Nursing 1100 Final Exam Part 1with
All Complete Solutions Get It Right
Most commonly ng tube - Ans--Salem Sump
Core temperatures - Ans--The rectal temperature, a core temperature, is
considered to be one of the most accurate routes. Rectal temperature
readings are approximately 1 degree higher than oral.
Normal Oral Temperature of Adult
Normal Oral Temperature of Aged Adults (65+ years) - Ans--35.8-37.5 C;
96.4-99.5 F
35.8-36.8 C; 96.4-98.3 F
Normal Pulse Beats/Minute of Adult
Normal Pulse Beats/Minute of Aged Adults (65+ years) - Ans--60-100
40-100
Normal Respirations Breaths/Minute of Adults
Normal Respirations Breaths/Minute of Aged Adults (65+ years) - Ans--12-
20
16-24
Normal Blood Pressure mm Hg of Adult
Normal Blood Pressure mm Hg of Aged Adults (65+ years) - Ans--120/80
120/80 - usually see increases in systolic pressure
Assessing Oral Temperature - Ans--Patient must be able to close his or her
mouth around the probe. The probe must remain in the sublingual pocket
for the full period of measurement. If a patient has had either hot or cold
food or fluids or has been smoking or chewing gum, the general
recommendation is to wait 15 to 30 minutes to allow the oral tissues to
return to normal temperature. Oral temperatures should not be taken in
people with diseases of the oral cavity and in those who have had surgery
of the nose or mouth. In addition, oral temperatures should not be assessed
,in patients receiving oxygen by mask, because the time it takes to assess a
reading is likely to result in a serious drop in the patient's blood oxygen
level. Oral temperature readings range from 35.8°C to 37.5°C (96.4°F-
99.5°F)
Assessing a Tympanic Membrane Temperature - Ans--Should not be used
for patients who have drainage from the ear, ear pain, ear infection, or scars
on the tympanic membrane. Tympanic temperature readings are
approximately equal to oral
Assessing a Temporal Artery Temperature - Ans--Temporal artery
temperature readings are approximately equal to oral
Assessing an Axillary Temperature - Ans--The axillary site may be used
when both oral and rectal sites are contraindicated or when these sites are
inaccessible. Place the probe in the center of the axilla; hold the patient's
arm by the patient's side until the measurement is complete. Axillary
temperature readings are approximately 1 degree lower than oral.
Assessing a Rectal Temperature - Ans--The rectal temperature, a core
temperature, is considered to be one of the most accurate routes. The
rectal site should not be used in newborns, children with diarrhea, and in
patients who have undergone rectal surgery or have a disease of the
rectum. Because the insertion of the thermometer into the rectum can slow
the heart rate by stimulating the vagus nerve, assessing a rectal
temperature for patients with heart disease or after cardiac surgery may not
be allowed in some institutions. In addition, assessing a rectal temperature
is contraindicated in patients who are neutropenic (have low white blood
cell counts, such as in leukemia) and in patients who have certain
neurologic disorders (e.g., spinal cord injuries). Do not insert a rectal
thermometer into a patient who has a low platelet count. The rectum is very
vascular, and a thermometer could cause rectal bleeding. Rectal
temperature readings are approximately 1 degree higher than oral
Types of Assemesment:
Emergency Assessment
Focus Assessment
Comprehensive Assessment
, Ongoing Assessment
Know the difference between and know when are these assessments done
- Ans--**NEED TO UPDATE**
Patient's bill of rights - Ans--Almost all hospitals give some form of a Patient
Care Partnership (formerly titled a Patient Bill of Rights) to patients to
inform them about what to expect while in the hospital. This document,
usually available in several languages, includes the rights to high-quality
hospital care, a clean and safe environment, involvement in care,
protection of privacy, help when leaving the hospital, and help with
insurance claims.
Identify the purpose of ethics committees and the process of ethical
decision making. - Ans--Chief functions include education, policy making,
case review, consultation, and in some cases research. Some committees
focus on clinical ethics and some on organization ethics. These
committees are well equipped to deal with the complexities of modern
health care because they are multidisciplinary and provide a forum for
different views to be aired without fear of repercussion. Nurses bring an
important voice to the ethics committee. When clinical issues are being
reviewed, nurses can help to ensure that the technical facts are
understood, that the appropriate decision makers have been identified, the
patient's medical and overall best interests have been identified, and that
the course of action selected from the alternatives is justified by sound
ethical principles.
Ethical issues in nursing practice today include: - Ans--Patient freedom vs.
Nurse control; reproductive rights, honesty vs. information; the minor
dilmma; The battle of beliefs; Resource management
Value - Ans--is a belief about the worth of something, about what matters,
that acts as a standard to guide one's behavior.
Ethics - Ans--is a systematic study of principles of right and wrong conduct,
virtue and vice, and good and evil as they relate to conduct and human
flourishing.
All Complete Solutions Get It Right
Most commonly ng tube - Ans--Salem Sump
Core temperatures - Ans--The rectal temperature, a core temperature, is
considered to be one of the most accurate routes. Rectal temperature
readings are approximately 1 degree higher than oral.
Normal Oral Temperature of Adult
Normal Oral Temperature of Aged Adults (65+ years) - Ans--35.8-37.5 C;
96.4-99.5 F
35.8-36.8 C; 96.4-98.3 F
Normal Pulse Beats/Minute of Adult
Normal Pulse Beats/Minute of Aged Adults (65+ years) - Ans--60-100
40-100
Normal Respirations Breaths/Minute of Adults
Normal Respirations Breaths/Minute of Aged Adults (65+ years) - Ans--12-
20
16-24
Normal Blood Pressure mm Hg of Adult
Normal Blood Pressure mm Hg of Aged Adults (65+ years) - Ans--120/80
120/80 - usually see increases in systolic pressure
Assessing Oral Temperature - Ans--Patient must be able to close his or her
mouth around the probe. The probe must remain in the sublingual pocket
for the full period of measurement. If a patient has had either hot or cold
food or fluids or has been smoking or chewing gum, the general
recommendation is to wait 15 to 30 minutes to allow the oral tissues to
return to normal temperature. Oral temperatures should not be taken in
people with diseases of the oral cavity and in those who have had surgery
of the nose or mouth. In addition, oral temperatures should not be assessed
,in patients receiving oxygen by mask, because the time it takes to assess a
reading is likely to result in a serious drop in the patient's blood oxygen
level. Oral temperature readings range from 35.8°C to 37.5°C (96.4°F-
99.5°F)
Assessing a Tympanic Membrane Temperature - Ans--Should not be used
for patients who have drainage from the ear, ear pain, ear infection, or scars
on the tympanic membrane. Tympanic temperature readings are
approximately equal to oral
Assessing a Temporal Artery Temperature - Ans--Temporal artery
temperature readings are approximately equal to oral
Assessing an Axillary Temperature - Ans--The axillary site may be used
when both oral and rectal sites are contraindicated or when these sites are
inaccessible. Place the probe in the center of the axilla; hold the patient's
arm by the patient's side until the measurement is complete. Axillary
temperature readings are approximately 1 degree lower than oral.
Assessing a Rectal Temperature - Ans--The rectal temperature, a core
temperature, is considered to be one of the most accurate routes. The
rectal site should not be used in newborns, children with diarrhea, and in
patients who have undergone rectal surgery or have a disease of the
rectum. Because the insertion of the thermometer into the rectum can slow
the heart rate by stimulating the vagus nerve, assessing a rectal
temperature for patients with heart disease or after cardiac surgery may not
be allowed in some institutions. In addition, assessing a rectal temperature
is contraindicated in patients who are neutropenic (have low white blood
cell counts, such as in leukemia) and in patients who have certain
neurologic disorders (e.g., spinal cord injuries). Do not insert a rectal
thermometer into a patient who has a low platelet count. The rectum is very
vascular, and a thermometer could cause rectal bleeding. Rectal
temperature readings are approximately 1 degree higher than oral
Types of Assemesment:
Emergency Assessment
Focus Assessment
Comprehensive Assessment
, Ongoing Assessment
Know the difference between and know when are these assessments done
- Ans--**NEED TO UPDATE**
Patient's bill of rights - Ans--Almost all hospitals give some form of a Patient
Care Partnership (formerly titled a Patient Bill of Rights) to patients to
inform them about what to expect while in the hospital. This document,
usually available in several languages, includes the rights to high-quality
hospital care, a clean and safe environment, involvement in care,
protection of privacy, help when leaving the hospital, and help with
insurance claims.
Identify the purpose of ethics committees and the process of ethical
decision making. - Ans--Chief functions include education, policy making,
case review, consultation, and in some cases research. Some committees
focus on clinical ethics and some on organization ethics. These
committees are well equipped to deal with the complexities of modern
health care because they are multidisciplinary and provide a forum for
different views to be aired without fear of repercussion. Nurses bring an
important voice to the ethics committee. When clinical issues are being
reviewed, nurses can help to ensure that the technical facts are
understood, that the appropriate decision makers have been identified, the
patient's medical and overall best interests have been identified, and that
the course of action selected from the alternatives is justified by sound
ethical principles.
Ethical issues in nursing practice today include: - Ans--Patient freedom vs.
Nurse control; reproductive rights, honesty vs. information; the minor
dilmma; The battle of beliefs; Resource management
Value - Ans--is a belief about the worth of something, about what matters,
that acts as a standard to guide one's behavior.
Ethics - Ans--is a systematic study of principles of right and wrong conduct,
virtue and vice, and good and evil as they relate to conduct and human
flourishing.
