Chapter 17 vital signs fundamentals of nursing UPDATED ACTUAL Questions and CORRECT Answers

Chapter 17 vital signs fundamentals of
nursing UPDATED ACTUAL Questions and
CORRECT Answers
Six vital signs - CORRECT ANSWER - temperature(T)

pulse(P)
respirations (R)
blood pressure(BP)
oxygen saturation(S P O2 )
pain



When to assess vital signs - CORRECT ANSWER - Admission to hospital

Each visit to a clinic or emergency room
Each home health or hospice visit
Every 8 hours or according to hospital policy
According to physician's orders
When a patient complains of feeling unusual or different
When you suspect a change in condition
When administering medications
Before, during, and after blood product transfusion
Before, during, and after surgical and diagnostic procedures
Every 4 hours when one or more vital signs are abnormal
A second time when an assessment finding is different from the last assessment
Every 5 to 15 minutes if the patient's condition is unstable



body temperature - CORRECT ANSWER - Thermogenesis

Thermoregation



Factors affecting body temperature - CORRECT ANSWER - Environment,

, time of day,
gender,
Physical Activity and Exercise,
Medications,
food intake,
Stress,
Illness



Routes of temperatures assessment - CORRECT ANSWER - Oral

Axillary
Tympanic
Skin
Rectal
Temporary artery



elevated temperature - CORRECT ANSWER - -febrile (fever)

-afebrile
-pyrexia
-hyperthermia



Sign and symptoms of fever - CORRECT ANSWER - 1. Flushed face

2. Dry hot skin
3. Dry mucus membranes
4. Elevated pulse rate and rapid respiration
5. Glassy or droopy eye
6. Increased irritability or restlessness
7. Photophobia, which means the eyes have increased sensitivity to light
8. Thirst
9. Headache
10. Myalgia (muscle aches )