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quiz 5

vitals

TermDefinition
Vital signs reflect the function of three body processes essential for life: ○ Regulation of body temperature ○ Breathing ○ Heart function
Normal Vital Ranges - Adult 1. Temperature - Oral; 36°C - 37.5 °C 2. Pulse - 60 to 100 beats per minute 3. Blood Pressure - 120/80 mm Hg 4. Respiration - 12 to 20 breaths per minute 5. Blood Oxygen Levels - 95% to 100%
Common temperature sites include oral, tympanic, axillary, temporal, and rectal.
Before taking oral temperature, make sure the client has not done any of the following activities with the previous 20 minutes: ○ Eating hot or cold foods ○ Drinking hot or cold fluids ○ Smoking ○ Chewing gum
Pulse - Important Considerations ● The temporal, carotid, brachial, radial, femoral, popliteal, dorsalis pedis (pedal), and posterior tibial pulses are felt on both sides of the body. ● Best practice is to always take the pulse for 1 full minute. This is required is there is any abnormal rhythm.
● Take the blood pressure again if you are not sure of an accurate measurement. Wait 30 to 60 seconds before repeating the measurement. ● Ensure the client’s legs are uncrossed when taking blood pressure readings. ● Infants and young children have lower normal range blood pressure readings than adults do.
Respiration - Important Considerations Count respirations when the client is at rest.To count respirations, watch the chest rise and fall. The rise and fall of the chest together is counted as one respiration. ● If an abnormal pattern is noted, count the respirations for 1 minute
Blood Oxygen Levels Pulse oximeter is usually attached to client’s index finger. However, can also be used on the ear lobe, toe, and nose if required. SpO2 stands for peripheral capillary oxygen saturation.
Documenting Vital Signs ● Client’s name ● Date ● Time the vital sign was measured ● Vital sign measurement
Created by: ReneeStewart
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