Admission - the first time an NA meets a new resident
Vital signs - measuring the body temperature
counting the pulse
counting the rate of respirations
measuring the blood pressure
observing and reporting the level of pain
There are different sites for measuring body temperature: - - The mouth (Oral)
- The rectum (rectal)
- The armpit (Axilla)
- The ear (Tympanic)
- Temporal artery (The artery just below the skin of the forehead).
Oral and Rectal Thermometers are usually colorized as... - - Oral thermometers are usually green
- Rectal thermometers are usually red
A Rectual themperature is generally considered to be... - - The most accurate
axillary temperature is considered to be... - - The least accurate
An NA should not measure an oral temp on a person who... - - Is confused or disoriented
Do not take an oral temp if the resident has... - - Smokedm eaten or drunk fluids, chewed gum, or
exercised in the last 10 or 30 minutes.
, Mouth (oral) temp - 97.6-99.6
Rectum (rectal) temp - 98.6-100.6
- it is important to hold onto the thermometer at all times while the thermometer is in the rectum
A rectal thermometer goes in... - 1/2 to 1 inch
Armpit (axilla/axillary) temp - 96.6-98.6
- Position the thermometer (bulb end for mercury-free) in the center of the armpit. Fold the resident's
arm over his chest
Ear (tympanic) temp - 96.6-99.7
The short tip of the thermometer will only go into the ear... - - 1/4 to 1/2 inch
Temporal Artery temp - 97.2-100.1
Normal Blood Pressure - Systolic 100-119
Diastolic 60-79
A healthy adult may have a blood pressure anywhere... - 90/60 to 140/90
Normal range for adults for Diastolic pressure is... - - Below 80 mm Hg.
Blood pressure is recorded as... - a Fraction
Ex: 120/80
- it is measured in millimeters of mercury (mm Hg).
Low Blood Pressure (Hypotension) - Below 100-60
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