Vital Signs Monitoring & Recording Flashcards

A patient's blood pressure reads 158/96 mmHg. How should the healthcare aide document this finding?

Answer: Document the exact reading, time, and arm used, then report to the nurse

Accurate documentation includes the exact reading, time, which arm was used, and the position of the patient, and any elevated reading must be reported promptly.

Which pulse site is most commonly used by healthcare aides for routine pulse assessment?

Answer: Radial

The radial pulse at the wrist is the standard site for routine pulse checks by healthcare aides due to its easy accessibility.

A patient's respiratory rate is 24 breaths per minute. This is best described as:

Answer: Tachypnea

Tachypnea refers to an abnormally rapid breathing rate, generally defined as more than 20 breaths per minute in adults.

When measuring an oral temperature, how long should the thermometer remain in place if using a glass thermometer?

Answer: 3–5 minutes

A glass thermometer must remain under the tongue for 3–5 minutes to allow enough time for an accurate oral temperature reading.

A healthcare aide notices a patient's oxygen saturation drops from 98% to 89% while at rest. The FIRST action should be:

Answer: Reposition the probe and recheck, then report the finding to the nurse

Before reporting, the aide should verify the reading by repositioning the probe to rule out a poor signal, then immediately report any confirmed low SpO2 to the nurse.

Which of the following factors can cause a falsely LOW pulse oximetry reading?

Answer: Nail polish or poor circulation in the finger

Dark nail polish, cold extremities, or poor peripheral circulation can interfere with the oximeter's light sensor and produce falsely low SpO2 readings.

A patient has a temperature of 38.9°C (102°F). Which term correctly describes this condition?

Answer: Hyperthermia / Fever

A temperature above 38°C (100.4°F) is classified as fever (pyrexia or hyperthermia), and 38.9°C clearly falls into this category.