NURC 1001 Exam 4 Questions With 100% Correct Answers | Verified | Latest Update

Temperature: Oral Method - CORRECT ANSWER-frequent use -place under tongue -keep mouth and lips closed -electronic/digital paper thermometer -Times: depends on thermometer -WAIT 15-30 MIN IF A PERSON EATS, DRINKS, SMOKES, OR CHEWS GUM BEFORE TAKING AN ORAL TEMP. Temperature: Rectal Method - CORRECT ANSWER-Use when other routes are unsafe -position resident properly -cover with sheath and lubricant -insert about 1/2 inch -stay with resident and hod thermometer in place -Time: depends on thermometer Temperature: Axillary Method - CORRECT ANSWER-Used when other methods are unsafe or inaccurate -less accurate -place tip (use sheath) in center of underarm -stay with resident -keep arm in place -Time: depends on thermometer Temperature normal range - CORRECT ANSWER-Oral: 97.6 F- 99.6 F -Rectal: 98.6 F- 100.6 F -Axillary: 96 F- 98.6 F -Tympanic: 96 F- 99.6 F -Temporal: 97.6 F- 99.6 F OLDER ADULTS HAVE GREATER VARIATION IN THE NORMAL RANGE, WITH AGE TEMPERATURE DECREASES Temperature: Tympanic - CORRECT ANSWER-Gently insert tip inside ear canal-follow directions -time:1-2 seconds. Beep occurs digital number stop -Used wth people who are confused and resist care Temperature: Temporal Artery - CORRECT ANSWER-Measured at the temporal artery (forehead) -Gently stroked across forehead and temporal artery-choose side of head exposed -Time: 3-5 seconds -Used wth people who are confused and resist care What must you watch out for when taking rectal temperature? - CORRECT ANSWERIf the thermometer has a crack or break. Broken thermometers can injure the rectum and colon What Factors affect temperature? - CORRECT ANSWER-Eating warm food/fluids -time of day -infection -external tempertaure -exercise How do you obtain a pulse? - CORRECT ANSWERUse 2-3 fingers to press gently over an artery; don't use thumb meausurement of number of times the heart beats/minute How do you obtain a Respiration? - CORRECT ANSWER-The inspirtation and expiration of air -Observe resident's chest -count for one full minute -Best to have resident unaware of respirations being taken What affects a resident's pulse rate? - CORRECT ANSWER-elevated body temperature -exercise -fear -anger -anxiety -excitement -heat -position -pain -medication What affects a resident's respiration rate? - CORRECT ANSWER-exercise -fever -lung disease -heart disease Bradycardia - CORRECT ANSWERabnormally slow heartbeat techycardia - CORRECT ANSWERfast heart rate apnea - CORRECT ANSWERabsence of breathing Tachyapnea - CORRECT ANSWERexcessively short, rapid breaths Pulse locations - CORRECT ANSWER-Radial Artery: found in the wrist -Apical Artery: go to center of chest below sternum to the left to locate and listen with stethoscope -Carotid: Both sides of neck -Brachial: inner arm opposite side of elbow systolic vs diastolic - CORRECT ANSWERSystolic: The force when the heart is contracted (working) Diastolic: The force when the heart is relaxed (resting) Proper technique in taking Blood pressure - CORRECT ANSWER-when to measure -size of cuff pediatric, regular, extra large -site selection -avoid arm with IV, cast, dialysis access site -avoid surgical site or injured arm -position: sitting, lying down How is blood pressure affected in the elderly? - CORRECT ANSWERBlood pressure increases with age because the heart has to work harder and the artery walls are thinning and lose elasticity. Normal blood pressure in an adult - CORRECT ANSWER120/80 systolic < 120 diastolic < 80 Hypertension - CORRECT ANSWERBP measurments that remain above systolic of 140 MMHG or a diastolic pressure of 90 MMHG Hypotension - CORRECT ANSWERBP measurements that remain below systolic of 90 MMHG or a diastolic pressurje of 60 MMHG Changes with the Cardiovascular System - CORRECT ANSWER-heart pumps less efficiently -heart cannot accomodate to meet increased need -Arteries less elastic -BP may increase Nurse Aide care for residents with cardiovascular conditions - CORRECT ANSWER-pace activity -follow dietary restictions -change positions slowly -report dizziness -remove and re-apply anti-embolism stockings Changes with the respirato