Vitals Signs & Basics
THIS IS THE NORMAL RANGE FOR AN ADULT'S ORAL TEMPERATURE IN FAHRENHEIT
WHAT IS 97-99
WHAT IS PUPILS
THIS IS THE MOST IMPORTANT NONVERBAL COMMUNCIATION TOOL
THE COMMON SITE FOR A PRESSURE INJURY IN A BED-BOUND RESIDENT
WHAT IS THE SACRUM OR COCCYX
THIS IS THE TERM FOR ENCOURAGING RESIDENTS TO DO AS MUCH AS POSSIBLE FOR THEMSELVES
WHAT IS PROMOTING INDEPENDENCE
YOU COUNT THIS VITAL SIGN FOR A FULL MINUTE
WHAT IS THE APICAL PULSE
YOU ASSESS THIS BY ASKING THE RESIDENT TO SQUEEZE YOUR HANDS
WHAT IS GRIP STRENGTH OR MOTOR FUNCTION
YOU SHOULD INTRODUCE YOURSELF TO THE RESIDENT USING THIS FORMAT
WHAT IS NAME, ROLE AND PURPOSE OF VISIT
THIS COLOR CHANGE IN THE SKIN OF LIGHT-SKINNED RESIDETNS MAY SIGNAL POOR CIRCULATION
WHAT IS PALLOR
ASKING ABOUT A RESIDENT'S DAILY ROUTINES SUPPORTS THE KEY PRINCIPLE
THIS IS THE AVERAGE NORMAL ADULT BLOOD PRESSURE READING
WHAT IS 120/80
LISTENING TO HEART AND LUNG SOUNDS IS THIS TYPE OF ASSESSMENT TECHNIQUE
WHAT IS AUSCULTATION
THESE ARE THE FOUR KEY PARTS OF A FOCUSED SUBJECTIVE ASSESSMENT
WHAT ARE THE ONSET, DURATION, CHARACTERISTICS AND RELIEVING/AGGRAVATING FACTORS?
TURNING AND REPOSITIONING SHOULD BE DONE THIS OFTEN FOR RESIDENTS AT RISK FOR PRESSURE INJURY
WHAT IS EVERY 2 HOURS
BEFORE BEGINNING ANY HANDS-ON ASSESSMENT, THESE TWO THINGS MUST ALWAYS BE DONE
WHAT IS HAND HYGIENE AND EXPLANING THE PROCEDURE OR PURPOSE
BEFORE TAKING A RESIDENT'S BLOOD PRESSURE, MAKE SURE THEY HAVE RESTED FOR A T LEAST THIS MANY MINUTES
WHAT IS 5 MINUTES
YOU ASSESS FOR THIS WHEN CHEKCING THE LOWER LEGS FOR SWELLING
WHAT IS EDEMA
THIS IS WHAT YOU DO IF A RESIDENT REFUSES CARE
WHAT IS RESPECT THE CHOICE, DOCUMENT, REPORT TO INSTRUCTOR,
YOU ASSESS THIS WHEN PRESSING A REDDENED AREA OF SKIN TO SEE IF IT BLANCHES
WHAT IS CAPILLARY REFILL OR SKIN PERFUSION
THE CARE PLAN (OUR GOAL AND INTERVENTION) IS INDIVIDUALZED BASED ON THIS PROCESS
WHAT IS THE NURSING ASSESSMENT
THIS O2 SATURATION LEVEL OR LOWER REQUIRES IMMEDIATE REPORTING
WHAT IS LESS THAN 90%
THIS IS THE ORDER OF ASSESSMENT FOR MOST BODY SYSTEMS - EXCEPT THE ABDOMEN
WHAT IS INSPECT, PALPATE, PERCUSS, AUSCULTATE
WHAT IS THE "M" IN THE ACRONYM "SMART"
WHAT IS MEASURABLE
THIS STAGE OF PRESSURE INJURY INVOLVED FULL SKIN LOSS, FAT MAY BE VISIBLE BUT NO MUSCLE, BONE OR TENDONS
WHAT IS STAGE III
RESIDENT'S RIGHTS INCLUDE PRIVACY, DIGNITY AND THIS IMPORTANT CHOICE
WHAT IS THE RIGHT TO REFUSE