NURS 206 EXAM 1 MODULE 1, MODULE 2 & MODULE
3 QUESTIONS WITH COMPLETE SOLUTIONS
-closely reflects the body's cores temperature- uses infrared light
-Used probe cover, move hair out of the way, make direct
contact with patient, press indicator button and run from center
or forehead over to temporal area and lift off and put over
mastoid prominence
-Tolerated well by children and young infants
-Mild perspiration does not affect reading
-Handheld unit that is swiped across the forehead Correct
Answers temporal artery temperature
-Considered very accurate
-It is uncomfortable
-Not used in patients with diarrhea, rectal disease, rectal mass
-Use a well lubricated thermometer
-Insert only the bulb
-Improper use of rectal thermometer can cause rectal perforation
-this site contraindicated in newborns also.
-Pt should be turned on their side to obtain a rectal reading.
-RED probe for rectal temperature- for infection control
measures Correct Answers rectal temperature
-For severely immunocompromised patients
-POSITIVE airflow with HEPA filtration (air leaves the room
without circulating back in)
-Provide thermometer, BP cuff, and stethoscope for this patient
only
,-Gloves, gown, masks to protect patient from exposure
-Patients having WBC < 500
-Used in post op transplant patients Correct Answers
protective precautions
-Involves listening to sounds within the body
-A stethoscope is usually used- it blocks out extraneous sounds
-Concentration is key to listening
-Performs best in a quiet room
-Closing the eyes may improve listening Correct Answers
auscultation
-is a core temperature
-Easy access for both adults and children
-Ear infections does not affect reading
-Put cover on and Ask patient to tilt head to opposite side and
insert gently aim toward opposite jaw
-Pull pinna UP and back to take temperature in an ADULT
-Pull pinna DOWN and back for a CHILD <3 years of age
-Do not use the ear if there is eardrum damage, scarring or
drainage.
-Reads in two seconds! Registers temperature quickly. Correct
Answers tympanic membrane temperature
-microorganism developing resistance to medication
-A microorganism is considered resistant if replication cannot be
stopped by 2 or more antibiotics simultaneously or sequentially
-Contributing factors: overprescribing of antibiotics for
nonbacterial infections, incomplete course of antibiotics Correct
Answers resistant organisms
,-Note discrepancies between patient's report and the patient's
general appearance
-Nurse notes inconsistencies In patient account
-not in a rude way! be gentle Correct Answers confrontation
-Performed to evaluate the size, borders, and consistency of
internal organs; detect tenderness; and determine the extent of
fluid in a body cavity
-Tapping sound performed over skin that sends vibrations to
underlying structures Correct Answers percussion
-Thermometer placed in the center of the armpit
-Site mostly used for newborns
-Sensor must touch the skin
-used in patients when other routes are contraindicated
-make sure that the area is clean, dry with no signs of infection
or irritation.
-Easy access, noninvasive
-Hold arm down next to body Correct Answers axilla
temperature
**REMINDER Correct Answers STUDY MATH
CONVERSIONS
0-10 pain scale Correct Answers 0=no pain
10=worst pain
Reported pain level between 1 and 3 is considered mild pain.
Reported pain level between 4 and 7 is considered moderate
pain.
Reported pain level between 8 and 10 is considered as severe
pain
, 120-129 systolic blood pressure is considered Correct Answers
elevated
2 charts used for distance vision Correct Answers snellen and
E chart
2 types of interview questions... Correct Answers open ended
close ended
a close and harmonious relationship in which the people or
groups concerned understand each other's feelings or ideas and
communicate well Correct Answers a rapport
A healthy person without a fever is described as Correct
Answers afebrile
a patient may perceive a "why" questions as... Correct Answers
threatening
A person with a fever is described as _____________. Signs
include: Correct Answers febrile
-Loss of appetite
-Dehydration
-Decreased urinary output
-Rapid heart rate
A sterile field or object will become contaminated by prolonged
exposure to... Correct Answers air- avoid drafts, coughing,
sneezing
3 QUESTIONS WITH COMPLETE SOLUTIONS
-closely reflects the body's cores temperature- uses infrared light
-Used probe cover, move hair out of the way, make direct
contact with patient, press indicator button and run from center
or forehead over to temporal area and lift off and put over
mastoid prominence
-Tolerated well by children and young infants
-Mild perspiration does not affect reading
-Handheld unit that is swiped across the forehead Correct
Answers temporal artery temperature
-Considered very accurate
-It is uncomfortable
-Not used in patients with diarrhea, rectal disease, rectal mass
-Use a well lubricated thermometer
-Insert only the bulb
-Improper use of rectal thermometer can cause rectal perforation
-this site contraindicated in newborns also.
-Pt should be turned on their side to obtain a rectal reading.
-RED probe for rectal temperature- for infection control
measures Correct Answers rectal temperature
-For severely immunocompromised patients
-POSITIVE airflow with HEPA filtration (air leaves the room
without circulating back in)
-Provide thermometer, BP cuff, and stethoscope for this patient
only
,-Gloves, gown, masks to protect patient from exposure
-Patients having WBC < 500
-Used in post op transplant patients Correct Answers
protective precautions
-Involves listening to sounds within the body
-A stethoscope is usually used- it blocks out extraneous sounds
-Concentration is key to listening
-Performs best in a quiet room
-Closing the eyes may improve listening Correct Answers
auscultation
-is a core temperature
-Easy access for both adults and children
-Ear infections does not affect reading
-Put cover on and Ask patient to tilt head to opposite side and
insert gently aim toward opposite jaw
-Pull pinna UP and back to take temperature in an ADULT
-Pull pinna DOWN and back for a CHILD <3 years of age
-Do not use the ear if there is eardrum damage, scarring or
drainage.
-Reads in two seconds! Registers temperature quickly. Correct
Answers tympanic membrane temperature
-microorganism developing resistance to medication
-A microorganism is considered resistant if replication cannot be
stopped by 2 or more antibiotics simultaneously or sequentially
-Contributing factors: overprescribing of antibiotics for
nonbacterial infections, incomplete course of antibiotics Correct
Answers resistant organisms
,-Note discrepancies between patient's report and the patient's
general appearance
-Nurse notes inconsistencies In patient account
-not in a rude way! be gentle Correct Answers confrontation
-Performed to evaluate the size, borders, and consistency of
internal organs; detect tenderness; and determine the extent of
fluid in a body cavity
-Tapping sound performed over skin that sends vibrations to
underlying structures Correct Answers percussion
-Thermometer placed in the center of the armpit
-Site mostly used for newborns
-Sensor must touch the skin
-used in patients when other routes are contraindicated
-make sure that the area is clean, dry with no signs of infection
or irritation.
-Easy access, noninvasive
-Hold arm down next to body Correct Answers axilla
temperature
**REMINDER Correct Answers STUDY MATH
CONVERSIONS
0-10 pain scale Correct Answers 0=no pain
10=worst pain
Reported pain level between 1 and 3 is considered mild pain.
Reported pain level between 4 and 7 is considered moderate
pain.
Reported pain level between 8 and 10 is considered as severe
pain
, 120-129 systolic blood pressure is considered Correct Answers
elevated
2 charts used for distance vision Correct Answers snellen and
E chart
2 types of interview questions... Correct Answers open ended
close ended
a close and harmonious relationship in which the people or
groups concerned understand each other's feelings or ideas and
communicate well Correct Answers a rapport
A healthy person without a fever is described as Correct
Answers afebrile
a patient may perceive a "why" questions as... Correct Answers
threatening
A person with a fever is described as _____________. Signs
include: Correct Answers febrile
-Loss of appetite
-Dehydration
-Decreased urinary output
-Rapid heart rate
A sterile field or object will become contaminated by prolonged
exposure to... Correct Answers air- avoid drafts, coughing,
sneezing
