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Blood pressure can be measured indirectly by auscultation or palpation. 12 (exam #3) 70 terms. The nurse realizes that this clients low temperature could be due to: 1. Upgrade to remove ads. She has smoked for 35 years and recently lost over 10 lbs. Test. Which intervention would be considered a prescribed nursing intervention? Encourage independence in hygiene by supervising while the patient washes face and hands. 2. ) Blood Pressure (BP) - Pain is often considered the 5th vital sign - pulse oximetry (the noninvasive measurement of arterial oxyhemoglobin saturation) is also often included in vital signs in hospitalized patients - The health status of a person is reflected in these vital signs. 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Teacher 40 terms. 7 - During screenings at health fairs and clinics, in the home, upon admission to a healthcare setting, when medications are given that may affect one of the vital signs, before and after invasive diagnostic and surgical procedures, and in emergency situations. Vital signs are generally measured when? -upon admission (use both arms if not contraindicated) -According to institutional policy -When there is a change in health status -When ordered by the physician i. Study with Quizlet and memorize flashcards containing terms like Which site is preferred for assessing the heart rate in an adult client?, All of the following factors may affect pulse oxygen saturation (SpO2) readings EXCEPT:, The nurse has a client who is short of breath and calls the health care provider using SBAR to help with the communication. Many facilities also consider pain level and oxygen saturation. Generate. 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