VNSG 1400 Nursing in Health and Illness I
VNSG 1402 – Applied Skills I
Module XIII – Vital Signs
|Behavioral Objectives |Content |Skills Performance |Learning Opportunities |
|Define terms related to the assessment of vital |Terms |Perform: |Burton, M. & Ludwig, L. 2011. Fundamentals of |
|signs. |Afebrile |Oral, axillary, electronic temperatures on peers |Nursing Care Concepts, Connections & Skills. Davis. |
| |Apical heart rate |Rectal temperature on manikin |Philadelphia. |
| |Apnea |Assess radial, apical, brachial, temporal, popliteal,| |
| |Bradycardia |femoral and pedal pulses on a peer |Burton………..Chapter 17 |
| |Bradypnea |Assess fetal heart tones | |
| |Centigrade scale |Count respirations on a peer |Burton………..DVD 2 – Vital Signs |
| |Core temperature |Measure blood pressure on peers |Video |
| |Dyspnea |Graph vital signs on worksheet |#M031 “Temperature, Pulse & Respirations” |
| |Fahrenheit scale | | |
| |Hyperthermia | |Study Guide Burton……Chapter 17 |
| |Hyperventilation | | |
| |Hypothermia |Skill 11-1 |Chart utilizing graphic sheet |
| |Hypoventilation |Demonstrate technique for obtaining oral and axillary| |
| |Orthopnea |temperature. Practice rectal temperature on manikin. |DVD |
| |Orthostatic hypotension |Demonstrate use of electronic thermometer. |#6020 “Measuring Vital Signs Part |
| |Palpitation | |1: “Temperature, Pulse & Respirations” |
| |Postural hypotension | |#6021 “Measuring Vital Signs Part |
| |Respiration | |2: “Blood Pressure and Pain” |
| |Respiratory rate | | |
| |Tachycardia | | |
| |Tachypnea | | |
|Identify normal ranges of vital signs for various age|Normal ranges of vitals signs | Skill 17-4 & 17-6 |TVCC VIDEO |
|groups and nursing considerations when assessing |Fetus |Demonstrate technique for locating and assessing | |
|their vital signs. |Newborn |apical and radial pulse; locate all pulse sites. |Temp, pulse, & respiration in Measuring Vital Signs |
| |Infant | | |
| |Child |Skill 17-7 | |
| |Adult |Demonstrate technique for obtaining respirations. | |
| |Older adult | | |
| |Nursing considerations |Skill 11-1 | |
| |Size of equipment |Demonstrate technique for obtaining blood pressure. | |
| |Contraindications of equipment use | | |
| |Age of patient |Burton…..Chapter 17 p. 348 | |
| |Surgery |Demonstrate technique for obtaining | |
| |Injury |a thigh blood pressure. | |
| | | | |
|Discuss factors affecting temperature, pulse, |Factors affecting body temperature | | |
|respirations, and blood pressure. |Age | | |
| |Gender | | |
| |Exercise/activity | | |
| |Circadian rhythm | | |
| |Emotions | | |
| |Illness/injury | | |
| |Drugs | | |
| |Body build | | |
| |Body temperature | | |
| |Blood volume | | |
| |Obstruction | | |
| |Neurological disorders | | |
| |Pain | | |
| |Positioning | | |
|Identify the various types of clinical thermometers. |Thermometers |Demonstrate use of various methods used to assess | |
| |Glass |temperature | |
| |Electronic | | |
| |Tympanic | | |
| |Disposable | | |
|Discuss nursing interventions for patients with fever|Nursing interventions | | |
|or subnormal temperatures. |Fever | | |
| |Fluids | | |
| |Rest | | |
| |Antipyretics | | |
| |Light cover | | |
| |Cool packs | | |
| |Promote room ventilation | | |
| |Subnormal Temperature | | |
| |Raise room temperature | | |
| |Apply layers of cover | | |
| |Cover head | | |
| |Apply warm packs | | |
| |Warm IV fluid or blood | | |
|Identify equipment used to assess pulse or heart |Equipment | | |
|rate. |Stethoscope | | |
| |Doppler | | |
| | | | |
| | | | |
|Describe different sites where a pulse may be |Pulse sites | | |
|assessed. |Temporal | |CD-ROM # 4083 |
| |Carotid | |Tissue Perfusion Management |
| |Apical | | |
| |Brachial | | |
| |Radial | | |
| |Femoral | | |
| |Popliteal | | |
| |Dorsalis pedis | | |
|Describe characteristics of a pulse. |Pulse characteristics |Demonstrate use of Doppler in obtaining a pulse or | |
| |Pulse pressure |blood pressure | |
| |Pulse deficit | | |
| |Rhythm | | |
| |Volume | | |
|Describe characteristic of respiration. |Respiration characteristic | | |
| |Depth | | |
| |Clarity | | |
| |Uniform | | |
|Identify various methods used to measure blood |Equipment |Demonstrate use of various automated vital sign | |
|pressure. |Sphygmomanometer |machines | |
| |Mercury | | |
| |Aneroid | |Preset blood pressure arms |
| |Digital | | |
| |Dynamap | |Dynamap |
| |Automatic | | |
| |Palpation | | |
|Discuss nursing activities performed to ensure |Nursing activities | | |
|accuracy of blood pressure measurements. |Select appropriate size cuff | | |
| |Palpation of brachial pulse | | |
| |Flush method | | |
|Discuss characteristics of hypertension and |Blood pressure | | |
|hypotension. |Hypertension | | |
| |Systolic | | |
| |Diastolic | | |
| |Hypotension | | |
| |Systolic | | |
| |Diastolic | | |
|Discuss the documentation and reporting of vital |Documentation & reporting | | |
|signs. |Charting vital signs | | |
| |Graph sheet | | |
| |Nurses notes | | |
| |Reporting Vital signs | | |
| |Parameters | | |
|Discuss how fetal heart rate is monitored. |Fetal heart rate | | |
| |Determining position of fetus (Leopold’s Maneuver) | | |
| |Fetoscope | | |
| |Doppler | | |
| |Continuous monitoring | | |
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