NUR 256 Exam 1 UPDATED ACTUAL Questions and CORRECT Answers
-vital signs + pain
week 1 material
-clinical judgement and critical thinking
Average adult temperature range 36 C to 38 C (96.8 F to 100.4 F)
, average older adult temperature range 35 C to 36.1 C (95 F to 97 F)
-Age
-exercise
-hormone level
-circadian rhythm
factors affecting body temperature
-stress
-environment
-temperature alterations
-time of day ( lowest at 0600, highest at 1600)
An elevated body temperature related to the inability of the body to promote heat
hyperthermia loss or reduce heat production.
-any disease of hypothalamus impairs heat loss
A hereditary condition of uncontrolled heat production that occurs when
malignant hyperthermia
susceptible people receive certain anesthetic drugs.
a body temp of 104 or more accompanied by hot dry skin and CNS abnormalities
heatstroke
such as delirium, convulsions or coma
caused by environmental heat exposure and presents with profuse diaphoresis that
heat exhaustion
results in excess electrolyte and water loss
heat loss during prolonged exposure to cold overwhelms the ability of the body to
hypothermia produce heat
-mild hypothermia = 90 -95 F
-oral (most common, ask if they have eaten or drank in last 30 min)
-rectal (most accurate core temp)
routes to take temp -axillary (taken in armpit/ most accurate when rectal and oral aren't available)
-tympanic (in ear)
-temporal (forehead)
ear pieces, binaurals, tubing, chest piece (diaphragm and bell)
-should be placed directly on skin
parts of stethoscope
-do not hold chest piece with thumb
-clean between use
bell transmits low pitched sounds (heart and vascular sounds)
diaphragm transmits high pitched sounds (bowel, lungs, heart sounds)
Palpable bounding of the blood flow in a peripheral artery
pulse
-indirect indicator of circulatory status
average pulse range for adult 60-100
average pulse range for infant 120-160
average pulse range for toddler 90-140
average pulse range for preschooler 80-110
average pulse range for school age child 75-100
average pulse range for adolescent 60-90
average pulse range for older adults is decreased
Tachycardia fast heart rate (higher than 100BPM)
Bradychardia slow heart rate (less than 60BPM)
an inefficient contraction of the heart that fails tp transmit pulse wave to the
pule deficit
peripheral pulse site
-vital signs + pain
week 1 material
-clinical judgement and critical thinking
Average adult temperature range 36 C to 38 C (96.8 F to 100.4 F)
, average older adult temperature range 35 C to 36.1 C (95 F to 97 F)
-Age
-exercise
-hormone level
-circadian rhythm
factors affecting body temperature
-stress
-environment
-temperature alterations
-time of day ( lowest at 0600, highest at 1600)
An elevated body temperature related to the inability of the body to promote heat
hyperthermia loss or reduce heat production.
-any disease of hypothalamus impairs heat loss
A hereditary condition of uncontrolled heat production that occurs when
malignant hyperthermia
susceptible people receive certain anesthetic drugs.
a body temp of 104 or more accompanied by hot dry skin and CNS abnormalities
heatstroke
such as delirium, convulsions or coma
caused by environmental heat exposure and presents with profuse diaphoresis that
heat exhaustion
results in excess electrolyte and water loss
heat loss during prolonged exposure to cold overwhelms the ability of the body to
hypothermia produce heat
-mild hypothermia = 90 -95 F
-oral (most common, ask if they have eaten or drank in last 30 min)
-rectal (most accurate core temp)
routes to take temp -axillary (taken in armpit/ most accurate when rectal and oral aren't available)
-tympanic (in ear)
-temporal (forehead)
ear pieces, binaurals, tubing, chest piece (diaphragm and bell)
-should be placed directly on skin
parts of stethoscope
-do not hold chest piece with thumb
-clean between use
bell transmits low pitched sounds (heart and vascular sounds)
diaphragm transmits high pitched sounds (bowel, lungs, heart sounds)
Palpable bounding of the blood flow in a peripheral artery
pulse
-indirect indicator of circulatory status
average pulse range for adult 60-100
average pulse range for infant 120-160
average pulse range for toddler 90-140
average pulse range for preschooler 80-110
average pulse range for school age child 75-100
average pulse range for adolescent 60-90
average pulse range for older adults is decreased
Tachycardia fast heart rate (higher than 100BPM)
Bradychardia slow heart rate (less than 60BPM)
an inefficient contraction of the heart that fails tp transmit pulse wave to the
pule deficit
peripheral pulse site
