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8 Cards in this Set
- Front
- Back
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Guidelines to incorporate vital sign measurements? 1
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1. The nurse is responsible for vital sign measurement. May delegate (in stable clients). You NEED to analyse the vital signs to interpret their significance and make decisions about interventions.
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Guidelines to incorporate vital sign measurements? 2
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Know the client's usual range of vital signs. The client's usual values serve as a baseline for comparison with later findings.
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Guidelines to incorporate vital sign measurements? 3
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Analyze the results of vital sign measurement. Vital signs are not interpreted in silotation.
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Vital signs: Acceptable ranges for adults.
TEMPERATURE |
Tympanic - 37 C (98.6 F)
Rectal - 37.5 C (99.5 F) Axillary - 36.5 C (97.7 F) |
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Vital signs: Acceptable ranges for adults.
PULSE |
60 to 100 beats per minute
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Vital signs: Acceptable ranges for adults.
RESPIRATIONS |
12 to 20 breaths per minute
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Vital signs: Acceptable ranges for adults.
BLOOD PRESSURE |
Average 120/80
Pulse pressure 30 to 50 mm Hg |
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The acceptable temperature range?
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36 to 38 C (96.8 to 100.4 F)
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