NSG 3100 Exam 2
1. what are signs of hypotension: decreased body temperaturepale and cool skin
decreased muscle coordinationdecreased urinary output drowsiness
2. where are common sites for frostbite: earlobestip of the nose
fingerstoes
3. what does febrile mean: a person with a fever
4. what could a fever be associated with: infectiontissue injury
cancer traumasurgery
5. what are risk factors for a heatstroke: very youngvery old
cardiovascular diseasediabetes
alcoholism
6. what are signs and symptoms of heat stroke: confusiondelirium
excessive thirstnausea
muscle cramps
high temperaturehigh heart rate
7. when does heat exhaustion occur: extreme or prolonged environmental heatexposure leads
to profuse sweating with consequent excessive and electrolyte loss
8. what aspects affect the site selection for temperature: agestate of consciousness
amount of pain the patient is sufferingtreatment the patient is undergoing
9. where is core temperature measured: esophaguspulmonary artery sites
10. what affects oral temperaure: eatingdrinking
smoking
use of oxygen cannula or mask
11. when is rectal temperatures contraindicated: newbornsneutropenic patients (low WBC)
spinal cord injurydiarrhea
rectal disease post rectal surgeryquadriplegic
12. when is the only time rectal temperatures should be used: when there is noother feasible
option
13. what type of temperature is the tympanic membrane temperature: coretemperature
14. when is the tympanic temperature appropriate: when patients are confusedor unconscious
,15. what is the correct procedure for obtaining a tympanic temperature: grasp-ing the pinna and
gently pulling up and back (4+)
down and back for a child 3 and younger
16. when is the tympanic temperature not appropriate: for patients with eardrainage or
eardrum scarring
17. what does the temporal artery temperature measure: ambient air tempera-ture and corrects
the temperature reading for radiant heat loss
18. when is temporal artery temperature not as accurate: when detecting lowgrade fevers
monitoring acutely ill adults who have fevers when temperature will influence clinical
decisions
19. when is axillary temperature used: when the oral and rectal sites are con-traindicated or
inaccessible
healthy newborns
20. when are disposable thermometers used: when asepsis must be maintainedfor infection
control
21. what does pulse oximetry measure: the amount of oxygen available to tissues
22. what is the pulse oximeter reading: percentage of hemoglobin that combineswith oxygen
23. what are baseline vitals used for: identifying changes in patient status
24. what would cause a blood pressure to increase: pain
25. what affect does pain medication have on vitals and why: lower blood pres-sure
lower heart rate lower respiratory rate
slows the respiratory and cardiovascular system
26. what is normal temperature for an adult: 35.5C-37.5C95.5F-99.5C
27. what is normal pulse for an adult: 60-100
28. what is normal respiratory rate for an adult: 12-20
29. what is normal pulse ox for an adult: greater than 95
30. what is the normal range of blood pressure for an adult: 90-120/60-80
31. what is the normal temperature for an older adult: 35C-37.2C95F-99F
32. what is the normal pulse for an older adult: 60-100
33. what is the normal pulse ox for an older adult: greater than 95
34. what is the normal respiration rate for an older adult: 15-20
, 35. what is the normal range of blood pressure for an older adult: 90-120/60-80
36. what must a nurse do before delegating vitals to a UAP: assess the patientfirst to assure
they are medically stable
37. who is responsible for interpreting vitals: nurse
38. why do chemo patient need their temperature taken often: ongoing monitor-ing for
infection
39. why might older adults need assistance in adjusting to temperature: cog-nitive
impairment, physical issues
40. what does afebrile mean: a person who is maintaining the normal temperature
41. how does axillary temperature compare to oral readings: approx 1 degreeless than oral
42. how does axillary temperature compare to rectal: approximately 1 degreeless than rectal
43. what part of the body regulates body temperature: hypothalamus
44. how does the anterior hypothalamus regulate heat loss: diaphoresis (sweat-ing) and
vasodilation of blood vessels
45. what is metabolism in relation to heat production: the chemical processresponsible for
generating energy for cellular functions
46. what organ regulates heat production and loss: the skin through insulationof the body
with subcutaneous tissue and fat
47. how does age affect temperature: baseline temperature drops as a personages
48. how does exercise affect temperature: temperature increases during exercise
49. how does hormone fluctuations affect temperature: women have highertemperature
during ovulation
50. how does circadian rhythms affect temperature: lowest at 3am and highestat 6pm
51. how does stress affect temperature: levels of epinephrine and norepinephrinecan increase
during emotional and physical stress which increases temperature
52. how does smoking affect temperature: causes vasoconstriction which causesa drop in the
temperature of the skin and mucous membranes
53. what temperature is considered hyperthermia: 102
54. what temperature is considered hypothermia: 93.6
55. why should aspirin not be given to children younger than 2 without medicalsupervision: risk
for Reye syndrome- serious illness affecting the liver and brain
56. what are the nursing activities to restore normal body temperature: identifyunderlying
1. what are signs of hypotension: decreased body temperaturepale and cool skin
decreased muscle coordinationdecreased urinary output drowsiness
2. where are common sites for frostbite: earlobestip of the nose
fingerstoes
3. what does febrile mean: a person with a fever
4. what could a fever be associated with: infectiontissue injury
cancer traumasurgery
5. what are risk factors for a heatstroke: very youngvery old
cardiovascular diseasediabetes
alcoholism
6. what are signs and symptoms of heat stroke: confusiondelirium
excessive thirstnausea
muscle cramps
high temperaturehigh heart rate
7. when does heat exhaustion occur: extreme or prolonged environmental heatexposure leads
to profuse sweating with consequent excessive and electrolyte loss
8. what aspects affect the site selection for temperature: agestate of consciousness
amount of pain the patient is sufferingtreatment the patient is undergoing
9. where is core temperature measured: esophaguspulmonary artery sites
10. what affects oral temperaure: eatingdrinking
smoking
use of oxygen cannula or mask
11. when is rectal temperatures contraindicated: newbornsneutropenic patients (low WBC)
spinal cord injurydiarrhea
rectal disease post rectal surgeryquadriplegic
12. when is the only time rectal temperatures should be used: when there is noother feasible
option
13. what type of temperature is the tympanic membrane temperature: coretemperature
14. when is the tympanic temperature appropriate: when patients are confusedor unconscious
,15. what is the correct procedure for obtaining a tympanic temperature: grasp-ing the pinna and
gently pulling up and back (4+)
down and back for a child 3 and younger
16. when is the tympanic temperature not appropriate: for patients with eardrainage or
eardrum scarring
17. what does the temporal artery temperature measure: ambient air tempera-ture and corrects
the temperature reading for radiant heat loss
18. when is temporal artery temperature not as accurate: when detecting lowgrade fevers
monitoring acutely ill adults who have fevers when temperature will influence clinical
decisions
19. when is axillary temperature used: when the oral and rectal sites are con-traindicated or
inaccessible
healthy newborns
20. when are disposable thermometers used: when asepsis must be maintainedfor infection
control
21. what does pulse oximetry measure: the amount of oxygen available to tissues
22. what is the pulse oximeter reading: percentage of hemoglobin that combineswith oxygen
23. what are baseline vitals used for: identifying changes in patient status
24. what would cause a blood pressure to increase: pain
25. what affect does pain medication have on vitals and why: lower blood pres-sure
lower heart rate lower respiratory rate
slows the respiratory and cardiovascular system
26. what is normal temperature for an adult: 35.5C-37.5C95.5F-99.5C
27. what is normal pulse for an adult: 60-100
28. what is normal respiratory rate for an adult: 12-20
29. what is normal pulse ox for an adult: greater than 95
30. what is the normal range of blood pressure for an adult: 90-120/60-80
31. what is the normal temperature for an older adult: 35C-37.2C95F-99F
32. what is the normal pulse for an older adult: 60-100
33. what is the normal pulse ox for an older adult: greater than 95
34. what is the normal respiration rate for an older adult: 15-20
, 35. what is the normal range of blood pressure for an older adult: 90-120/60-80
36. what must a nurse do before delegating vitals to a UAP: assess the patientfirst to assure
they are medically stable
37. who is responsible for interpreting vitals: nurse
38. why do chemo patient need their temperature taken often: ongoing monitor-ing for
infection
39. why might older adults need assistance in adjusting to temperature: cog-nitive
impairment, physical issues
40. what does afebrile mean: a person who is maintaining the normal temperature
41. how does axillary temperature compare to oral readings: approx 1 degreeless than oral
42. how does axillary temperature compare to rectal: approximately 1 degreeless than rectal
43. what part of the body regulates body temperature: hypothalamus
44. how does the anterior hypothalamus regulate heat loss: diaphoresis (sweat-ing) and
vasodilation of blood vessels
45. what is metabolism in relation to heat production: the chemical processresponsible for
generating energy for cellular functions
46. what organ regulates heat production and loss: the skin through insulationof the body
with subcutaneous tissue and fat
47. how does age affect temperature: baseline temperature drops as a personages
48. how does exercise affect temperature: temperature increases during exercise
49. how does hormone fluctuations affect temperature: women have highertemperature
during ovulation
50. how does circadian rhythms affect temperature: lowest at 3am and highestat 6pm
51. how does stress affect temperature: levels of epinephrine and norepinephrinecan increase
during emotional and physical stress which increases temperature
52. how does smoking affect temperature: causes vasoconstriction which causesa drop in the
temperature of the skin and mucous membranes
53. what temperature is considered hyperthermia: 102
54. what temperature is considered hypothermia: 93.6
55. why should aspirin not be given to children younger than 2 without medicalsupervision: risk
for Reye syndrome- serious illness affecting the liver and brain
56. what are the nursing activities to restore normal body temperature: identifyunderlying
