3100 (Latest Update)
Fundamental Concepts & Skills for
Nursing Practice I | Questions and
Verified Answers | 100% Correct |
Grade A - Galen
what does pulse oximetry measure - ✔✔ANSWER✔✔-the amount of
oxygen available to tissues
what is the pulse oximeter reading - ✔✔ANSWER✔✔-percentage of
hemoglobin that combines with oxygen
what are baseline vitals used for - ✔✔ANSWER✔✔-identifying changes
in patient status
what would cause a blood pressure to increase - ✔✔ANSWER✔✔-pain
what affect does pain medication have on vitals and why -
✔✔ANSWER✔✔-lower blood pressure
lower heart rate
lower respiratory rate
slows the respiratory and cardiovascular system
what is normal temperature for an adult - ✔✔ANSWER✔✔-35.5C-37.5C
95.5F-99.5C
what is normal pulse for an adult - ✔✔ANSWER✔✔-60-100
what is normal respiratory rate for an adult - ✔✔ANSWER✔✔-12-20
what is normal pulse ox for an adult - ✔✔ANSWER✔✔-greater than 95
,what is the normal range of blood pressure for an adult -
✔✔ANSWER✔✔-90-120/60-80
what is the normal temperature for an older adult - ✔✔ANSWER✔✔-35C-
37.2C
95F-99F
what is the normal pulse for an older adult - ✔✔ANSWER✔✔-60-100
what is the normal pulse ox for an older adult - ✔✔ANSWER✔✔-greater
than 95
what is the normal respiration rate for an older adult - ✔✔ANSWER✔✔-
15-20
what is the normal range of blood pressure for an older adult -
✔✔ANSWER✔✔-90-120/60-80
what must a nurse do before delegating vitals to a UAP -
✔✔ANSWER✔✔-assess the patient first to assure they are medically
stable
who is responsible for interpreting vitals - ✔✔ANSWER✔✔-nurse
why do chemo patient need their temperature taken often -
✔✔ANSWER✔✔-ongoing monitoring for infection
why might older adults need assistance in adjusting to temperature -
✔✔ANSWER✔✔-cognitive impairment, physical issues
what does afebrile mean - ✔✔ANSWER✔✔-a person who is maintaining
the normal temperature
how does axillary temperature compare to oral readings -
✔✔ANSWER✔✔-approx 1 degree less than oral
how does axillary temperature compare to rectal - ✔✔ANSWER✔✔-
approximately 1 degree less than rectal
,what part of the body regulates body temperature - ✔✔ANSWER✔✔-
hypothalamus
how does the anterior hypothalamus regulate heat loss -
✔✔ANSWER✔✔-diaphoresis (sweating) and vasodilation of blood
vessels
what is metabolism in relation to heat production - ✔✔ANSWER✔✔-the
chemical process responsible for generating energy for cellular functions
what organ regulates heat production and loss - ✔✔ANSWER✔✔-the
skin through insulation of the body with subcutaneous tissue and fat
how does age affect temperature - ✔✔ANSWER✔✔-baseline
temperature drops as a person ages
how does exercise affect temperature - ✔✔ANSWER✔✔-temperature
increases during exercise
how does hormone fluctuations affect temperature - ✔✔ANSWER✔✔-
women have higher temperature during ovulation
how does circadian rhythms affect temperature - ✔✔ANSWER✔✔-lowest
at 3am and highest at 6pm
how does stress affect temperature - ✔✔ANSWER✔✔-levels of
epinephrine and norepinephrine can increase during emotional and
physical stress which increases temperature
how does smoking affect temperature - ✔✔ANSWER✔✔-causes
vasoconstriction which causes a drop in the temperature of the skin and
mucous membranes
what are signs of hypotension - ✔✔ANSWER✔✔-decreased body
temperature
pale and cool skin
decreased muscle coordination
decreased urinary output
drowsiness
where are common sites for frostbite - ✔✔ANSWER✔✔-earlobes
, tip of the nose
fingers
toes
what does febrile mean - ✔✔ANSWER✔✔-a person with a fever
what could a fever be associated with - ✔✔ANSWER✔✔-infection
tissue injury
cancer
trauma
surgery
what are risk factors for a heatstroke - ✔✔ANSWER✔✔-very young
very old
cardiovascular disease
diabetes
alcoholism
what are signs and symptoms of heat stroke - ✔✔ANSWER✔✔-confusion
delirium
excessive thirst
nausea
muscle cramps
high temperature
high heart rate
when does heat exhaustion occur - ✔✔ANSWER✔✔-extreme or
prolonged environmental heat exposure leads to profuse sweating with
consequent excessive and electrolyte loss
what aspects affect the site selection for temperature - ✔✔ANSWER✔✔-
age
state of consciousness
amount of pain the patient is suffering
treatment the patient is undergoing
where is core temperature measured - ✔✔ANSWER✔✔-esophagus
pulmonary artery sites
what affects oral temperaure - ✔✔ANSWER✔✔-eating
drinking