NRS 103 Vital Signs, Measurements, Cultural Diversity, and Pain assessment . Chapters 4,5,6. Asst. Professor: Nancy Sanderson, MSN, RN. Measurements. Height Weight Head Circumference Children only Body Mass Index. Why Height & Weight?.
NRS 103Vital Signs, Measurements, Cultural Diversity, and Pain assessment
Asst. Professor: Nancy Sanderson, MSN, RN
Weight (lbs)/height (in.²) x 703
forehead from center
of hairline and ending
with a touch behind
earlobe. Release button
and clean probe with
You have delegated vital signs to assistive personnel. The assistant informs you that the client has just finished a bowl of hot soup. The nurse’s most appropriate advice would be to:
A. Take a rectal temperature.
B. Take the oral temperature as planned.
C. Advise the client to drink a glass of cold water.
D. Wait 30 minutes and take an oral temperature.
32 - 36
Vital Signs: Pulse
You notice that a teenager has an irregular pulse. The best action you should take includes:
32 - 46
the nearest 2 mm Hg.
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure
When assessing the blood pressure of a school-age child, using a normal-size adult cuff will affect the reading and produce a value that is:
32 - 64
Vital Signs: Pulse Oximetry
Pg. 60 W & G
McGill Pain Questionnaire
PAIN IS A CULTURALLY EXPRESSED PHENOMENON