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NUR 143 Module B Test With Complete Solution

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NUR 143 Module B Test With Complete Solution...

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NUR 143 Module B Test With
Complete Solution

Vital Signs - ANSWER -Temperature

-Pulse

-Respirations

-Blood pressure

Examination techniques used with a general assessment/survey - ANSWER
-Inspection

-Palpation

-Auscultation

General Assessment/Survey - ANSWER -General appearance

-Vital signs

-Height and weight

general appearance - ANSWER -build

-personal hygiene

-stated age vs apparent age

-body fat

-dressing/grooming

,-mood

-facial expression

When to assess vital signs - ANSWER -On ADMISSION

-Based on agency or INSTITUTIONAL POLICY and procedures

-Any time there is a CHANGE IN PATIENT'S CONDITION

-Any time there is a LOSS OF CONSCIOUSNESS

-Before and after any SURGERY or invasive diagnostic PROCEDURE

-Before and after ACTIVITY that may INCREASE RISK, such as ambulation
after surgery

-Before administering medications that affect cardiovascular and respiratory
function

Maintenance of body temperature - ANSWER hypothalamus -regulates
temperature

-Center receives messages from cold and warm thermal receptors in the body

-Center initiates responses to produce or conserve body heat or increase heat
loss

Thermoregulation - ANSWER Process of maintaining an internal temperature
within a tolerable range.

Body temperature - ANSWER the balance between the heat produced by the
body and the heat lost from the body

When are temperatures the lowest? - ANSWER Early morning

, Sites for assessing temperature - ANSWER -Tympanic membrane - ears
(internal body temp)

-Oral - sublingual

-Rectal - anus (internal body temp)

-Axillary - under the arm

-Temporal - artery on the head

Normal body temperature range - ANSWER 96.7-100.5 F

(Varies with the route used for measurement)

Normal oral body temperature range - ANSWER 96.4-99.5 F

When are temperatures the highest? - ANSWER Late afternoon

Equipment for assessing temperature - ANSWER -Electronic and digital
thermometers

-Tympanic membrane thermometers

-Disposable single-use thermometers

-Temporal artery thermometers




Factors that affect the body temperature - ANSWER -Circadian rhythms
(Time of day)

-Age and biological sex

-Physical activity

-State of health

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