Nursing Skills RNSG 1105 Exam 3
questions and complete solutions.
Nursing Skills RNSG 1105 Exam 3
questions and complete solutions.
Vital signs include - ANSWER 1. temperature (T)
2. pulse (P)
3. respiration rate (RR)
4. blood pressure (BP)
5. Puls oximatry (PsO2)
Change in vital signs indicates - ANSWER A change in condition
When is a pt baselines vital signs obtained? - ANSWER on initial contact with pt (compared to trends
from previous shifts)
Why is a pt basline vital signs important? - ANSWER 1. to help evaluate: circulatory, pulmonary,
endocrine and neurological functioning.
2. For comparison with subsequent measurments to detect changes and or abnormal findings
If there are any significants changes in the vital signs what should you do? - ANSWER 1. repeat to verify
accuracy
2. get a 2nd health care provider to confirm vital signs
How often do we assess vital signs? - ANSWER 1. Upon admission and transfer from one unit to another
2. Any time there is a change in a pt condition
3. Before and after procedures that reqauire anesthesia/sedation
4. Before and after administering medications that affect cardiovascular or respiratory function or pain
level
5. Before and after any activity that causes them to change
,Nursing Skills RNSG 1105 Exam 3
questions and complete solutions.
6. As ordered by the HCP, Unity policy, Transfer of Care
Normal body temp range for children: - ANSWER 98.6 -99.6 F
Normal body temp range for adults: - ANSWER 96.8 - 100.4 F
Normal body temp range for elderly - ANSWER 96.6 - 98.6 F
Rectal temp is - ANSWER 1 degree higher than oral
Axillary temp is - ANSWER 1 degree lower than oral
Body temperature is regulated by - ANSWER hypothalamus
Factors that affect temperature - ANSWER 1. Age
2. Activity/ Excerscise
3. Sleep
4. Hormones
5. Stress
6. Enviornment
7. Medication
8. Illness
Sensory input from the skin and major organs initate - ANSWER body response to decrease heat
reduction and increase heat loss
Primary source of heat production is - ANSWER metabolism
, Nursing Skills RNSG 1105 Exam 3
questions and complete solutions.
Primary site of heat loss is - ANSWER through the skin (vasodilation)
4 mechanisms of heat loss - ANSWER Convection
Radiation
Evaporation
Conduction
Convection - ANSWER The transfer of heat by the movement of a fluid
Conduction - ANSWER The direct transfer of heat from one substance to another substance that it is
touching.
Radiation - ANSWER heat transfered from the body to a cooler source
Evaporation - ANSWER transfer of heat when a liquid is changed into a gas
Consideraiton for assesing oral temp - ANSWER Probe / thermometer placed
under tongue in posterior
sublingual
pocket
Consideration for assesing rectal temp - ANSWER Lubricate thermometer or covered probe
1.5 inches for adult
rectal temp is contraindicted for: - ANSWER 1. newborns
2. children or adults with diarrhea
3. rectal disease or
recent rectal surgery
questions and complete solutions.
Nursing Skills RNSG 1105 Exam 3
questions and complete solutions.
Vital signs include - ANSWER 1. temperature (T)
2. pulse (P)
3. respiration rate (RR)
4. blood pressure (BP)
5. Puls oximatry (PsO2)
Change in vital signs indicates - ANSWER A change in condition
When is a pt baselines vital signs obtained? - ANSWER on initial contact with pt (compared to trends
from previous shifts)
Why is a pt basline vital signs important? - ANSWER 1. to help evaluate: circulatory, pulmonary,
endocrine and neurological functioning.
2. For comparison with subsequent measurments to detect changes and or abnormal findings
If there are any significants changes in the vital signs what should you do? - ANSWER 1. repeat to verify
accuracy
2. get a 2nd health care provider to confirm vital signs
How often do we assess vital signs? - ANSWER 1. Upon admission and transfer from one unit to another
2. Any time there is a change in a pt condition
3. Before and after procedures that reqauire anesthesia/sedation
4. Before and after administering medications that affect cardiovascular or respiratory function or pain
level
5. Before and after any activity that causes them to change
,Nursing Skills RNSG 1105 Exam 3
questions and complete solutions.
6. As ordered by the HCP, Unity policy, Transfer of Care
Normal body temp range for children: - ANSWER 98.6 -99.6 F
Normal body temp range for adults: - ANSWER 96.8 - 100.4 F
Normal body temp range for elderly - ANSWER 96.6 - 98.6 F
Rectal temp is - ANSWER 1 degree higher than oral
Axillary temp is - ANSWER 1 degree lower than oral
Body temperature is regulated by - ANSWER hypothalamus
Factors that affect temperature - ANSWER 1. Age
2. Activity/ Excerscise
3. Sleep
4. Hormones
5. Stress
6. Enviornment
7. Medication
8. Illness
Sensory input from the skin and major organs initate - ANSWER body response to decrease heat
reduction and increase heat loss
Primary source of heat production is - ANSWER metabolism
, Nursing Skills RNSG 1105 Exam 3
questions and complete solutions.
Primary site of heat loss is - ANSWER through the skin (vasodilation)
4 mechanisms of heat loss - ANSWER Convection
Radiation
Evaporation
Conduction
Convection - ANSWER The transfer of heat by the movement of a fluid
Conduction - ANSWER The direct transfer of heat from one substance to another substance that it is
touching.
Radiation - ANSWER heat transfered from the body to a cooler source
Evaporation - ANSWER transfer of heat when a liquid is changed into a gas
Consideraiton for assesing oral temp - ANSWER Probe / thermometer placed
under tongue in posterior
sublingual
Consideration for assesing rectal temp - ANSWER Lubricate thermometer or covered probe
1.5 inches for adult
rectal temp is contraindicted for: - ANSWER 1. newborns
2. children or adults with diarrhea
3. rectal disease or
recent rectal surgery
