Vital Sign Check-off
About this set
Created by:
rwright8492 on February 22, 2012
Subjects:
Description:
15 main steps to assessing a patient's vital signs
Log in to favorite or report as inappropriate.
Order by
15 terms
Terms | Definitions |
|---|---|
 1 | -Wash hands -Gather equipment -Explain procedure to client |
| 2 | -Client in proper position -Obtain temperature using thermometer of choice |
| 3 | -Position client in supine or sitting position -Expose sternum and left chest -Warm diaphragm by holding it in the palm of hand for 5-10 seconds |
| 4 | -Insert the earpieces of stethoscope into ears -Place diaphragm over left chest wall |
| 5 | -If rhythm is regular, count the heartbeat for 30 seconds and multiply by two -If the heartbeat is irregular, count for a full minute |
| 6 | -Replace client's clothing -Assist client to a comfortable positions with wrist extended -Place fingertips of your first two fingers along the groove at base of thumb on the client's wrist |
| 7 | If pulse is regular, count pulse for 30 seconds and multiply by two -If pulse is irregular, count for one full minute. Initial pulse is counted as zero |
| 8 | -Without removing fingers from client's wrist, observe respirations -Note depth, rhythm, and rate -If rate is regular in an adult, count 30 seconds and multiply by two |
| 9 | -Assist client to a comfortable position -Have forearm supported at heart level, palm up, upper arm completely exposed |
| 10 | -Locate brachial pulse to determine cuff placement -Wrap deflated cuff snugly around upper arm with center of bladder over brachial artery |
| 11 | -Palpate radial pulse -Inflate cuff until pulse disappears, note number -Fully deflate the cuff and wait 1 to 2 minutes |
| 12 | -Repalpate brachial artery and place stethoscope diaphragm over site -Inflate cuff to 30 mm of Hg above previous reading -Slowly release valve so pressure drops 2-3 mmHg per second |
| 13 | -Note reading when first sound is heard (systolic) -Note reading when last sound is heard (diastolic) |
| 14 | -Deflate cuff completely and remove from client's arm -Assist client to comfortable position -Discuss findings with client |
| 15 | -Take care of equipment and any waste appropriately -Document findings -Identify left arm or right arms used for BP |
First Time Here?
Welcome to Quizlet, a fun, free place to study. Try these flashcards, find others to study, or make your own.