Nursing Vital Signs and Procedures Quiz

Measurements of temperature, pulse, respirations, blood pressure (BP), oxygen saturation, and pain assessment.

Depends on client's health status and is determined collaboratively with the healthcare provider; nurse decides independently based on the situation.

Baseline measurements used to track health changes in a patient.

Can measure some vital signs, but a nurse is ultimately responsible for interpreting results.

97.0°F (36.1°C) to 99.0°F (37.2°C)

Situations in which frequent vital sign checks are needed because of changes in health status.

Signs of potential problems in a client's health.

Vital signs should be checked with a defined frequency and the frequency is based on medical needs.

A serious complication of diabetes, characterized by high blood sugar, and the production of ketones.

Potassium level in the blood.

Use of opioid pain relievers needs close monitoring with risk assessments, consent forms, and prescription checks.

Necessary for continuous or dose-dependent intravenous opioid delivery.

Infusion solutions or prolonged tourniquets can compromise test accuracy, especially for potassium.

A noninvasive test measuring the oxygen saturation of hemoglobin in the blood.

Capillary oxygen saturation, expressed as a percentage.

95% to 100%.

Low blood oxygen levels.

Detects hypoxemia before symptoms appear.

Indicates a need for oxygen therapy and/or deep breathing exercises.

Pain that comes quickly and disappears (from hours to a few days) and is usually connected to an event.

Pain that lasts long-term (months or even years) that commonly results from long-term diseases or disorders.

If bradycardia (slow heartbeat) develops while giving pain medication, stop the medication and tell the doctor.

Check blood pressure (BP) before and after giving pain medication to prevent low blood pressure.

Listen to the lungs for normal breathing sounds and encourage deep breathing to help prevent lung problems.

Opioid pain medications are only used in specific situations.

Serum sodium is a major part of body fluids, maintaining balance and nerve function.

High sodium levels can result from dehydration, kidney issues, or high sodium intake.

A technique using a battery-operated device to deliver a low electrical current to the skin, potentially blocking pain.

Usage of some TENS devices may require a prescription from a qualified healthcare professional.

Low sodium levels can be caused by conditions like Addison's disease and low sodium intake.

Put safety measures in place to protect the client, such as having oxygen, resuscitation equipment, and an opioid antagonist available.

Wrappings or devices used to support a limb or body part, easing pain from injuries or incisions

Treating pain with heat or cold, heat for muscle relief, and cold for reducing swelling

Carefully monitor heat application temperature to avoid burns; skin of young/old clients is more prone to heat sensitivity.

Using various techniques such as TENS, supports, heat or cold for pain relief.

Another name for transcutaneous electrical nerve stimulation (TENS).

Raising the injured body part to reduce swelling from an injury or surgery.

Place a tourniquet 10-15 cm above the intravenous site.

Use an antiseptic swab to scrub the port.

Use saline to clean the IV line, disposing of a specific amount of blood.

Disconnect and re-connect equipment, using syringes, collection devices, or specimen containers to withdraw samples.

Collect blood or other samples using appropriate collection devices.

Close the IV line using a clamp.

Take off the tourniquet once procedure completed.

Move the specimen to the intended collection device per agency policy.