You are supposed to take your client's vital signs preoperatively and record them on the client's record as part of the
client's preparation for surgery. Why is it necessary to take vital signs preoperatively?
To see if the client is "feeling funny"
To provide a set of vital signs to use for comparison during and after surgery
To make sure the client is not experiencing any complications such as a high fever that may contraindicate surgery or
require intervention at this time
To provide the client with reassurance that he or she is being cared for by a competent staff
The client who is going to surgery is going to experience a change in condition and an invasive procedure. Vital signs are
necessary so that the operative team has a baseline for comparison as well as to rule out any complications before
the beginning of the surgical event. Providing reassurance to the client can be done verbally.
Answer: B, C
Mrs. Langer, a 56-year-old client, has been admitted with a diagnosis of pneumonia. Which information should be
provided to the AP delegated to take her temperature?
The client's age
The type of temperature required
The client's diagnosis
The frequency for taking or monitoring the temperature
What changes to report immediately to you, the physician, or their delegate
It is more important that the temperature be done on time by the correct route, with the correct equipment, and that
identified changes be reported as requested.
Answer: B, D, E
Choose the normal range for adult respiration
20 to 30 breaths per minute
16 to 19 breaths per minute
12 to 20 breaths per minute
This is the average respiratory rate for an adult.
Which of the following are factors that may alter vital signs?
Time of day
Day of week
Factors that may alter vital signs include time of day, stress (emotional and physical), temperature alterations/weather
conditions, exercise/activity, emotions, medication, postural changes, acute pain, smoking, disease/injury status,
noise, food/liquid consumption, and odors. The day of the week and isolation precautions do not alter vital signs.
Answer: A, C, D
An older adult has the following vital signs recorded: Temperature 96.8 °F, pulse 60, respiration 18, BP 160 over 90,
pulse oximetry 93%. These vital signs are within acceptable limits.
Correct Feedback: The BP reading is outside normal limits. A BP greater than 140 over 90 may be an indication of