Heart Rate
What is the apical pulse located?
Left side, below the nipple
What should be avoided when taking temperature in an unconscious person?
Oral site
What is the measurement of blood pressure taken with a stethoscope called?
Auscultation
What is the average rate of respiration for an adult?
12-20 breaths per minute
What is the most important measure for fall prevention in a nursing center?
Use non-skid footwear
What is the first sound you hear when checking blood pressure?
Systolic pressure
When is body temperature usually the lowest?
Morning
What is the definition of systolic pressure?
Pressure in arteries when the heart contracts.
What should you do if a patient's breathing is not regular?
Report the findings to the nurse.
What should you do if a resident insists on using the arm with a cast for blood pressure measurement?
Explain the reason to use the opposite arm.
What is the normal range for systolic pressure?
90-140 mm Hg
What is the purpose of temperature-sensitive tape?
To provide a quick visual indication of body temperature.
When should blood pressure be measured for a resident with an IV?
On the opposite arm of the IV site.
True or False: You can take respiration counts while the patient is talking.
False
What is the correct method for measuring an apical pulse?
Count for 60 seconds using a stethoscope.
What does an apical-radial pulse measure?
The difference between the apical and radial pulse rates
Which site is best for measuring temperature in a person receiving oxygen?
All but oral
What should you do before inserting a rectal thermometer?
Lubricate it.
What is the best position for taking vital signs?
Lying or sitting
How should you position a patient for taking a rectal temperature accurately?
SIMs position and Ensure the patient is comfortable and still.
What is the definition of pulse?
Beat of the heart felt at an artery as a wave of blood passes through the artery.
What is the definition of tympanic temperature?
Temperature measured in the ear.
What is a normal diastolic pressure range?
60-90 mm Hg
What does a pulse oximeter measure?
Oxygen saturation in the blood.
What is the definition of vital signs?
Measurements that indicate the state of a patient's essential body functions.