Nur 210 || 100% Correct Solutions.
Name the vital signs correct answers -temperature
-pulse
-Respirations
-Blood Pressure
-Pulse Oximetry
-Pain
Why are vital signs important? correct answers Indicator of overall health
-provides baseline data
-show changes in patients "normal"
-Show response to psychological stress and medical and nursing treatments
What should you look for when taking vital signs? correct answers trends for that individual
What is the role as a nurse when assessing vital signs? correct answers -decide frequency
-develop a systematic approach
-know patients normals
-be aware of elements that influence vital signs
If vital signs are abnormal what should you do? correct answers retake, record, report
What does the body temperature reflect? correct answers a balance/imbalance between heat
produced and heat lost
What is body temperature regulated by? correct answers hypothalamus
,Describe the core correct answers body temperature relatively constant/surface
-this varies
What is the average oral temp? f and c correct answers 98.6 f
37 c
What is the range for body temperature in adults? correct answers 96.8-100.4 (36-38c)
If temperature is above the range what is this called? correct answers Febrile
What is the trend for elderly patients body temperature? correct answers usually below normal
range
Name all influencing factors for body temp? correct answers age
exercise
hormones
circadian rhythm
stress
environment
hot/cold liquids
smoking
How might exercise affect body temperature? correct answers temp may go up
Describe the trends of the circadian rhythms and body temperature? correct answers in the
morning this rhythm may be lower and higher in the evening. It depends on the activity of the
patients on a normal basis.
,As far as body temperature goes how might you help a patent with dementia? correct answers
You should help them stay warm or cooler to keep their body temperature stable
In a female how might hormones affect body temperature? correct answers During ovulation
progesterone is released so they will be warmer than usual.
How will stress influence body temperature? correct answers stress will influence hormones and
they will influence body temp.
What is another name for fever? correct answers Pyrexia
Describe a set point correct answers set point is used to describe a baseline for a individuals body
temperature
-everyone has a different set point
Word for no fever correct answers afebrile
Signs/ symptoms of fever correct answers chills
malaise- feeling unwell
increase in body metabolism
Hypothermia correct answers abnormally low body temperature
Hyperthermia correct answers Abnormally high body temperature
An increase in body metabolism may cause the needs: correct answers -increase in nutritional
needs
-increase in oxygen needs
-possible dehydration
, What nursing measures should be taken for a patient with a fever? correct answers -minimize
heat production
-maximize heat loss
-Promote pt. comfort
-satisfy requirement for increased metabolic rate
-monitor pulse and respirations
How can you minimize heat production for a pt. with fever? correct answers allow pt. to rest
How can you maximize heat loss for a pt. laying in bed with a fever? correct answers decrease
covers on body
How can you promote pt. comfort with a fever? correct answers keep clothing, linen dry
-oral hygiene measures
How can you satisfy the requirements for an increased metabolic rate? correct answers replace
fluids
balance nutrition
oxygen prn
What do you want to do as far a monitoring a pulse and respiration of a pt. with a fever? correct
answers keep it down because it will go up as the fever goes up
Name all the assessment sites for taking a temperature and where they are ? correct answers oral-
mouth 3 min at least
tympanic- ear
rectal
axillary
Name the vital signs correct answers -temperature
-pulse
-Respirations
-Blood Pressure
-Pulse Oximetry
-Pain
Why are vital signs important? correct answers Indicator of overall health
-provides baseline data
-show changes in patients "normal"
-Show response to psychological stress and medical and nursing treatments
What should you look for when taking vital signs? correct answers trends for that individual
What is the role as a nurse when assessing vital signs? correct answers -decide frequency
-develop a systematic approach
-know patients normals
-be aware of elements that influence vital signs
If vital signs are abnormal what should you do? correct answers retake, record, report
What does the body temperature reflect? correct answers a balance/imbalance between heat
produced and heat lost
What is body temperature regulated by? correct answers hypothalamus
,Describe the core correct answers body temperature relatively constant/surface
-this varies
What is the average oral temp? f and c correct answers 98.6 f
37 c
What is the range for body temperature in adults? correct answers 96.8-100.4 (36-38c)
If temperature is above the range what is this called? correct answers Febrile
What is the trend for elderly patients body temperature? correct answers usually below normal
range
Name all influencing factors for body temp? correct answers age
exercise
hormones
circadian rhythm
stress
environment
hot/cold liquids
smoking
How might exercise affect body temperature? correct answers temp may go up
Describe the trends of the circadian rhythms and body temperature? correct answers in the
morning this rhythm may be lower and higher in the evening. It depends on the activity of the
patients on a normal basis.
,As far as body temperature goes how might you help a patent with dementia? correct answers
You should help them stay warm or cooler to keep their body temperature stable
In a female how might hormones affect body temperature? correct answers During ovulation
progesterone is released so they will be warmer than usual.
How will stress influence body temperature? correct answers stress will influence hormones and
they will influence body temp.
What is another name for fever? correct answers Pyrexia
Describe a set point correct answers set point is used to describe a baseline for a individuals body
temperature
-everyone has a different set point
Word for no fever correct answers afebrile
Signs/ symptoms of fever correct answers chills
malaise- feeling unwell
increase in body metabolism
Hypothermia correct answers abnormally low body temperature
Hyperthermia correct answers Abnormally high body temperature
An increase in body metabolism may cause the needs: correct answers -increase in nutritional
needs
-increase in oxygen needs
-possible dehydration
, What nursing measures should be taken for a patient with a fever? correct answers -minimize
heat production
-maximize heat loss
-Promote pt. comfort
-satisfy requirement for increased metabolic rate
-monitor pulse and respirations
How can you minimize heat production for a pt. with fever? correct answers allow pt. to rest
How can you maximize heat loss for a pt. laying in bed with a fever? correct answers decrease
covers on body
How can you promote pt. comfort with a fever? correct answers keep clothing, linen dry
-oral hygiene measures
How can you satisfy the requirements for an increased metabolic rate? correct answers replace
fluids
balance nutrition
oxygen prn
What do you want to do as far a monitoring a pulse and respiration of a pt. with a fever? correct
answers keep it down because it will go up as the fever goes up
Name all the assessment sites for taking a temperature and where they are ? correct answers oral-
mouth 3 min at least
tympanic- ear
rectal
axillary
