1000题 生命体征观察护理（1000, vital signs, observation, nursing）.doc

1000题 生命体征观察护理（1000, vital signs, observation, nursing） Vital signs observation nursing (146-193 questions) 146 the key points of attention in measuring body temperature, pulse and heart rate (TPR) were discussed. Answer: l mental abnormalities, coma, infants and young children, oral diseases, oral and nasal surgery, breathing difficulties, can not be uncooperative, can not use oral thermometer: 2 after eating, smoking and cold and hot compress on the cheeks, the interval should be 30 min, and the thermometer can be measured by the oral thermometer. 3 rectal disease or surgery, diarrhea, myocardial infarction patients not from the rectal temperature, hot water bath, after enema is subject to 30 min behind the feasible rectal temperature. 4, infants, mental patients, agitated patients rectal temperature measurement, the nurse must hand anus table, in order to prevent the anus table broken or into the rectum, causing accidents, 5 use the axillary table, first wipe your armpit sweat, and put it in your armpit. Axillary trauma, surgery, inflammation, sweating, shoulder joint injuries or excessive weight loss, patients avoid axillary tables, patients after a shower to be measured for a moment 6, anus table and mouth table, axillary table cleaning, disinfection 7 dont thumb pulse, weak pulse with a stethoscope to listen to the heart rate 1min pulse number 8 poor pulse, 2 people were measured at the same time, respectively, listening to heart rate and the number of pulse count, 1 min 9 severe activity, emotional stress, ask patients to rest after 20min pulse rate 10, when breathing, can not talk to patients, irregular breath of patients and infants 1min 1477.5 mm Hg =1 kPa 148 how does a pulse come about? Definition, characteristics and measuring methods of clumsy veins As the heart contracts, the pressure in the arterial duct increases, the wall expands, and the wall retracts during diastole. This rhythmic contraction of the large arterial wall spreads outward into the pe