NSG 300 STUDY EXAMS GUIDE LATEST
QUESTIONS AND ANSWERS SURE A+
✔✔what are is the normal range of heart rate for an adult? - ✔✔60-100
✔✔what is the average temperature range for an adult? - ✔✔96.8 to 100.4 F
(36 to 38 C)
✔✔average oral and tympanic temperature - ✔✔98.6F (37C)
✔✔average rectal temperature - ✔✔37.5 C (99.5 F)
✔✔average axillary temperature - ✔✔36.5 C (97.7 F)
✔✔what is a normal oxygen saturation reading? - ✔✔95%-100%
✔✔what is a normal respiration rate? - ✔✔12 to 20 breaths/minute
✔✔what is a normal systolic blood pressure? - ✔✔less than 120 mm Hg
✔✔what is a normal diastolic blood pressure - ✔✔less than 80 mm Hg
, ✔✔what are the measures of a strength of a pulse? - ✔✔4- bounding
3- full and strong
2- normal and expected
1- diminished or barely palpable
0- absent
✔✔factors affecting body temperature - ✔✔age, exercise, hormone level, circadian
rhythm, stress, environment, temperature alterations (fever, hyperthermia, hypothermia)
✔✔what are the two best places to get a pulse? - ✔✔radial or apical (if radial pulse is
inaccessible, or if patient takes meds that affect heart rate)
✔✔what is the first step if you detect an abnormal rate with palpating the radial pulse? -
✔✔access the apical rate for a full minute
✔✔what are the three things you are looking for when assessing respirations? -
✔✔respiratory rate, ventilatory depth, and ventilatory rhythm
✔✔what are factors that influence blood pressure? - ✔✔age, stress, ethnicity, gender,
daily variation, medications, activity and weight, smoking
✔✔nursing diagnostic process for temperature - ✔✔review patient's health history
obtain vital signs
palpate skin
observe patient's appearance while talking and resting
✔✔Nursing diagnoses for abnormal temperature - ✔✔impaired thermoregulation
risk for impaired thermoregulation
hyperthermia
fever
chronic fever
✔✔nursing interventions for abnormal temperature - ✔✔for fever: collect body fluid
cultures, reduce extra coverings on patient and keep dry, make sure patient is drinking
fluids
for hyperthermia: move pt to cooler environment, place cool towels over skin, use fans,
and IV fluids
for hypothermia: remove wet cloths, wrap in blankets, have them drink hot liquids like
soup, avoid alcohol and caffeine and keep heating pads close to head and neck
✔✔what factors affect heart rate? - ✔✔exercise, temperature, acute pain, emotions,
medications, hemorrhage, postural changes
QUESTIONS AND ANSWERS SURE A+
✔✔what are is the normal range of heart rate for an adult? - ✔✔60-100
✔✔what is the average temperature range for an adult? - ✔✔96.8 to 100.4 F
(36 to 38 C)
✔✔average oral and tympanic temperature - ✔✔98.6F (37C)
✔✔average rectal temperature - ✔✔37.5 C (99.5 F)
✔✔average axillary temperature - ✔✔36.5 C (97.7 F)
✔✔what is a normal oxygen saturation reading? - ✔✔95%-100%
✔✔what is a normal respiration rate? - ✔✔12 to 20 breaths/minute
✔✔what is a normal systolic blood pressure? - ✔✔less than 120 mm Hg
✔✔what is a normal diastolic blood pressure - ✔✔less than 80 mm Hg
, ✔✔what are the measures of a strength of a pulse? - ✔✔4- bounding
3- full and strong
2- normal and expected
1- diminished or barely palpable
0- absent
✔✔factors affecting body temperature - ✔✔age, exercise, hormone level, circadian
rhythm, stress, environment, temperature alterations (fever, hyperthermia, hypothermia)
✔✔what are the two best places to get a pulse? - ✔✔radial or apical (if radial pulse is
inaccessible, or if patient takes meds that affect heart rate)
✔✔what is the first step if you detect an abnormal rate with palpating the radial pulse? -
✔✔access the apical rate for a full minute
✔✔what are the three things you are looking for when assessing respirations? -
✔✔respiratory rate, ventilatory depth, and ventilatory rhythm
✔✔what are factors that influence blood pressure? - ✔✔age, stress, ethnicity, gender,
daily variation, medications, activity and weight, smoking
✔✔nursing diagnostic process for temperature - ✔✔review patient's health history
obtain vital signs
palpate skin
observe patient's appearance while talking and resting
✔✔Nursing diagnoses for abnormal temperature - ✔✔impaired thermoregulation
risk for impaired thermoregulation
hyperthermia
fever
chronic fever
✔✔nursing interventions for abnormal temperature - ✔✔for fever: collect body fluid
cultures, reduce extra coverings on patient and keep dry, make sure patient is drinking
fluids
for hyperthermia: move pt to cooler environment, place cool towels over skin, use fans,
and IV fluids
for hypothermia: remove wet cloths, wrap in blankets, have them drink hot liquids like
soup, avoid alcohol and caffeine and keep heating pads close to head and neck
✔✔what factors affect heart rate? - ✔✔exercise, temperature, acute pain, emotions,
medications, hemorrhage, postural changes
