Chapter 15- Measuring And Recording Client Vital Signs

1.

In addition to checking vital signs as ordered, two other times when you must check them are:1. 2.

Explanation
In addition to checking vital signs as ordered, there are two other specific situations when it is necessary to check them. The first situation is if a client falls, which could indicate potential injuries or complications that need to be assessed. The second situation is when a change is observed in the client's condition. This could include any noticeable changes in physical appearance, behavior, or symptoms that may require immediate attention or further evaluation. In both cases, checking vital signs is crucial in order to monitor the client's health status and provide appropriate care.

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2.

How does a standard rectal thermometer differ from an oral thermometer?

Explanation
A standard rectal thermometer differs from an oral thermometer in that its bulb is shorter. The length of the bulb is an important factor as it determines the depth at which the thermometer is inserted into the body. Since the rectum is a shorter distance from the external opening compared to the oral cavity, a shorter bulb is used for rectal thermometers to ensure accurate temperature readings. This design difference allows for safe and effective temperature measurement in different areas of the body.

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3.

Define Pulse Rate:

Explanation
The pulse rate refers to the number of beats per minute. It is a measure of the heart rate and indicates how many times the heart beats in a minute. This measurement is commonly used to assess a person's cardiovascular health and can provide valuable information about their overall well-being. By monitoring the pulse rate, healthcare professionals can detect irregularities or abnormalities in the heart rhythm and make appropriate interventions if necessary.

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4.

Define Pulse Rhythm:

Explanation
Pulse rhythm refers to the regularity of beats in the pulse. It indicates the consistent pattern and timing of the heartbeats. A regular pulse rhythm means that the beats occur at regular intervals, with a consistent and steady pattern. This is an important indicator of a healthy cardiovascular system. Irregular pulse rhythms may suggest underlying medical conditions or abnormalities in the heart's functioning. Therefore, understanding and assessing the regularity of beats in a pulse is crucial in monitoring and diagnosing cardiovascular health.

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5.

Define Apical-radial Deficit

Explanation
Apical-radial deficit refers to the difference in the pulse rate between the heart apex and the radial artery. The heart apex is located at the bottom tip of the heart, while the radial artery is located in the wrist. By comparing the pulse rate at these two locations, healthcare professionals can assess the efficiency of blood circulation. If there is a significant difference in pulse rates, it could indicate a problem with blood flow or cardiac function.

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6.

Why is the thumb never used for checking a pulse?

7.

What instrument is used to check the apical pulse?

Explanation
A stethoscope is used to check the apical pulse because it allows healthcare professionals to listen to the heart's sounds and rhythms. By placing the chest piece of the stethoscope on the chest, specifically over the apex of the heart, they can accurately assess the rate, rhythm, and quality of the heartbeat. This helps in monitoring the heart's function and detecting any abnormalities or irregularities in the pulse.

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8.

What is the normal pulse rate range for adults?

Explanation
The normal pulse rate range for adults is typically between 60 and 80 beats per minute. This range indicates a healthy heart rate and is considered normal for most adults. However, it is important to note that individual factors such as age, fitness level, and overall health can influence an individual's pulse rate. Regular monitoring of pulse rate can provide valuable information about cardiovascular health and can help identify any abnormalities or potential health concerns.

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9.

What is the normal range of respirations for an adult?

Explanation
The normal range of respirations for an adult is 16-20 per minute. This range indicates the average number of breaths a healthy adult takes in one minute. Respirations within this range are considered normal and indicate that the individual's respiratory system is functioning properly. Higher or lower respiratory rates may indicate underlying health issues or conditions that require further investigation.

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10.

What is the normal range of B / P for an adult under 40 years of age?

Explanation
The normal range of blood pressure for an adult under 40 years of age is below 140/90. This means that the systolic pressure should be below 140 mmHg and the diastolic pressure should be below 90 mmHg. Blood pressure within this range indicates a healthy cardiovascular system and is considered normal for individuals in this age group.

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11.

The top number in a B/P reading is called the ________________ pressure.

Explanation
The top number in a blood pressure reading is called the systolic pressure. This is the pressure exerted on the artery walls when the heart contracts and pumps blood out into the arteries. The systolic pressure is an important indicator of the force that the heart generates to circulate blood throughout the body. It is typically the higher number in a blood pressure reading and is measured in millimeters of mercury (mmHg).

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12.

The bottom number in a B/P reading is called the ________________ pressure.

Explanation
The bottom number in a blood pressure reading is called the diastolic pressure. This number represents the pressure in the arteries when the heart is at rest between beats. It is an important measurement as it indicates the pressure in the arteries when the heart is not actively pumping blood. Monitoring the diastolic pressure is crucial in assessing the overall health of the cardiovascular system and can help detect conditions such as hypertension.

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13.

The pulse site where the stethoscope is placed is the _________________ pulse.

Explanation
The pulse site where the stethoscope is placed is the brachial pulse. The brachial pulse is located in the upper arm, specifically in the groove between the biceps and triceps muscles. This pulse can be easily felt and is commonly used in medical settings to measure blood pressure and assess circulation in the arm. Placing the stethoscope on the brachial pulse allows healthcare professionals to listen to the sounds of blood flow and detect any abnormalities or irregularities.

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14.

Explain the difference between pain management and being pain free.

Explanation
The term "control" refers to the ability to manage or regulate pain levels. Pain management involves various strategies and techniques to alleviate or reduce pain, such as medication, physical therapy, or relaxation techniques. It focuses on finding ways to effectively cope with and minimize pain. On the other hand, being pain-free means having no pain at all, completely eliminating any discomfort or sensation of pain. While pain management aims to improve the quality of life by reducing pain to a manageable level, being pain-free implies the absence of pain altogether.

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15.

Give an example of a disease that would have chronic pain with it.

Explanation
Arthritis is a disease that causes inflammation and stiffness in the joints, leading to chronic pain. It can affect various joints in the body, such as the knees, hips, hands, and spine. The pain associated with arthritis is often persistent and can worsen over time. It can also result in reduced mobility and difficulty performing daily activities. Therefore, arthritis is an example of a disease that is commonly associated with chronic pain.

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16.

What is the purpose of the subjective pain scale?

Explanation
The purpose of the subjective pain scale is to allow the client to report their level of pain. This scale provides a way for individuals to communicate and express their pain experience, as pain is a subjective sensation that varies from person to person. By using a subjective pain scale, healthcare professionals can better understand and assess the client's pain levels, which can aid in developing appropriate treatment plans and interventions.

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17.

What is the role of the Homemaker Home Health Aide in assisting the client with pain medication?

Explanation
The role of the Homemaker Home Health Aide in assisting the client with pain medication is to observe and report. This means that their main responsibility is to carefully monitor the client's condition after administering the medication and report any changes or concerns to the appropriate medical professionals. By observing and reporting, the aide can help ensure that the client receives the necessary care and adjustments to their pain medication regimen as needed.

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18.

You are asked to take the client's vital signs bid. Vital signs means checking the:1. 2. 3. 4. 5. And you will check the vital signs _____ times a day.

A.

B/P
B.

Pulse
C.

Respiration
D.

Temperature
E.

Two

Correct Answer(s)
A. B/P
B. Pulse
C. Respiration
D. Temperature
E. Two

Explanation
The client's vital signs include checking their blood pressure (B/P), pulse, respiration, and temperature. These vital signs should be checked two times a day.

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19.

Normal ranges of body temperature are:1. Oral =2. Rectal =3. Axillary =

A.

97.6 F; 36.4-37.2 C
B.

98.6-100 F; 37-37.8 C
C.

96.6-98 F; 35.936.7 C

Correct Answer(s)
A. 97.6 F; 36.4-37.2 C
B. 98.6-100 F; 37-37.8 C
C. 96.6-98 F; 35.936.7 C

Explanation
The normal range for body temperature is typically measured in Fahrenheit and Celsius. The correct answer provides the normal ranges for body temperature in both units. The first range states that the normal oral temperature is 97.6 F or 36.4-37.2 C. The second range states that the normal rectal temperature is 98.6-100 F or 37-37.8 C. The third range states that the normal axillary temperature is 96.6-98 F or 35.9-36.7 C.

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Chapter 15- Measuring And Recording Client Vital Signs

In addition to checking vital signs as ordered, two other times when you must check them are:1. ________2. ________

How does a standard rectal thermometer differ from an oral thermometer?

Define Pulse Rate:

Define Pulse Rhythm:

Define Apical-radial Deficit

Why is the thumb never used for checking a pulse?

What instrument is used to check the apical pulse?

What is the normal pulse rate range for adults?

What is the normal range of respirations for an adult?

What is the normal range of B / P for an adult under 40 years of age?

The top number in a B/P reading is called the ________________ pressure.

The bottom number in a B/P reading is called the ________________ pressure.

The pulse site where the stethoscope is placed is the _________________ pulse.

Explain the difference between pain management and being pain free.

Give an example of a disease that would have chronic pain with it.

What is the purpose of the subjective pain scale?

What is the role of the Homemaker Home Health Aide in assisting the client with pain medication?

You are asked to take the client's vital signs bid. Vital signs means checking the:1. ______2. ______3. ______4. ______5. And you will check the vital signs _________ times a day.

Normal ranges of body temperature are:1. Oral =2. Rectal =3. Axillary =

In addition to checking vital signs as ordered, two other times when you must check them are:1. 2.

You are asked to take the client's vital signs bid. Vital signs means checking the:1. 2. 3. 4. 5. And you will check the vital signs _____ times a day.