{"id":14928,"date":"2014-05-30T13:49:41","date_gmt":"2014-05-30T13:49:41","guid":{"rendered":"http:\/\/www.mometrix.com\/academy\/?page_id=14928"},"modified":"2026-03-26T12:55:24","modified_gmt":"2026-03-26T17:55:24","slug":"vital-signs","status":"publish","type":"page","link":"https:\/\/www.mometrix.com\/academy\/vital-signs\/","title":{"rendered":"Vital Signs and How to Check Them"},"content":{"rendered":"\n\t\t\t<div id=\"mmDeferVideoEncompass_cZst1nOmoIg\" style=\"position: relative;\">\n\t\t\t<picture>\n\t\t\t\t<source srcset=\"https:\/\/www.mometrix.com\/academy\/wp-content\/uploads\/2023\/01\/circle-play-duotone.webp\" type=\"image\/webp\">\n\t\t\t\t<source srcset=\"https:\/\/www.mometrix.com\/academy\/wp-content\/uploads\/2023\/01\/circle-play-duotone.png\" type=\"image\/jpeg\"> \n\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" loading=\"eager\" id=\"videoThumbnailImage_cZst1nOmoIg\" data-source-videoID=\"cZst1nOmoIg\" src=\"https:\/\/www.mometrix.com\/academy\/wp-content\/uploads\/2023\/01\/circle-play-duotone.png\" alt=\"Vital Signs and How to Check Them Video\" height=\"464\" width=\"825\" class=\"size-full\" data-matomo-title = \"Vital Signs and How to Check Them\">\n\t\t\t<\/picture>\n\t\t\t<\/div>\n\t\t\t<style>img#videoThumbnailImage_cZst1nOmoIg:hover {cursor:pointer;} img#videoThumbnailImage_cZst1nOmoIg {background-size:contain;background-image:url(\"https:\/\/www.mometrix.com\/academy\/wp-content\/uploads\/2023\/01\/613-thumb-final-1-1.webp\");}<\/style>\n\t\t\t<script defer>\n\t\t\t  jQuery(\"img#videoThumbnailImage_cZst1nOmoIg\").click(function() {\n\t\t\t\tlet videoId = jQuery(this).attr(\"data-source-videoID\");\n\t\t\t\tlet helpTag = '<div id=\"mmDeferVideoYTMessage_cZst1nOmoIg\" style=\"display: none;position: absolute;top: -24px;width: 100%;text-align: center;\"><span style=\"font-style: italic;font-size: small;border-top: 1px solid #fc0;\">Having trouble? <a href=\"https:\/\/www.youtube.com\/watch?v='+videoId+'\" target=\"_blank\">Click here to watch on YouTube.<\/a><\/span><\/div>';\n\t\t\t\tlet tag = document.createElement(\"iframe\");\n\t\t\t\ttag.id = \"yt\" + videoId;\n\t\t\t\ttag.src = \"https:\/\/www.youtube-nocookie.com\/embed\/\" + videoId + \"?autoplay=1&controls=1&wmode=opaque&rel=0&egm=0&iv_load_policy=3&hd=0&enablejsapi=1\";\n\t\t\t\ttag.frameborder = 0;\n\t\t\t\ttag.allow = \"autoplay; fullscreen\";\n\t\t\t\ttag.width = this.width;\n\t\t\t\ttag.height = this.height;\n\t\t\t\ttag.setAttribute(\"data-matomo-title\",\"Vital Signs and How to Check Them\");\n\t\t\t\tjQuery(\"div#mmDeferVideoEncompass_cZst1nOmoIg\").html(tag);\n\t\t\t\tjQuery(\"div#mmDeferVideoEncompass_cZst1nOmoIg\").prepend(helpTag);\n\t\t\t\tsetTimeout(function(){jQuery(\"div#mmDeferVideoYTMessage_cZst1nOmoIg\").css(\"display\", \"block\");}, 2000);\n\t\t\t  });\n\t\t\t  \n\t\t\t<\/script>\n\t\t\n<p><script>\nfunction 4Ur_Function() {\n  var x = document.getElementById(\"4Ur\");\n  if (x.style.display === \"none\") {\n    x.style.display = \"block\";\n  } else {\n    x.style.display = \"none\";\n  }\n}\n<\/script><\/p>\n<div class=\"moc-toc hide-on-desktop hide-on-tablet\">\n<div><button onclick=\"4Ur_Function()\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.mometrix.com\/academy\/wp-content\/uploads\/2024\/12\/toc2.svg\" width=\"16\" height=\"16\" alt=\"show or hide table of contents\"><\/button><\/p>\n<p>On this page<\/p>\n<\/div>\n<nav id=\"4Ur\" style=\"display:none;\">\n<ul>\n<li class=\"toc-h2\"><a href=\"#Assessing_a_Temperature\" class=\"smooth-scroll\">Assessing a Temperature<\/a><\/li>\n<li class=\"toc-h2\"><a href=\"#How_to_Measure_a_Patient%E2%80%99s_Respirations\" class=\"smooth-scroll\">How to Measure a Patient\u2019s Respirations<\/a><\/li>\n<li class=\"toc-h2\"><a href=\"#How_to_Measure_Blood_Pressure\" class=\"smooth-scroll\">How to Measure Blood Pressure<\/a><\/li>\n<li class=\"toc-h2\"><a href=\"#How_to_Assess_the_Pulse_Oximetry\" class=\"smooth-scroll\">How to Assess the Pulse Oximetry<\/a><\/li>\n<li class=\"toc-h2\"><a href=\"#Review\" class=\"smooth-scroll\">Review<\/a><\/li>\n<\/ul>\n<\/nav>\n<\/div>\n<div class=\"accordion\"><input id=\"transcript\" type=\"checkbox\" class=\"spoiler_button\" \/><label for=\"transcript\">Transcript<\/label>\n<div class=\"spoiler\" id=\"transcript-spoiler\">\n<p>Welcome to this video tutorial! In this video, we are going to look at the six most important vital signs we assess when caring for patients.<\/p>\n<p>We will discuss the purpose of each measurement and how to perform each one. <\/p>\n<p>This video will address the vital sign norms, variations, and how often you should perform each one.<\/p>\n<h2><span id=\"Assessing_a_Temperature\" class=\"m-toc-anchor\"><\/span>Assessing a Temperature<\/h2>\n<p>\nA person\u2019s body temperature can signal warning signs.<\/p>\n<p>If a patient\u2019s body temperature is too, low it may indicate neurovascular problems. If a patient\u2019s body temperature is too high, it usually indicates signs of infection.<\/p>\n<p>This vital sign can be assessed in different locations using a thermometer. There are different types of thermometers depending on the facility you work in. Therefore, make sure you are trained on how to use your facility&#8217;s equipment.<\/p>\n<ul>\n<li><strong>Orally<\/strong> means taking the temperature by mouth placing the thermometer underneath the tongue.<\/li>\n<li><strong>Axillary<\/strong> means placing the thermometer underneath the patient\u2019s armpit. This method is widely used in the hospital because it is the most convenient and will work well with adults and pediatric patients.<\/li>\n<li><strong>Temporal<\/strong> is a method often seen in critical care units. This method requires a special thermometer, which is placed on the forehead.<\/li>\n<\/ul>\n<p>Taking a temperature rectally requires careful consideration and is not used in the hospital too often. However, It is said to be one of the more accurate measurements of the body\u2019s true temperature.<\/p>\n<p>A tympanic temperature measures the body\u2019s temperature by placing a specially made thermometer inside the patient\u2019s ear canal near the tympanic membrane. The normal temperature for adults is 97 \u00b0F to 99 \u00b0F (36.1 to 37.2 degrees Celsius).<\/p>\n<p>Remember, when checking a patient\u2019s temperature, make sure you use the correct site with the correct equipment. Also, temperatures taken axillary and temporally typically tend to be one degree lower and rectal and tympanic temperatures tend to read one degree higher than the oral temperature. <\/p>\n<h3><span id=\"Assessing_the_Pulse\" class=\"m-toc-anchor\"><\/span>Assessing the Pulse<\/h3>\n<p>\nAssessing a patient&#8217;s heart rate is a vital component of checking on the patient\u2019s overall health.<\/p>\n<p>If a patient\u2019s heart rate is too low, this may indicate signs of poor cardiac perfusion. This condition is called Bradycardia and may lead to fainting or syncope and if prolonged may lead to cardiac arrest. <\/p>\n<p>If a patient\u2019s heart rate is too high, this may indicate that the heart is beating too fast and therefore the blood is not being pumped effectively. This may deprive your organs and tissues of their required blood volume. This condition is called Tachycardia and if prolonged may cause stroke, sudden cardiac arrest, and death. <\/p>\n<p>There are several sites we can use to assess the patient&#8217;s heart rate:<\/p>\n<ul>\n<li><strong>The radial<\/strong> (which is most commonly used) and is located on the wrist just beneath the thumb.<\/li>\n<li><strong>The brachial pulse<\/strong>, which is felt over the brachial artery at the inner aspect of the elbow, is usually palpated just before taking a blood pressure.<\/li>\n<li><strong>A pedal pulse<\/strong> is palpated on top of the foot and is usually used to determine the health of the peripheral vascular system.<\/li>\n<\/ul>\n<p>Then there is the <strong>femoral artery<\/strong> used to determine the health of the heart and often used as a site for a cardiac catheterization. <\/p>\n<p><strong>The apical pulse<\/strong>, which is most accurate, can be assessed by placing your stethoscope at the 5th clavicular space just below the left breast.<\/p>\n<p>Normal heart rate in an adult is 60-100 beats per minute. Remember: Count the heart rate for a full minute. Make sure you note the rhythm and rate in your documentation.<\/p>\n<h2><span id=\"How_to_Measure_a_Patient%E2%80%99s_Respirations\" class=\"m-toc-anchor\"><\/span>How to Measure a Patient\u2019s Respirations<\/h2>\n<p>\nThe best way to count a patient\u2019s respirations is to begin immediately following the apical heart rate. This method allows you to listen to the respiratory sounds and count at the same time.<\/p>\n<p>Do not tell the patient that you are counting respirations because patients tend to change their breathing. The purpose of this vital sign is to give us a small picture of how well the <a class=\"ylist\" href=\"https:\/\/www.mometrix.com\/academy\/respiratory-system\/\">respiratory system<\/a> is functioning.<\/p>\n<p>While the stethoscope is positioned on the patient\u2019s chest, count each breath. Normal respiratory rate in an adult is 12-20 breaths per minute. <\/p>\n<p>Remember: Count the respiratory rate for one full minute. Make sure you note the rate, rhythm, and sounds.<\/p>\n<h2><span id=\"How_to_Measure_Blood_Pressure\" class=\"m-toc-anchor\"><\/span>How to Measure Blood Pressure<\/h2>\n<p>\nThe patient&#8217;s blood pressure gives us an indication of how well the heart is performing. <\/p>\n<p>If the pressure is too high a patient could suffer a stroke. If the pressure is too low a patient is not perfusing well and could go into cardiac arrest. <\/p>\n<p>It is important to assess the blood pressure of our patients to get a baseline.<\/p>\n<ol>\n<li style=\"margin-bottom: 1em;\">Always ask the patient which arm they prefer you use. Make sure you ask the patient if they\u2019ve had any surgeries on either arm.<\/li>\n<li style=\"margin-bottom: 1em;\">Ask the patient to sit completely upright with their palms facing up. Make sure they do not cross their legs and feet remain flat on the floor. The arm you\u2019ve chosen should be palms up and slightly bent.<\/li>\n<li style=\"margin-bottom: 1em;\">To palpate the brachial artery, draw an imaginary line from the patient\u2019s pinky finger up toward the inner elbow. This is where you will place your stethoscope.<\/li>\n<li style=\"margin-bottom: 1em;\">Now place the blood pressure cuff (sphygmomanometer) about an inch above this location with the arrow on the cuff located directly above your target area.<\/li>\n<li style=\"margin-bottom: 1em;\">Make sure you use the proper cuff size. A blood pressure cuff too big or too small may cause an incorrect reading.<\/li>\n<li style=\"margin-bottom: 1em;\">Once the cuff is in place, turn the air release valve clockwise to close. With your stethoscope and the blood pressure cuff in place, pump the rubber bulb until you can hear no sounds.<\/li>\n<li>Once you\u2019ve reached your target number, which should be about 30 millimeters above the patient\u2019s normal reading, begin to slowly release the air valve by turning it counterclockwise.<br \/>\n&nbsp;<br \/>\nThe cuff should release at a rate of two to three millimeters per second. Make sure you are in a quiet place and you pay attention to each sound. The first sound heard will be your systolic (the number that goes on top). The last sound heard will be your diastolic (the number that goes on the bottom). Normal blood pressure for an adult should be below 120\/80.<\/li>\n<\/ol>\n<p>Remember: It is vital that you find out your patients normal pressure. If unknown by the patient, use other assessment questions, such as history, to establish parameters.<\/p>\n<h2><span id=\"How_to_Assess_the_Pulse_Oximetry\" class=\"m-toc-anchor\"><\/span>How to Assess the Pulse Oximetry<\/h2>\n<p>The pulse oximetry measures the amount of oxygen in a patient\u2019s blood.<\/p>\n<p>The ideal pulse oximetry rate is 96-100%. Different facilities use different machines and techniques to monitor pulse oximetry.<\/p>\n<p>This vital sign is especially important for someone who has respiratory or cardiac issues.<\/p>\n<p>The method used may vary. However, usually the finger, toes, foot, or earlobe are used to gain this reading. The method depends on the facility, condition, and age of the patient.<\/p>\n<p>Remember: Make sure you are familiar with your facilities policies and use of equipment.<\/p>\n<h3><span id=\"Pain\" class=\"m-toc-anchor\"><\/span>Pain<\/h3>\n<p>\nPain is considered the \u201csixth vital sign.\u201d Pain can be a contributing factor to a patient\u2019s overall wellness. This measurement is best done at the beginning of your assessment. <\/p>\n<p>Ask the patient to rate their pain on a scale of 0 to 10 with 0 being no pain and 10 being the worst pain they have ever experienced. If they have a rating of 1 or above you must ask the patient to tell you the location and quality of their pain.<\/p>\n<p>Remember: Pain is subjective. Each patient experiences pain in his or her own unique way. It is important to assess and reassess patients for pain with each encounter. <\/p>\n<hr>\n<h2><span id=\"Review\" class=\"m-toc-anchor\"><\/span>Review<\/h2>\n<p>\nNow let\u2019s take a look at some questions for review\u2026<\/p>\n<p>1. A nurse is assessing the patient\u2019s blood pressure and notices it is extremely high for this patient. The nurse documents the blood pressure of 160\/100. What would be an appropriate intervention for the nurse to do first?<\/p>\n<ol style=\"list-style: upper-alpha;\">\n<li>Begin CPR because this patient is at risk for a heart attack.<\/li>\n<li>Call the physician to get orders for hypertensive medications.<\/li>\n<li>Document the findings and tell the patient to take deep breaths.<\/li>\n<li>Wait 15-minutes and check the blood pressure again to verify the reading.<\/li>\n<\/ol>\n<div style=\"text-align: center; margin-bottom: 20px;\"><button class=\"buttontranscript\" onClick=\"toggle('Answer1')\">Show Answer<\/button><\/div>\n<div id=\"Answer1\" style=\"display:none; box-shadow: 1.5px 1.5px 5px grey; background-color:#E0E0E0; padding: 30px; padding-bottom: 15px; width: 60%; margin: auto; text-align: center;\">\n<strong>If you chose D, you are correct!<\/strong><\/p>\n<p style=\"text-align: left;\">If the patient tells you that is not their normal pressure you want to be sure to verify your findings prior to notifying the physician. You may report both reading to the physician after taking it a second time.<\/p>\n<\/div>\n<p>\n&nbsp;<br \/>\n2. Which of the following would most likely be an indication of an infection?<\/p>\n<ol style=\"list-style: upper-alpha;\">\n<li>An apical heart rate of 80<\/li>\n<li>A blood pressure of 110\/80<\/li>\n<li>A pain rating of 6 on a scale of 0 to 10<\/li>\n<li>An oral temperature of 101.9 \u00b0F<\/li>\n<\/ol>\n<div style=\"text-align: center; margin-bottom: 20px;\"><button class=\"buttontranscript\" onClick=\"toggle('Answer2')\">Show Answer<\/button><\/div>\n<div id=\"Answer2\" style=\"display:none; box-shadow: 1.5px 1.5px 5px grey; background-color:#E0E0E0; padding: 30px; padding-bottom: 15px; width: 60%; margin: auto; text-align: center;\">\n<strong>If you chose D, you are correct!<\/strong><\/p>\n<p style=\"text-align: left;\">A higher than normal temperature is most likely the body\u2019s way to heating up to fight off bacteria which causes an infection. The other options are normal and may not be an indication of an infection.<\/p>\n<\/div>\n<p>\n&nbsp;<br \/>\nThank you for watching! Hope it was helpful, and I\u2019ll see you next time! <\/p>\n<\/div>\n<\/div>\n\n<div class=\"home-buttons\">\n<p><a href=\"https:\/\/www.mometrix.com\/academy\/patient-care\/\">Return to Patient Care Videos<\/a><\/p>\n<\/div>\n<p><script>\nfunction toggle(obj) {\n          var obj=document.getElementById(obj);\n          if (obj.style.display == \"block\") obj.style.display = \"none\";\n          else obj.style.display = \"block\";\n}\n<\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Return to Patient Care Videos<\/p>\n","protected":false},"author":1,"featured_media":95536,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":{"0":"post-14928","1":"page","2":"type-page","3":"status-publish","4":"has-post-thumbnail","6":"page_category-general-patient-care-videos","7":"page_category-patient-care-videos","8":"page_category-video-pages-for-study-course-sidebar-ad","9":"page_type-video","10":"subject_matter-nursing"},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.mometrix.com\/academy\/wp-json\/wp\/v2\/pages\/14928","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mometrix.com\/academy\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.mometrix.com\/academy\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.mometrix.com\/academy\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mometrix.com\/academy\/wp-json\/wp\/v2\/comments?post=14928"}],"version-history":[{"count":5,"href":"https:\/\/www.mometrix.com\/academy\/wp-json\/wp\/v2\/pages\/14928\/revisions"}],"predecessor-version":[{"id":281750,"href":"https:\/\/www.mometrix.com\/academy\/wp-json\/wp\/v2\/pages\/14928\/revisions\/281750"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mometrix.com\/academy\/wp-json\/wp\/v2\/media\/95536"}],"wp:attachment":[{"href":"https:\/\/www.mometrix.com\/academy\/wp-json\/wp\/v2\/media?parent=14928"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}