CORRECT & 100% VERIFIED ANSWERS|ACTUAL
COMPLETE EXAM|ALREADY GRADED A+
__________ 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. ✔Correct Answer-Taking a client's vital signs
What are vital signs a means of assessing? ✔Correct Answer-Vital signs are a means of assessing
vital or critical physiological functions.
What do variations in vital signs reflect? ✔Correct Answer-Variations in vital signs reflect a person's
state of health and/or functional ability of the body systems.
When should you measure a patient's vital signs? ✔Correct Answer-- 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
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.
The frequency of taking vital signs is determined by: ✔Correct Answer-- 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*.>>
Facility Standards for Monitoring Vital Signs: ✔Correct Answer-- 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.
Average adult *oral* temperature: ✔Correct Answer-98° F
Average adult *rectal* temperature: ✔Correct Answer-98.6° F
Normal *pulse range* for adults: ✔Correct Answer-60-100 beats/min
*Average* adult pulse: ✔Correct Answer-80 beats/min
, Normal respiration range in adults: ✔Correct Answer-12-20 breaths/min
Normal blood pressure range in adults: ✔Correct Answer-100-119 mm Hg systolic or 60-80 mm Hg
diastolic
*100-119/60-80*
*Prehypertensive* BP in adults: ✔Correct Answer-120-139/80-89
*Average BP* in adults: ✔Correct Answer-110/70 mm Hg
*Newborn* vital signs: ✔Correct Answer-Temp: 98.2- axillary
Pulse:130 (80-180)
Respirations: 30-60
BP: 80/40
*1-3* years old vital signs: ✔Correct Answer-Temp: 99.9- rectal
Pulse: 110 (80-150)
Respirations: 20-40
BP: 98/64
*6-8* years old vital signs: ✔Correct Answer-Temp: 98.6- oral
Pulse: 95 (75-115)
Respirations: 20-25
BP: 102/56
Normal vital signs for a *10 year old*: ✔Correct Answer-Temp: 98.6- oral
Pulse: 90 (70-100)
Respirations: 17-22
BP: 110/58
Normal *teen* vital signs: ✔Correct Answer-Temp: 98.6- oral
Pulse: 80 (55-105)
Respirations: 15-20
BP: 110/70
Normal *adult* vital signs: ✔Correct Answer-Temp: 98- oral
Pulse: 80 (60-100)
Respirations: 12-20
BP: ∠120/80
Normal vital signs for an *adult older than 70 yrs. old*: ✔Correct Answer-Temp: 95 to 96.8- oral
Pulse: 80 (60-100)
Respirations:12-20
BP: 120/80, up to 160/95
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. ✔Correct Answer-Temperature
An adult's internal temperature is called the _____________________. ✔Correct Answer-core
temperature