{"id":492,"date":"2018-01-01T23:45:25","date_gmt":"2018-01-01T23:45:25","guid":{"rendered":"http:\/\/pressbooks.library.ryerson.ca\/vitalsign\/?post_type=chapter&#038;p=492"},"modified":"2018-04-09T21:16:14","modified_gmt":"2018-04-09T21:16:14","slug":"492","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/chapter\/492\/","title":{"raw":"Case Study 1: Adult Client (continued)","rendered":"Case Study 1: Adult Client (continued)"},"content":{"raw":"<strong>1. What infection control measures should the healthcare provider implement?\r\n<\/strong>Use correct handwashing techniques before and after your assessment.\r\n\r\n<strong>2. What method should be used to measure temperature for this adult client?\r\n<\/strong>Temperature is best taken using the tympanic or axillary route; because the client is nauseated, the oral route could stimulate the gag reflex.\r\n\r\n<strong>3. What pulse and blood pressure readings should be taken for this adult client?\r\n<\/strong>Orthostatic vital signs (pulse and blood pressure) should be taken because this client is at risk for hypovolemia. The client may be dehydrated as a result of the vomiting and diarrhea and lack of fluid intake. Return to the chapter on blood pressure for more information on hypovolemia and its effects on vital signs.\r\n\r\n&nbsp;\r\n\r\n<strong>Next, see and read the vital sign record below. On a piece of paper, write down each of the client\u2019s vital sign readings, and if applicable, the route used and the client\u2019s position.<\/strong>\r\n\r\n<img src=\"http:\/\/pressbooks.library.ryerson.ca\/vitalsign\/wp-content\/uploads\/sites\/26\/2018\/01\/Vital-sign-record-adult-client.jpg\" alt=\"Vital sign record - case study 1\" class=\"alignnone size-full wp-image-915\" width=\"1700\" height=\"2338\" \/>\r\n<div class=\"textbox shaded\">Go to the next page to view the vital sign readings based on the record above.<\/div>","rendered":"<p><strong>1. What infection control measures should the healthcare provider implement?<br \/>\n<\/strong>Use correct handwashing techniques before and after your assessment.<\/p>\n<p><strong>2. What method should be used to measure temperature for this adult client?<br \/>\n<\/strong>Temperature is best taken using the tympanic or axillary route; because the client is nauseated, the oral route could stimulate the gag reflex.<\/p>\n<p><strong>3. What pulse and blood pressure readings should be taken for this adult client?<br \/>\n<\/strong>Orthostatic vital signs (pulse and blood pressure) should be taken because this client is at risk for hypovolemia. The client may be dehydrated as a result of the vomiting and diarrhea and lack of fluid intake. Return to the chapter on blood pressure for more information on hypovolemia and its effects on vital signs.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Next, see and read the vital sign record below. On a piece of paper, write down each of the client\u2019s vital sign readings, and if applicable, the route used and the client\u2019s position.<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/pressbooks.library.ryerson.ca\/vitalsign\/wp-content\/uploads\/sites\/26\/2018\/01\/Vital-sign-record-adult-client.jpg\" alt=\"Vital sign record - case study 1\" class=\"alignnone size-full wp-image-915\" width=\"1700\" height=\"2338\" srcset=\"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-content\/uploads\/sites\/26\/2018\/01\/Vital-sign-record-adult-client.jpg 1700w, https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-content\/uploads\/sites\/26\/2018\/01\/Vital-sign-record-adult-client-218x300.jpg 218w, https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-content\/uploads\/sites\/26\/2018\/01\/Vital-sign-record-adult-client-768x1056.jpg 768w, https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-content\/uploads\/sites\/26\/2018\/01\/Vital-sign-record-adult-client-745x1024.jpg 745w, https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-content\/uploads\/sites\/26\/2018\/01\/Vital-sign-record-adult-client-65x89.jpg 65w, https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-content\/uploads\/sites\/26\/2018\/01\/Vital-sign-record-adult-client-225x309.jpg 225w, https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-content\/uploads\/sites\/26\/2018\/01\/Vital-sign-record-adult-client-350x481.jpg 350w\" sizes=\"auto, (max-width: 1700px) 100vw, 1700px\" \/><\/p>\n<div class=\"textbox shaded\">Go to the next page to view the vital sign readings based on the record above.<\/div>\n","protected":false},"author":36,"menu_order":4,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-492","chapter","type-chapter","status-publish","hentry"],"part":487,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/492","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/users\/36"}],"version-history":[{"count":21,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/492\/revisions"}],"predecessor-version":[{"id":1777,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/492\/revisions\/1777"}],"part":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/parts\/487"}],"metadata":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/492\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/media?parent=492"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapter-type?post=492"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/contributor?post=492"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/license?post=492"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}