Measuring and Documenting Vital Signs

The video tutorial guides on how to take temperature, pulse, and respirations (TPR) for a resident. It covers preparation steps, measuring temperature with a thermometer, taking pulse using a clock or watch, and observing respirations without alerting the resident. The tutorial emphasizes using peripheral vision for respirations and concludes with documentation and reporting any abnormalities to a nurse.

What is the first step before taking a resident's vital signs?

• Knock on the door and wash hands

• Prepare the thermometer

• Ask the resident to sit up

• Check the resident's medical history

How should the thermometer be used to measure temperature?

• Glide it along the skin

• Hold it in the ear

• Place it on the forehead

• Insert it under the tongue

Why should you not inform the resident when measuring respirations?

• It is unnecessary information

• It is against protocol

• It could alter their breathing pattern

• It might make them anxious

What should you do if the pulse is irregular?

• Ask the resident to relax

• Ignore the irregularity

• Take the pulse for a full minute

• Take the pulse for 30 seconds

What is the purpose of using peripheral vision when counting respirations?

• To ensure accuracy

• To prevent eye strain

• To avoid making the resident uncomfortable

• To multitask effectively

What is the normal pulse rate mentioned in the video?

• 72 beats per minute

• 80 beats per minute

• 78 beats per minute

• 60 beats per minute

What should be done after taking the vital signs?

• Ask the resident to rest

• Document the findings and report abnormalities

• Recheck the vital signs

• Leave the room immediately

What should you do if the resident's bed is not lowered and locked?

• Ignore it

• Inform the nurse

• Lower and lock the bed

• Ask the resident to adjust it

How should the temperature be documented?

• In both Fahrenheit and Celsius

• In the resident's preferred unit

• In Celsius only

• In Fahrenheit only

What should be done if any abnormality is found in the vital signs?

• Ignore it

• Document it and report to the nurse

• Recheck the vital signs

• Ask the resident about their symptoms