98/64 Correct answer-*1-3* years old vital signs:
Temp: 98.6- oral
Pulse: 95 (75-115)
Respirations: 20-25
BP: 102/56 Correct answer-*6-8* years old vital signs:
Temp: 98.6- oral
Pulse: 90 (70-100)
Respirations: 17-22
BP: 110/58 Correct answer-Normal vital signs for a *10 year old*:
Temp: 98.6- oral
Pulse: 80 (55-105)
Respirations: 15-20
BP: 110/70 Correct answer-Normal *teen* vital signs:
Temp: 98- oral
Pulse: 80 (60-100)
Respirations: 12-20
BP: ∠120/80 Correct answer-Normal *adult* vital signs:
Temp: 95 to 96.8- oral
Pulse: 80 (60-100)
Respirations:12-20
BP: 120/80, up to 160/95 Correct answer-Normal vital signs for an *adult older than 70 yrs. old*:
Temperature Correct answer-Is the degree of heat maintained by the body. It is the difference
between heat produced by the body and heat lost to the environment.
core temperature Correct answer-An adult's internal temperature is called the
_____________________.
Rectal and tympanic sites Correct answer-What sites measure core temperature?