Molloy University NUR 2090 Vital Signs
Module Exam questions with correct
answers
Goals: |Body |Temperature |- |CORRECT |ANSWER✔✔-- |obtain |baseline |temperature |data |for |
comparing |future |temperatures
- |screen |for |alterations |in |temperature
- |evaluate |temperature |response |to |therapies
Verbalize |Critical |Elements |- |CORRECT |ANSWER✔✔-- |gather |supplies |after |verifying |orders
- |perform |hand |hygiene |& |don |gloves |if |needed
- |introduce |myself |to |the |patient |& |identify |the |patient |using |2 |patient |identifiers
- |explain |the |procedure |to |the |patient |
- |provide |patient |privacy |and |prepare |my |environment
- |document |the |procedure |and |patient's |response |as |indicated
Assessing |ORAL |TEMPERATURE |- |CORRECT |ANSWER✔✔-1. |remove |Blue |thermometer |from |
the |battery |pack, |and |remove |the |temperature |probe |out |from |the |recording |unit, |making |
sure |temperature |is |on |the |screen
2. |attach |a |disposable |cover |over |the |probe |and |secure |it |
3. |insert |the |temperature |probe |into |the |posterior |sublingual |pocket |of |the |mouth, |then |ask |
the |patient |to |close |their |mouth |to |secure |the |probe
4. |wait |for |a |beep, |(10-20 |sec) |once |it |beeps, |that |indicates |your |estimated |temperature. |Then
|going |to |watch |to |see |if |the |temp |rises. |once |it |stops, |im |going |to |record |that |temp |and |
remove |the |probe |out |of |the |patient's |mouth
, 5. |hold |the |probe |over |a |waste |container |and |release |the |disposable |cover |
6. |clean |according |to |agency |policy, |put |the |prob |back |into |the |battery |pack |and |into |storage
7. |perform |hand |hygiene, |document |my |finding |under |vital |signs |documentation, |recording
|"O" |for |oral |site, |discuss |findings |with |patient |if |appropriate
Assessing |RECTAL |TEMPERTURE |- |CORRECT |ANSWER✔✔-1. |don |clean |gloves
2. |assist |the |patient |into |SIMS |position, |which |is |them |laying |on |their |left |side, |with |their |left |
hip |and |left |lower |extremity |extended, |and |their |right |hip |and |knee |bent. |
3. |remove |rectal |red |thermometer |from |the |battery |pack, |and |remove |the |thermometer |probe
|out |of |the |recording |unit, |making |sure |it |reads |temperature
4. |attach |a |disposable |cover |over |the |temperature |probe |and |secure |it
5. |Apply |a |water |soluble |lubricant |onto |the |probe's |tip
6. |separate |the |patient's |buttocks |so |that |the |anal |sphincter |is |visible
7. |ask |the |patient |to |take |a |deep |breath, |then |insert |the |probe |into |the |anus, |in |the |direction |
of |the |umbilicus, |1.5in |or |4cm |for |adults
8. |4. |wait |for |a |beep, |(10-20 |sec) |once |it |beeps, |that |indicates |your |estimated |temperature. |
Then |going |to |watch |to |see |if |the |temp |rises. |once |it |stops, |im |going |to |record |that |temp |and |
remove |the |probe |out |of |the |patient's |anus.
9. |hold |the |probe |over |a |waste |container |and |release |the |disposable |cover |
10. |clean |according |to |agency |policy, |return |the |probe |back |into |the |battery |pack, |put |the |
pack |into |storage |
11. |perform |hand |hygiene, |and |document |my |findings |into |the |vital |signs |documentation, |
recording |"R" |for |rectal |site. |discuss |the |findings |with |my |patient |if |appropriate
Assessing |AXILLARY |TEMPERATURE |- |CORRECT |ANSWER✔✔-1. |remove |blue |electronic |
thermometer |from |the |battery |pack, |and |remove |temperature |probe |out |of |the |recording |
unit, |making |sure |it |reads |axillary |on |the |screen. |
2. |assist |the |patient |into |a |comfortable |position, |remove |clothing |to |expose |axilla |3. |Place |the |
disposable |cover |over |the |temperature |probe |and |attach |securely |
Module Exam questions with correct
answers
Goals: |Body |Temperature |- |CORRECT |ANSWER✔✔-- |obtain |baseline |temperature |data |for |
comparing |future |temperatures
- |screen |for |alterations |in |temperature
- |evaluate |temperature |response |to |therapies
Verbalize |Critical |Elements |- |CORRECT |ANSWER✔✔-- |gather |supplies |after |verifying |orders
- |perform |hand |hygiene |& |don |gloves |if |needed
- |introduce |myself |to |the |patient |& |identify |the |patient |using |2 |patient |identifiers
- |explain |the |procedure |to |the |patient |
- |provide |patient |privacy |and |prepare |my |environment
- |document |the |procedure |and |patient's |response |as |indicated
Assessing |ORAL |TEMPERATURE |- |CORRECT |ANSWER✔✔-1. |remove |Blue |thermometer |from |
the |battery |pack, |and |remove |the |temperature |probe |out |from |the |recording |unit, |making |
sure |temperature |is |on |the |screen
2. |attach |a |disposable |cover |over |the |probe |and |secure |it |
3. |insert |the |temperature |probe |into |the |posterior |sublingual |pocket |of |the |mouth, |then |ask |
the |patient |to |close |their |mouth |to |secure |the |probe
4. |wait |for |a |beep, |(10-20 |sec) |once |it |beeps, |that |indicates |your |estimated |temperature. |Then
|going |to |watch |to |see |if |the |temp |rises. |once |it |stops, |im |going |to |record |that |temp |and |
remove |the |probe |out |of |the |patient's |mouth
, 5. |hold |the |probe |over |a |waste |container |and |release |the |disposable |cover |
6. |clean |according |to |agency |policy, |put |the |prob |back |into |the |battery |pack |and |into |storage
7. |perform |hand |hygiene, |document |my |finding |under |vital |signs |documentation, |recording
|"O" |for |oral |site, |discuss |findings |with |patient |if |appropriate
Assessing |RECTAL |TEMPERTURE |- |CORRECT |ANSWER✔✔-1. |don |clean |gloves
2. |assist |the |patient |into |SIMS |position, |which |is |them |laying |on |their |left |side, |with |their |left |
hip |and |left |lower |extremity |extended, |and |their |right |hip |and |knee |bent. |
3. |remove |rectal |red |thermometer |from |the |battery |pack, |and |remove |the |thermometer |probe
|out |of |the |recording |unit, |making |sure |it |reads |temperature
4. |attach |a |disposable |cover |over |the |temperature |probe |and |secure |it
5. |Apply |a |water |soluble |lubricant |onto |the |probe's |tip
6. |separate |the |patient's |buttocks |so |that |the |anal |sphincter |is |visible
7. |ask |the |patient |to |take |a |deep |breath, |then |insert |the |probe |into |the |anus, |in |the |direction |
of |the |umbilicus, |1.5in |or |4cm |for |adults
8. |4. |wait |for |a |beep, |(10-20 |sec) |once |it |beeps, |that |indicates |your |estimated |temperature. |
Then |going |to |watch |to |see |if |the |temp |rises. |once |it |stops, |im |going |to |record |that |temp |and |
remove |the |probe |out |of |the |patient's |anus.
9. |hold |the |probe |over |a |waste |container |and |release |the |disposable |cover |
10. |clean |according |to |agency |policy, |return |the |probe |back |into |the |battery |pack, |put |the |
pack |into |storage |
11. |perform |hand |hygiene, |and |document |my |findings |into |the |vital |signs |documentation, |
recording |"R" |for |rectal |site. |discuss |the |findings |with |my |patient |if |appropriate
Assessing |AXILLARY |TEMPERATURE |- |CORRECT |ANSWER✔✔-1. |remove |blue |electronic |
thermometer |from |the |battery |pack, |and |remove |temperature |probe |out |of |the |recording |
unit, |making |sure |it |reads |axillary |on |the |screen. |
2. |assist |the |patient |into |a |comfortable |position, |remove |clothing |to |expose |axilla |3. |Place |the |
disposable |cover |over |the |temperature |probe |and |attach |securely |
