RNSG 1105 MODULE 7- VITAL [] [] [] [] []
SIGNS EXAM WITH VERIFIED [] [] [] []
SOLUTIONS
Why are vital signs important in a nursing assessment? - Correct
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answer ✔-VS are an important part of the nursing assessment
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in any clinical, setting, even if they are delegated, because a
[] [] [] [] [] [] [] [] [] [] []
change in VS might indicate a change in health
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-Provides data to determine a PT's usual state of health
[] [] [] [] [] [] [] [] [] []
(baseline)
How often are vital signs assessed? - Correct answer ✔-Upon
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admission
-Routine schedule based facility policy or HCP order
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-Anytime there is a change in PT condition [] [] [] [] [] [] []
-HCP orders a minimum frequency. Nurses job to judge weather
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more often is needed (from book)
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When is it important to measure vital signs? - Correct answer ✔-
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Before and After: [] []
Administration of medications that affect [] [] [] []
Respiratory or cardiovascular function [] [] []
Temperature-CTRL Fn's []
-Physical activities as appropriate [] [] []
-Before, during, and after: [] [] []
,Surgery or invasive diagnostic procedures
[] [] [] []
Blood product transfusions
[] []
What are the guidelines for measuring vital signs? - Correct
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answer ✔1-Assess & Select Appropriate equipment
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2-Know:
-baseline VS for the PT [] [] [] []
-Medications the PT is taking that may affect VS [] [] [] [] [] [] [] []
-Health history []
-Consider environmental factors [] []
- Take VS using an organized, systematic approach
[] [] [] [] [] [] []
-Results:
- analyze results: determine significant findings
[] [] [] [] []
-Document VS []
-Communicate any concerns concerning findings [] [] [] []
What is the definition of body temperature and core
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temperature? - Correct answer ✔-Body temp. Is the balance [] [] [] [] [] [] [] [] []
between
[] -heat produced in the body and heat loss from the body.
[] [] [] [] [] [] [] [] [] []
Heat production-heat loss=body temp.
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- Core temp. Is the temp. Of the deep tissue
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What regulates our body temperature? - Correct answer ✔-
[] [] [] [] [] [] [] []
Hypothalamus- senses body temp. And adjust to maintain "set [] [] [] [] [] [] [] [] []
point" mechanism of CTRL
[] [] []
,-The hypothalamus acts as a central thermostat, receiving input
[] [] [] [] [] [] [] [] []
from sensors that detect hot or cold temp. And initiates body
[] [] [] [] [] [] [] [] [] [] []
responses mainly in the cardiovascular system via
[] [] [] [] [] [] []
vasoconstriction or vasodilation that decrease heat production [] [] [] [] [] [] []
and increase heat loss
[] [] []
What is thermoregulation? - Correct answer ✔-Physiological and
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behavioral mechanisms that regulate the balance between heat
[] [] [] [] [] [] [] []
lost and heat produced
[] [] []
-The balance between heat loss and heat produced
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What is the primary source of heat production in the body?
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(p488) - Correct answer ✔- Physiological and behavioral
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mechanisms regulate the balance between heat lost and heat
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produced, or thermoregulation [] []
-Bodys metabolism []
What mechanisms increase PTs metabolism and increase heat
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production? - Correct answer ✔basal metabolism [] [] [] [] []
Voluntary movements []
Shivering
Testosterone
What is the primary site of heat loss? - Correct answer ✔Skin
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What are the four mechanisms of heat loss? - Correct answer
[] [] [] [] [] [] [] [] [] [] []
✔Radiation
, Conduction
Convection []
Evaporation
What nursing measures are appropriate to maintain heat and
[] [] [] [] [] [] [] [] []
promote heat lose? - Correct answer ✔-Maintain heat: remove
[] [] [] [] [] [] [] [] []
wet clothes & replace w/ dry, warming blankets, drink hot liquids
[] [] [] [] [] [] [] [] [] []
- promote heat loss: antipyretics
[] [] [] []
hypothermia blanket (circulate cool loss) [] [] [] []
Remove excess clothing, bath
[] [] []
What factors increase or decrease an individual's body
[] [] [] [] [] [] [] []
temperature? - Correct answer ✔-Age [] [] [] []
-Exercise
-Hormone level []
-Circadian rhythm []
Stress
-Environment
-Temperature alterations []
What are the normal ranges for body temperature (oral, axillary,
[] [] [] [] [] [] [] [] []
rectal)? - Correct answer ✔-Adult Range: 96.8-100.4 F
[] [] [] [] [] [] [] []
-Average:
Oral/tympanic- 98.6 []
Temporal- 97.6 [] []
SIGNS EXAM WITH VERIFIED [] [] [] []
SOLUTIONS
Why are vital signs important in a nursing assessment? - Correct
[] [] [] [] [] [] [] [] [] []
answer ✔-VS are an important part of the nursing assessment
[] [] [] [] [] [] [] [] [] [] []
in any clinical, setting, even if they are delegated, because a
[] [] [] [] [] [] [] [] [] [] []
change in VS might indicate a change in health
[] [] [] [] [] [] [] []
-Provides data to determine a PT's usual state of health
[] [] [] [] [] [] [] [] [] []
(baseline)
How often are vital signs assessed? - Correct answer ✔-Upon
[] [] [] [] [] [] [] [] [] []
admission
-Routine schedule based facility policy or HCP order
[] [] [] [] [] [] []
-Anytime there is a change in PT condition [] [] [] [] [] [] []
-HCP orders a minimum frequency. Nurses job to judge weather
[] [] [] [] [] [] [] [] [] []
more often is needed (from book)
[] [] [] [] []
When is it important to measure vital signs? - Correct answer ✔-
[] [] [] [] [] [] [] [] [] [] []
Before and After: [] []
Administration of medications that affect [] [] [] []
Respiratory or cardiovascular function [] [] []
Temperature-CTRL Fn's []
-Physical activities as appropriate [] [] []
-Before, during, and after: [] [] []
,Surgery or invasive diagnostic procedures
[] [] [] []
Blood product transfusions
[] []
What are the guidelines for measuring vital signs? - Correct
[] [] [] [] [] [] [] [] [] []
answer ✔1-Assess & Select Appropriate equipment
[] [] [] [] []
2-Know:
-baseline VS for the PT [] [] [] []
-Medications the PT is taking that may affect VS [] [] [] [] [] [] [] []
-Health history []
-Consider environmental factors [] []
- Take VS using an organized, systematic approach
[] [] [] [] [] [] []
-Results:
- analyze results: determine significant findings
[] [] [] [] []
-Document VS []
-Communicate any concerns concerning findings [] [] [] []
What is the definition of body temperature and core
[] [] [] [] [] [] [] [] []
temperature? - Correct answer ✔-Body temp. Is the balance [] [] [] [] [] [] [] [] []
between
[] -heat produced in the body and heat loss from the body.
[] [] [] [] [] [] [] [] [] []
Heat production-heat loss=body temp.
[] [] []
- Core temp. Is the temp. Of the deep tissue
[] [] [] [] [] [] [] [] []
What regulates our body temperature? - Correct answer ✔-
[] [] [] [] [] [] [] []
Hypothalamus- senses body temp. And adjust to maintain "set [] [] [] [] [] [] [] [] []
point" mechanism of CTRL
[] [] []
,-The hypothalamus acts as a central thermostat, receiving input
[] [] [] [] [] [] [] [] []
from sensors that detect hot or cold temp. And initiates body
[] [] [] [] [] [] [] [] [] [] []
responses mainly in the cardiovascular system via
[] [] [] [] [] [] []
vasoconstriction or vasodilation that decrease heat production [] [] [] [] [] [] []
and increase heat loss
[] [] []
What is thermoregulation? - Correct answer ✔-Physiological and
[] [] [] [] [] [] [] []
behavioral mechanisms that regulate the balance between heat
[] [] [] [] [] [] [] []
lost and heat produced
[] [] []
-The balance between heat loss and heat produced
[] [] [] [] [] [] []
What is the primary source of heat production in the body?
[] [] [] [] [] [] [] [] [] []
(p488) - Correct answer ✔- Physiological and behavioral
[] [] [] [] [] [] [] []
mechanisms regulate the balance between heat lost and heat
[] [] [] [] [] [] [] [] []
produced, or thermoregulation [] []
-Bodys metabolism []
What mechanisms increase PTs metabolism and increase heat
[] [] [] [] [] [] [] []
production? - Correct answer ✔basal metabolism [] [] [] [] []
Voluntary movements []
Shivering
Testosterone
What is the primary site of heat loss? - Correct answer ✔Skin
[] [] [] [] [] [] [] [] [] [] []
What are the four mechanisms of heat loss? - Correct answer
[] [] [] [] [] [] [] [] [] [] []
✔Radiation
, Conduction
Convection []
Evaporation
What nursing measures are appropriate to maintain heat and
[] [] [] [] [] [] [] [] []
promote heat lose? - Correct answer ✔-Maintain heat: remove
[] [] [] [] [] [] [] [] []
wet clothes & replace w/ dry, warming blankets, drink hot liquids
[] [] [] [] [] [] [] [] [] []
- promote heat loss: antipyretics
[] [] [] []
hypothermia blanket (circulate cool loss) [] [] [] []
Remove excess clothing, bath
[] [] []
What factors increase or decrease an individual's body
[] [] [] [] [] [] [] []
temperature? - Correct answer ✔-Age [] [] [] []
-Exercise
-Hormone level []
-Circadian rhythm []
Stress
-Environment
-Temperature alterations []
What are the normal ranges for body temperature (oral, axillary,
[] [] [] [] [] [] [] [] []
rectal)? - Correct answer ✔-Adult Range: 96.8-100.4 F
[] [] [] [] [] [] [] []
-Average:
Oral/tympanic- 98.6 []
Temporal- 97.6 [] []
