Taking an apical
pulse rate
Equipment
TAKING A RADIAL (WRIST) PULSE RATE
EQUIPMENT
- Watch with a second hand
- Gloves
NURSING ACTION
HOW TO TAKE A RADIAL (WRIST) PULSE RATE
- Wash hands/hand hygiene. Rationale:
Reduces transmission of microorganisms.
- Inform client of the site(s) where pulse will be measured. Rationale: Encourages participation and
allays anxiety.
HOW TO TAKE BODY TEMPERATURE USING DISPOSABLE CHEMICAL STRIP
THERMOMETER
EQUIPMENT
- Thermometer: Disposable, single-use chemical strip
thermometer
- Two pairs of nonsterile gloves
- Tissues
NURSING ACTION:
MEASURING DISPOSABLE (CHEMICAL STRIP) THERMOMETER
- Review medical record for baseline data factors that
influence vital signs. Rationale: Establishes
parameters for client’s normal measurements, provides direction in device
selection, and helps determine site to use for measurement. Vital signs are
measured in the order of temperature, pulse, and respiration (TPR) and blood
pressure (BP), usually without interruptions, to provide the nurse with an
objective clinical database to direct decision making.
HOW TO TAKE AXILLARY TEMPERATURE
EQUIPMENT
- Thermometer
- Two pairs of nonsterile gloves
- Tissues
NURSING ACTION:
TAKING AXILLARY TEMPERATURE
- Review medical record for baseline data factors that
influence vital signs. Rationale: Establishes parameters for client’s normal
measurements, provides direction in device selection, and helps determine site
to use for measurement. Vital signs are measured in the order of temperature,
pulse, and respiration (TPR) and blood pressure (BP), usually without
interruptions, to provide the nurse with an objective clinical database to
direct decision making.