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NU 203 Vital Signs Hartkopf Exam Questions and Answers All Correct

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NU 203 Vital Signs Hartkopf Exam Questions and Answers All Correct What is the normal range for pain? - Answer It is based on the patient What are some scales sometimes used to assess a patients pain? - Answer -Numeric Scale: 1-10 -Wong-Baker faces *Oxygen Saturation:* - Answer What...

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  • September 27, 2024
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NU 203 Vital Signs Hartkopf Exam
Questions and Answers All Correct
What is the normal range for pain? - Answer ✔ It is based on the patient

What are some scales sometimes used to assess a patients pain? - Answer ✔ -Numeric
Scale: 1-10
-Wong-Baker faces

*Oxygen Saturation:* - Answer ✔

What is the normal range for oxygen saturation? - Answer ✔ 95-100%

If a pulse ox is less than ____% question it and try to have the patient cough or take
deep breaths to increase oxygen levels. - Answer ✔ 92%

What is the tool used to measure oxygen saturation called? - Answer ✔ Pulse Oximeter

A condition of *low* oxygen is called... - Answer ✔ Hypoxia

Name some possible causes for a false hypoxia reading. - Answer ✔ -Cold hands
-Nail polish

A Dynamap Vital Sign (VS) Machine is a useful tool for assessing vitals. However, what
vitals is it unable to accurately assess? - Answer ✔ -pain
-respirations

When analyzing VS trends you should look at all the vitals from when? - Answer ✔ The
past 24 hours or past 3 sets

What do you compare to find the trends in VS? - Answer ✔ Lowest and highest values
with PCC normal ranges *AND* the patients trends

*look at systolic and diastolic BP separately

Example: Analyzing VS Trends

0800: 98.2-86-14121/82-98%
1200: 98.1-90-14-123/84-99%
1600: 98.5-98-18-126/84-98%

, 2000: 98.0-82-12-118/78-96% - Answer ✔ T: 98.0-98.5
P: 82-98
R: 12-18
SBP: 118-126
DBP: 78-84
O2: 96-99%

What 5 things should you do after taking vital signs? - Answer ✔ 1. Recheck abnormals
immediately
2. Review the trends
3. Report all vital signs outside PCC normal ranges and patient trends
4. Respond
5. Record (not documented- not done)

If these are the patients new vitals:
99.8-58-16-118/82-96%

And these are the patients previous trends:
T: 98.0-98.5
P: 82-98
R: 12-18
SBP: 118-126
DBP: 78-84
O2: 96-99%

Would you report anything? - Answer ✔ Report: *Temperature* (because outside of
patient range) and *Pulse rate* (because outside of pt trends and normal range)

When record patient data its important to record it within what amount of time? - Answer
✔ 30 minutes

*because there is more than one healthcare provider for a single patient that needs
access to such data

What are some specific details to document with each of the following?

T:
P:
R:
BP:
O2: - Answer ✔ *T:* route
*P:* location
*R:* quality (labored breathing?)
*BP:* which limb & position of pt.
*O2:* amount AND mode of oxygen (RA: room air which has 21% O2)

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