This is the normal average oral body temperature in adults.
What is 98.6°F (37°C)?
Normal Pulse Range
60-100
what is normal adult rpm
12-20
This number represents the pressure in the arteries when the heart contracts.
SBP
Pain, anxiety, and exercise can increase this vital sign.
What is pulse, respirations, or blood pressure?
This route is considered the most accurate for core body temperature.
what is rectal temp
Pulse greater than 100 beats per minute
tachycardia
This breathing pattern includes alternating periods of deep breathing and apnea.
cheyne stokes
This number represents the pressure in the arteries when the heart rest.
DBP
A nursing assistant reports a blood pressure of 80/40. This is the nurse’s priority action.
Assess patient immediately
A patient with a temperature above 100.4°F is considered to have this condition.
pyrexia (fever)
pulse less than 60 bpm
bradycardia
what can cause decreased respirations
drugs, anesthesia
Using a cuff that is too small may cause this blood pressure error.
What is a falsely elevated blood pressure reading?
An older adult patient becomes dizzy when standing. Blood pressure lying down is 128/78 and standing is 98/60. This vital sign change is called this condition.
orthostatic blood pressure
This older adult vital sign change may occur because aging decreases the body’s ability to regulate heat.
What is lower body temperature or increased risk for hypothermia?
When assessing pulse, nurses evaluate these four characteristics.
What are rate, rhythm, strength (amplitude), and equality?
how do you measure respirations
count chest rise for 30 seconds and x2
This condition occurs when a patient’s blood pressure drops upon standing.
orthostatic BP
This pulse site is used during CPR in adults.
femoral or carotid pulse
These are two nursing interventions for a patient with hyperthermia.
What are encouraging fluids, removing excess clothing, cooling measures, or administering antipyretics?
This type of medication may lower the heart rate and should be considered before reporting bradycardia.
what are beta-blockers
what can increase respirations
pain, anxiety, increased heart rate, fever, asthma
The first Korotkoff sound represents this blood pressure measurement.
SBP
This pulse site is used in babies
brachial