NSC 232 Final Exam
Study online at https://quizlet.com/_cc5xcx
1. Sites for intradermal -inner aspect of forearm
injections -scapular area of back
-upper chest
-medial thigh
2. When to assess vital -On admission
signs -Change in client's health status
-Client reports symptoms such as chest pain, feeling hot, or faint
-Pre and post surgery/invasive procedure
-Pre and post medication administration that could affect CV system
-Pre and post nursing intervention that could affect vital signs
3. Types of thermome- -Electronic (oral, axillary, rectal)
ters -Infrared (tympanic)
-Scanning infrared (temporal artery)
-Temperature-sensitive tape (forehead)
-Glass mercury (oral, axillary, rectal)
4. Sites for measuring Oral
body temperature Rectal
Axillary
Tympanic membrane
Skin/Temporal artery
5. Fever patterns -Constant
-Remittent
-Relapsing
-Intermittent
6. Nursing care for fever
, NSC 232 Final Exam
Study online at https://quizlet.com/_cc5xcx
-monitor vital signs
-assess skin color and temperature
-monitor laboratory results for signs of dehydration or infection
-remove excess blankets when the client feels warm
-provide adequate nutrition and fluid
-measure intake and output
-reduce physical activity
-administer antipyretic as ordered
-provide oral hygiene
-provide a tepid sponge bath
-provide dry clothing and bed linens
7. Nursing care for hy- -Provide warm environment
pothermia -Provide dry clothing
-Apply warm blankets
-Keep limbs close to body
-Cover the client's scalp
-Supply warm oral or intravenous fluids
-Apply warming pads
8. Heat loss -Conduction: transfer of heat between two objects that are in physical
contact.
-Convection: Transfer of heat by movement of air.
-Radiation: Transfer of heat by to objects not in physical contact.
-Evaporation: Transfer of heat by water vapor.
9. Factors affecting Age
body temperature Diurnal variations
(circadian rhythms)
Exercise
, NSC 232 Final Exam
Study online at https://quizlet.com/_cc5xcx
Hormones
Stress
Environment
10. Infants: Newborns must be kept warm to prevent hypothermia
Temperature: Life
span Considerations
11. Children: Tympanic, temporal artery, oral and rectal sites may be used depending on
Temperature: Life diagnosis.
span Considerations
12. Elders Tends to be lower than that of middle-aged adults
Temperature: Life
span Considerations
13. The client's temper- 2. Check what the client's temperature was the last time.
ature at 8:00 AM
using an oral elec- Although the temperature is slightly lower than expected for the morning,
tronic thermometer it would be best to determine the client's previous temperature range next.
is 36.1°C (97.2°F). If This may be a normal range for this client.
the respiration, pulse,
and blood pressure
are within normal
range, what would
the nurse do next?
1.Wait 15 minutes
and retake it.
2.Check what the
client's temperature
was the last time.
3.Retake it using a dif-
, NSC 232 Final Exam
Study online at https://quizlet.com/_cc5xcx
ferent thermometer.
4.Chart the tempera-
ture; it is normal.
14. Pulse Wave of blood in the arteries created by the pumping action of the heart
15. Characteristics of rate
pulse rhythm
strength
16. What is a doppler Posterior Tibial pulse
used for
17. Most common pulse Radial
sites Brachial/Femoral
Carotid
Apical
18. Radial pulse wrist
Readily accessible
19. Brachial/Femoral arm
pulse when radial pulse is not accessible
20. Carotid pulse pulse felt on either side of the neck, over the carotid artery
During cardiac arrest/shock in adults
Determine circulation to the brain
Study online at https://quizlet.com/_cc5xcx
1. Sites for intradermal -inner aspect of forearm
injections -scapular area of back
-upper chest
-medial thigh
2. When to assess vital -On admission
signs -Change in client's health status
-Client reports symptoms such as chest pain, feeling hot, or faint
-Pre and post surgery/invasive procedure
-Pre and post medication administration that could affect CV system
-Pre and post nursing intervention that could affect vital signs
3. Types of thermome- -Electronic (oral, axillary, rectal)
ters -Infrared (tympanic)
-Scanning infrared (temporal artery)
-Temperature-sensitive tape (forehead)
-Glass mercury (oral, axillary, rectal)
4. Sites for measuring Oral
body temperature Rectal
Axillary
Tympanic membrane
Skin/Temporal artery
5. Fever patterns -Constant
-Remittent
-Relapsing
-Intermittent
6. Nursing care for fever
, NSC 232 Final Exam
Study online at https://quizlet.com/_cc5xcx
-monitor vital signs
-assess skin color and temperature
-monitor laboratory results for signs of dehydration or infection
-remove excess blankets when the client feels warm
-provide adequate nutrition and fluid
-measure intake and output
-reduce physical activity
-administer antipyretic as ordered
-provide oral hygiene
-provide a tepid sponge bath
-provide dry clothing and bed linens
7. Nursing care for hy- -Provide warm environment
pothermia -Provide dry clothing
-Apply warm blankets
-Keep limbs close to body
-Cover the client's scalp
-Supply warm oral or intravenous fluids
-Apply warming pads
8. Heat loss -Conduction: transfer of heat between two objects that are in physical
contact.
-Convection: Transfer of heat by movement of air.
-Radiation: Transfer of heat by to objects not in physical contact.
-Evaporation: Transfer of heat by water vapor.
9. Factors affecting Age
body temperature Diurnal variations
(circadian rhythms)
Exercise
, NSC 232 Final Exam
Study online at https://quizlet.com/_cc5xcx
Hormones
Stress
Environment
10. Infants: Newborns must be kept warm to prevent hypothermia
Temperature: Life
span Considerations
11. Children: Tympanic, temporal artery, oral and rectal sites may be used depending on
Temperature: Life diagnosis.
span Considerations
12. Elders Tends to be lower than that of middle-aged adults
Temperature: Life
span Considerations
13. The client's temper- 2. Check what the client's temperature was the last time.
ature at 8:00 AM
using an oral elec- Although the temperature is slightly lower than expected for the morning,
tronic thermometer it would be best to determine the client's previous temperature range next.
is 36.1°C (97.2°F). If This may be a normal range for this client.
the respiration, pulse,
and blood pressure
are within normal
range, what would
the nurse do next?
1.Wait 15 minutes
and retake it.
2.Check what the
client's temperature
was the last time.
3.Retake it using a dif-
, NSC 232 Final Exam
Study online at https://quizlet.com/_cc5xcx
ferent thermometer.
4.Chart the tempera-
ture; it is normal.
14. Pulse Wave of blood in the arteries created by the pumping action of the heart
15. Characteristics of rate
pulse rhythm
strength
16. What is a doppler Posterior Tibial pulse
used for
17. Most common pulse Radial
sites Brachial/Femoral
Carotid
Apical
18. Radial pulse wrist
Readily accessible
19. Brachial/Femoral arm
pulse when radial pulse is not accessible
20. Carotid pulse pulse felt on either side of the neck, over the carotid artery
During cardiac arrest/shock in adults
Determine circulation to the brain
