Fundamentals-Vital Signs Exam 2 Pro Questions With Solved Solutions.
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Course
Vital Signs
Institution
Vital Signs
What do vital signs consist of? - Answer temp, pulse, respirations, blood pressure, O2 saturation
What are vital signs used for? - Answer -monitor patient's condition
-identify problems
-evaluate response to intervention
When should you measure vital signs? - Answer -on admission a...
Fundamentals-Vital Signs Exam 2 Pro
Questions With Solved Solutions.
What do vital signs consist of? - Answer temp, pulse, respirations, blood pressure, O2 saturation
What are vital signs used for? - Answer -monitor patient's condition
-identify problems
-evaluate response to intervention
When should you measure vital signs? - Answer -on admission and routine schedule (Q1, Q4, Q8)
-before, during, and after procedures or blood transfusions
-before administering meds which affect VS
-when a patient reports "feeling different" or change in the pt's condition
What is often referred to as the 5th vital sign and is frequently measured with the others? - Answer
pain
An alteration in vital signs signifies what? - Answer change in physiological function and the need for
medical/nursing intervention
What are the RN's responsibilities when measuring vital signs - Answer -knowledge of expected values
-interpret patient values
-communicate findings appropriately with HCP and educate patient/family on findings
-delegates appropriately
-assistant documents appropriately and reports to RN
-RN should always assess when outcome is critical, unpredictable, or unstable patient and when using
vitals to determine specific types of meds
, What is some equipment needed to take VS? - Answer thermometer, probe covers, watch with 2nd
hand, stethoscope, doppler, sphygmomanometer
What can a nursing assistant do when it comes to VS? - Answer can take vitals but interpreting and
taking action is the sole responsibility of the RN
What is the normal range of temp? - Answer 96.8-100.4 (not considered a fever unless 100.4 or
greater)
What are the different routes? - Answer Oral, axillary, temporal, rectal, tympanic, pulmonary artery,
bladder, esophageal
Which of these routes are core temps? How can you attain them? - Answer pulmonary artery, bladder,
esophageal; through catheters or central lines
*most accurate for body temp
What is body temperature? - Answer difference between the amount of heat produced by the body
processes and the amount of heat lost to the external environment
when metabolism increases, additional heat is produced
when it decreases, less heat is produced
What is the average oral temp in healthy adults? - Answer 98.6 F or 37 C
Which part of the brain controls body temp? - Answer hypothalamus
anterior hypothalamus controls heat loss (mechanisms=vasodilation, sweating)
posterior hypothalamus controls heat production (mechanisms=vasoconstriction)
Oral route- advantages and disadvantages? - Answer advantages- easy/comfortable, reliable even for
an intubated pt
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