.Define Vital Signs and explain how they are used during a secondary assessment? 2.Where would you measure heart rate?

2. State the clinical significance of the following: Procedure Determining pulse rate Listening to the flow of blood through the common carotid arteries (auscultate an artery) Determining blood pressure Pulse pressure Mean arterial pressure ****** ******* Clinical significance

8. You obtain a set of vitals on the patient above once your establish her ABC's are in tact. The patient has a heart rate of 120, a blood pressure of 80/60, and a respiratory rate of 28. The neighbor says the patient lives alone but hasn't had any problems. She usually is alert, oriented and highly functional. The patient right now is unable to get up on her own and she tells you she is fine, just needs a hand to get up and that. Which of the following are true about your initial management and impression of this patient? Choose all that apply If she has a DNR form (not a MOST or MOLST form) you can leave her at home She likely doesn't have a heat related problem because she has been down on the floor for a while and hasn't been exerting herself Finding out if there are any medication bottles or other evidence of medical problems or medical wishes prior to leaving the house is a good use of time even though the patient is sick One indication for placing her on oxygen would be her fast…

3. Mr. Garcia and his wife are concerned about the future of his heart health. What role does cardiac rehabilitation play in his return to normal activities and in determining his future heart health? 4. Define these terms/phrases from the chart: a. From History on page 52: "precordial" - 66 b. From History on page 52: " syncope” – c. From MD Progress Note on page 52, for Pulmonary/Chest: "Lungs are clear to auscultation bilaterally" d. From MD Progress Note on page 52, for Abdominal - explain all of the results of the M.D.'s exam- e. From MD Progress Note on page 52, for Extremities: "cyanosis" and "clubbing” – f. From MD Progress Note on page 52, for Skin: "mild diaphoresis" - g. From Orders on page 53 from the ED (emergency dept): "oxygen 2 liters per NC to maintain 02 SAT >95% - h. From Nursing Assessment on page 54, for Other Components: "Braden score" -