z7q2-2026-01-25_06_21_47-kaye.pdf
z7q2-2026-01-25_06_21_47-kaye.pdf
Good day. I am Jasmin Kaye Alberto, a nursing student. I will be performing the taking of vital signs, which includes blood pressure, pulse rate, respiratory rate, body temperature using a digital thermometer, and oxygen saturation using a pulse oximeter.
This procedure is done to assess the client's current health status. Universal precautions, patient safety, privacy, and comfort will be observed throughout the procedure.
Pre-Procedure
Pre-Procedure
"I will ensure the implementation of universal precautions and COVID-nineteen protocols." (Performs hand hygiene)
"Good day. I am Jasmin Kaye Alberto, a nursing student. May I know your name, please?" (Identifies patient)
"I will be taking your vital signs. This procedure is safe and will not cause harm. May I proceed?"
"I will now gather the necessary equipment and perform hand hygiene."
"So ma'am. Please sit comfortably and relax."
Blood Pressure Monitoring So sir is there any history of hypertension or high blood pressure in your family?
"I will position the client's arm at the level of the heart, with the palm facing upward, preferably using the left arm as it is nearer to the heart."
"I will place the blood pressure cuff with the inflatable bag centered over the brachial artery, approximately two point five centimeters or one to two inches above the antecubital fossa, with the tubing exiting near the elbow."
"I will wrap the cuff smoothly and snugly, making sure it is not too tight and not too loose."
"I will palpate the brachial artery at the inner aspect of the elbow using my fingertips."
"I will place the stethoscope earpieces properly in my ears and close the screw valve on the air pump."
"I will inflate the cuff to thirty millimeters of mercury above the point where the pulse disappears, then slowly release the valve."
"I will release the air at a rate of two to three millimeters of mercury per second and listen carefully.
The first clear sound is the systolic pressure." "I will continue to deflate the cuff slowly.
The last muffling sound is the diastolic pressure."
"After the final sound disappears, I will deflate the cuff completely and remove it."