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Taking vital Signs
CNA skills to remember
| Question | Answer |
|---|---|
| vital signs are ______ data | objective |
| report anything below or above avg temps of ______ to _______. | 97.6 to 99.9 ◦ F |
| hypo means | below (low) |
| hyper means | above (high) |
| when taking oral temps make sure person has not | eaten or drank anything in the last 20 minutes |
| This is the most accurate location to take temp | rectum |
| This is the least accurate location to take temp | axilla |
| Thermometer probe tip color: blue means | oral |
| Thermometer probe tip color: red means | rectal |
| sites of temp: oral = | mouth |
| sites of temp: rectal = | anus |
| sites of temp: tympanic = | ear |
| sites of temp: temporal = | (temples) forehead |
| sites of temp: axilla = | underarm |
| When taking the pulse for our test we will take the pulse at the: | radial (wrist on thumbside) |
| How long do we take the pulse for? | 1 minute (60 secs) |
| The only way to measure an apical pulse is with a : | stethoscope |
| what is the normal range for pulse (HR)? | 60-100 bpm |
| if HR is below 60 = | bradycardia (slow HR) |
| If HR is above 100 = | tachycardia (fast HR) |
| what is one full respiratory cycle? | 1 breath in and 1 breath out = 1 respiration |
| How long do we count respirations for? | 1 minute (60 secs) |
| what is the normal respiratory rate? | 12 - 20 breaths per minute |
| respiratory rate below 12 = | bradypnea |
| respiratory rate above 20 = | tachypnea |
| for the test how do we find patient's respiratory rate? | take it after we get their HR but leave our fingers on their wrist while we count |
| for the test fingers on wrist for 2 minutes. 1 min = ____ and the next 1 min = ______? | 1 min = HR 1 min = breathing |
| For Blood Pressure what value is on the top? | systolic |
| what is systolic pressure? what is the heart doing? | contracting - pumping blood |
| For Blood Pressure what value is on the bottom? | diastolic |
| what is diastolic pressure? what is the heart doing? | resting |
| what is the normal baseline BP? | 120/80 |
| if BP is below the baseline what is it called? | hypotension (low BP) |
| if BP is above the baseline what is it called? | hypertension (high BP) |
| T/F Athletes have a lower HR | True |
| medications for hypertension are called : | anti-hypertensive |
| when taking BP we use the _____ artery which is located ______. | brachial - right in the middle of the arm. |
| T/F pain is subjective | True |
| when asking a patient about the pain they feel we use a scale of _____ | 1-10 |
| we can ask the patient : | where is the pain? |
| we should also ask the patient to describe their: | pain |
| when done with our nursing assessment we should take their: | pain level post assessment |
| when talking about the force of a pulse we are referring to : | pulse strength |
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