Health Assessment Lecture Reviewer

HA LEC REVIEWERVITAL SIGNS4 Vital SignsTPRBpO2SatTemperaturePulse/HeartbeatRespiratory RateBlood PressureOxygen SaturationNormal Vital Signs vary with:ASWECAgeSexWeightExercise ToleranceConditionOBSERVED, MEASURED, MONITOREDGUIDELINES FOR OBTAINING THE SIGNS:The nurse must be able to do all of the following:“MUCB”Measure the vital signs correctlyUnderstand and Interpret ValuesCommunicate findings appropriatelyBegin Interventions as neededTEMPERATUREPeople who are comfortable at higher temperatures:“OPBY”Old peoplepeople with disabilitiesbabiesyoung children- measured in two: Celcius and FarenheitFEVER- C: 38 to 38.5- F: 101 to 101.5 2 types of Temperature: Core Temp and Surface TempCORE TEMPERATUREtemp of deep tissues of bodyrelatively constant unless exposed to severe extremes in environment temperatureASSESSMENT: thermometerSURFACE TEMPERATUREtemp of skinresponse to environmentASSESSMENT: touching skin Different Temperature Measurements“HET”Heat-Sensitive patchespatch placed on the skincolor changes