RNSG 1105 Exam 3 Questions With Complete Solutions
Vital signs - ANSWER-Temperature
pulse
respiration
blood pressure
polse oximetry
when do we take vital signs? - ANSWER--admission to facility
-routine based on unit
-anytime there is change in patient condition
-before/during/after surgical or invasive procedures/blood transfusions
-b/a any activity that may increase risk
-before administering medications that effect cardiovascular or respiratory function.
guidelines for measuring vitals - ANSWER--measuring is nurses responsibility
-make sure equipment is working properly
-know pt range and health history
-control environmental factors
-systematic approach
-collab to decide frequence
-analyze results, identify significant findings
-instruct patient in vital sign assessment
body temperature - ANSWER-balance between heat produced in the body and heat loss from
the body
what regulates body temperature? - ANSWER-the hypothalamus acts as the body's thermostat.
, sources of heat loss - ANSWER-Skin (primary source)
Evaporation of sweat
Warming and humidifying inspired air
Eliminating urine and feces
radiation - ANSWER-loss of body heat from body to another cooler source
evaporation - ANSWER-transfer of heat when liquid is changed to a gas
conduction - ANSWER-loss via direct contact with a cool surface
factors effecting body temp - ANSWER-age
exercise
hormone levels
circadian rhythm
stress
environment
temperature alterations
temperature ranges - ANSWER-1) Oral - 96.8 to 100.4 F (36 to 38 C). Average is 98.6 F (37 C)
variations:
rectal: 1 degree higher
axillary: 1 degree lower
pyrexia - ANSWER-fever/hyperthermia
heat stroke - ANSWER-very high fever, greater than 104
febrile - ANSWER-having a fever
hypothermia - ANSWER-subnormal body temperature, temp below 97 degrees
oral temp - ANSWER-place in sublingual pocket
wait 15/30 minutes if patient has been smoking, eating, chewing gum.
rectal temp - ANSWER-not used in newborns, children with diarrhea, rectal disease, surgery.
Vital signs - ANSWER-Temperature
pulse
respiration
blood pressure
polse oximetry
when do we take vital signs? - ANSWER--admission to facility
-routine based on unit
-anytime there is change in patient condition
-before/during/after surgical or invasive procedures/blood transfusions
-b/a any activity that may increase risk
-before administering medications that effect cardiovascular or respiratory function.
guidelines for measuring vitals - ANSWER--measuring is nurses responsibility
-make sure equipment is working properly
-know pt range and health history
-control environmental factors
-systematic approach
-collab to decide frequence
-analyze results, identify significant findings
-instruct patient in vital sign assessment
body temperature - ANSWER-balance between heat produced in the body and heat loss from
the body
what regulates body temperature? - ANSWER-the hypothalamus acts as the body's thermostat.
, sources of heat loss - ANSWER-Skin (primary source)
Evaporation of sweat
Warming and humidifying inspired air
Eliminating urine and feces
radiation - ANSWER-loss of body heat from body to another cooler source
evaporation - ANSWER-transfer of heat when liquid is changed to a gas
conduction - ANSWER-loss via direct contact with a cool surface
factors effecting body temp - ANSWER-age
exercise
hormone levels
circadian rhythm
stress
environment
temperature alterations
temperature ranges - ANSWER-1) Oral - 96.8 to 100.4 F (36 to 38 C). Average is 98.6 F (37 C)
variations:
rectal: 1 degree higher
axillary: 1 degree lower
pyrexia - ANSWER-fever/hyperthermia
heat stroke - ANSWER-very high fever, greater than 104
febrile - ANSWER-having a fever
hypothermia - ANSWER-subnormal body temperature, temp below 97 degrees
oral temp - ANSWER-place in sublingual pocket
wait 15/30 minutes if patient has been smoking, eating, chewing gum.
rectal temp - ANSWER-not used in newborns, children with diarrhea, rectal disease, surgery.
