NURSING CARE RELATED TO THE SENSORY AND
NEUROLOGICAL SYSTEMS

2-12

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2-12. VITAL SIGNS

 

a. Vital signs should include:

(1) Blood pressure.

 

(2) Apical heart rate and rhythm.

 

(3) Radial pulses, bilaterally.

 

(4) Femoral pulses, bilaterally.

 

(5) Respiratory rate and rhythm.

 

(6) Temperature.

b. Vital signs should be evaluated as follows:

(1) Compare current vital signs with baseline and previous vital signs.

 

(2) Note any changes in pulse rate or rhythm.

 

(3) Note respiratory changes.

 

(4) Note temperature elevations.

 

(5) Note elevation of blood pressure, especially when it occurs with a widening pulse pressure.

 

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