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Exam 2 Review Vital Signs Wound & Aseptic Techniques (1)
Exam 2 Review Vital Signs Wound & Aseptic Techniques (1)
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Exam 2 Review Vital Signs Wound & AsepticTechniques
Normal Pulse Ranges - CORRECT ANSWER-Adults: 60-100
Normal Blood Pressure Ranges - CORRECT ANSWER-Adults: <120/80
Normal Temperature - CORRECT ANSWER-Adults: 97.6-99.5 (18-65 y/o) or <98.6 (>65 y/o)
Normal Respirations - CORRECT ANSWER-Adults: 12-20
Older adults: 15-20
Blood pressure levels for Hypotension - CORRECT ANSWER-Systolic: <90
OR
Diastolic: <60
Normal blood pressure levels - CORRECT ANSWER-Systolic: <120
AND
Diastolic: <80
Blood pressure levels for elevated - CORRECT ANSWER-Systolic: 120-129
AND
Diastolic: <80
Blood pressure levels for Hypertension Stage 1 - CORRECT ANSWER-Systolic: 130-139
OR
Diastolic: 80-89
Blood pressure levels for Hypertension Stage 2 - CORRECT ANSWER-Systolic: greater than or
equal to 140
OR
Diastolic: greater than or equal to 90
When is a rectal thermometer used? - CORRECT ANSWER-When there is no other feasible
option available
When is a rectal thermometer NOT used? - CORRECT ANSWER-Newborns
Patients with diarrhea or rectal disease (c-diff)
Post-rectal surgery patients
Quadriplegic patients
Patients with hemorrhoids
What are the different pulse sites? - CORRECT ANSWER--Temporal
-Carotid
-Apical
-Brachial
-Radial
-Ulnar
-Femoral
-Popliteal
, -Posterior tibial
-Dorsalis Pedis
Define Asuscultation - CORRECT ANSWER-Listening, with assistance of a stethoscope, to
sounds within the body
Auscultate with a stethoscope
Define Temperature - CORRECT ANSWER-the sensible heat of the human body
Define Pulse - CORRECT ANSWER-the palpable, bounding blood flow created by the contraction
of the left ventricle of the heart
Define Respiration - CORRECT ANSWER-The frequency of breaths per minute.
One inhalation + one exhalation is one breath
Define Blood Pressure - CORRECT ANSWER-The measurable pressure of blood within systemic
arteries
Define Pulse Oximetry - CORRECT ANSWER-Measures the amount of oxygen available to
tissues, it typically assessed with respirations
Steps for assessing the pulse on a patient - CORRECT ANSWER-* Sit patient up or leave them in
supine position
* Find pulse with your index and middle fingertips by gently placing fingertips over pulse site
* Instruct patient to remain still and not talk
* Count beat for 30 seconds. Unless HB is irregular then count for 60 seconds
* Calculate pulse by multiplying number found by 2
* Document pulse rhythm and intensity
Describe the location of the Temporal Pulse - CORRECT ANSWER-* Found on the side of the
head over temporal bone
* Can be assessed simultaneously
* Used when the RADIAL pulse is not assessable
Describe the location of the Carotid Pulse - CORRECT ANSWER-* On the side of the neck
* Must be assed on one side at a time
* Main blood vessel often used in emergencies when pulse is not obtainable from other sites
* Used in cases of cardiac arrest and for determining circulation to the brain
* Check first if patient is found unconscious
Describe the location of the Apical or PMI Pulse - CORRECT ANSWER-* Apical= at the apex of
the heart
* PMI= At 5th intercostal space, mid-clavicular line
* Overall it is found on the chest under the left breast area
* Used for infants and children under 3 years old
* Used in adults in conjunction with some diseases, medications, and during a head-to-toe
assessment
Describe the location of the Brachial Pulse - CORRECT ANSWER-* On the bicep of the arm
*Used to assess blood flow to the lower arm and most often to measure blood pressure
* Used to assess pulse in pediatric emergencies
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