2025/l 2026l Update)l Fundamentall
Conceptsl &l Skillsl forl Nursingl Practicel Il
Guide|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Galen
Q:l Normall Temperaturel ratel forl adultsl agesl 18-65
Answer:
97.6l -l 99.5
Q:l Al personl whol maintainsl al normall bodyl temperaturel is:
Answer:
Afebrile
Q:l Factorsl Affectingl Temperature
Answer:
Age,l Hormone,l Exercise,l Stress,l circadianl Rhythms,l Environmentl andl Smoking.
Q:l Temperaturel Regulation
Answer:
,Whenl thel bodyl becomesl tool coldl itl isl calledl Hypothermia:l Shiveringl increasesl heatl
production,l sweatingl isl inhibitedl tol decreasel heatl loss,l Vasoconstrictionl decreasesl heatl
loss.
Q:l Whatl isl Hyperthermia?
Answer:
Elevatedl bodyl temperature
Q:l Nursingl Interventionsl forl Hyperthermia
Answer:
1stl assessl andl determinel cause
Removel excessl blanketsl
Adequatel nutritionl andl fluidsl tol meetl increasel metabolicl demand
Reducel physicall activityl tol limitl heatl productionl
Administerl antipyretics
Providel orall hygienel tol keepl mucousl membranesl moist.
Providel cooll spongel baths,l coolingl blankets,l orl packs.
Q:l Nursingl Interventionsl forl Hypothermia
Answer:
1stl assessl andl determinel cause
Warml environmentl
Warml blanketsl
Keepl limbsl closel tol body
Coverl headl andl feetl
Warml orall orl IVl fluids
Warmingl pads/devices
,Q:l Temperaturel Routes
Answer:
Orall (mostlyl usedl atl thel hospitals)
Rectal
Axillary
Tympanicl
Temporal
Q:l Youl havel delegatedl vitall signsl tol assistivel personnel.l Thel assistantl informsl youl
thatl thel patientl hasl justl finishedl al bowll ofl hotl soup.l Thel nurse'sl mostl appropriatel
advicel wouldl bel tol
A.l Takel al rectall temperature.
B.l Takel thel orall temperaturel asl planned.
C.l Advisel thel patientl tol drinkl al glassl ofl coldl water.
D.l Waitl 30l minutesl andl takel anl orall temperature
Answer:
D.l Waitl 30l minutesl andl takel anl orall temperature
Q:l Al nursel isl caringl forl al patientl whol needsl theirl temperaturel taken.l Whichl ofl thel
followingl isl appropriatel forl thel nursel tol dol first?
Answer:
Askl thel patientl ifl theyl hadl anythingl tol eatl orl drink,l smoked,l orl exercisedl recently.
Q:l Al nursel obtainsl anl axillaryl temperaturel ofl 97.0l onl herl 80yearl oldl patient.l Whichl
ofl thel followingl actionsl isl mostl appropriatel forl herl tol takel currently?
Answer:
Checkl documentationl tol seel whatl thel patient'sl baselinel temperaturel isl normally.
, Q:l Pulse
Answer:
Normall Pulsel isl 60-100l bpm
Q:l Factorsl Affectingl Pulse
Answer:
Age:l HRl decreasesl withl age
Sex:l malesl havel lowerl HRl afterl pubertyl
Exercise:l HRl increasesl withl activityl
Fever:l HRl increasesl withl feverl
Medications:l canl eitherl increasel orl decreasel thel pulsel rate
Hypovolemia/dehydration:l HRl increasesl
Stress:l HRl increasesl
Position:l HRl increasesl withl standingl
Pathology:l Heartl conditionsl andl thosel thatl impairl oxygenation
Q:l Pulsel Assessment:l Ifl pulsel isl irregularl orl thisl isl yourl firstl timel assessing,l countl
forl 1l fulll minutesl andl -
Answer:
Accessl Apicall pulsel forl 1l fulll minute.l Thisl isl thel truel pulsel inl thel body.
Q:l Pulsel Sites
Answer: