Which is the most important factor to apply when measuring client vital signs?
1. Documentation requires timely and accurate recording.
2. Normal limits are very narrow and are the same for all clients.
3. Measuring equipment suits client's condition and characteristics.
4. Environmental factors play a minor role on the client vital signs.
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3. Suitable measuring equipment for client condition and characteristics is important because improper equipment distorts the results, makes the results useless and a lia-bility, and increases the risk of client injury. If data are obtained with improper equipment and client treatment is based on the faulty data, the person who uses the improper equipment and the person who uses the faulty data are liable for the results.
1. Documentation is an important part of taking vital signs; however, if the nurse uses improper equipment or technique to obtain vital signs, accurate and prompt recording is to no avail.
2. Depending on the parameter, normal limits are not relatively narrow. For example, the range for a normal heart rate is 60 to 100 beats/min (a range of 40 beats/min) and a normal systolic blood pressure varies from 90 to 120 mm Hg (a range of 30 mm Hg). The benefit of a wider normal range is that the body is able to respond to stress and recover while remaining within normal limits.
4. Environmental factors play a significant role on vital signs. For example, a warm room is likely to increase a client's temperature or a sudden explosion is likely to in-crease a client's blood pressure and heart rate.
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