The LPN has been assigned to obtain vital signs on several patients. While obtaining vital signs such as temperature, blood pressure, heart rate, and respiratory rate, what other vital sign should the nurse be sure to include in her documentation?
A) Peripheral pulses
B) Lung sounds
C) Pain
D) Bowel sounds
C
Feedback:
The American Pain Society has proposed that pain assessment should be considered the fifth vital sign. The nurse should check and document the client's pain every time he or she assesses the client's temperature, pulse, respirations, and blood pressure. Peripheral pulses, lung sounds, and bowel sounds are important parts of a head-to-toe assessment but are not included in the collection of vital signs.
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