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Nurc 1001 Exam 4 (1).
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Nurc 1001 Exam 4 (1).
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Nurc 1001 Exam 4Temperature: Oral Method - ✅✅ --frequent use
-place under tongue
-keep mouth and lips closed
-electronic/digital paper thermometer
-Times: depends on thermometer
-WAIT 15-30 MIN IF A PERSON EATS, DRINKS, SMOKES, OR CHEWS GUM
BEFORE TAKING AN ORAL TEMP.
Temperature: Rectal Method - ✅✅ --Use when other routes are unsafe
-position resident properly
-cover with sheath and lubricant
-insert about 1/2 inch
-stay with resident and hod thermometer in place
-Time: depends on thermometer
Temperature: Axillary Method - ✅✅ --Used when other methods are unsafe or
inaccurate
-less accurate
-place tip (use sheath) in center of underarm
-stay with resident -keep arm in place
-Time: depends on thermometer
Temperature normal range - ✅✅--Oral: 97.6 F- 99.6 F
-Rectal: 98.6 F- 100.6 F
-Axillary: 96 F- 98.6 F
-Tympanic: 96 F- 99.6 F
-Temporal: 97.6 F- 99.6 F
OLDER ADULTS HAVE GREATER VARIATION IN THE NORMAL RANGE, WITH
AGE TEMPERATURE DECREASES
Temperature: Tympanic - ✅✅ --Gently insert tip inside ear canal-follow
directions
-time:1-2 seconds. Beep occurs digital number stop
-Used wth people who are confused and resist care
Temperature: Temporal Artery - ✅✅ --Measured at the temporal artery
(forehead)
-Gently stroked across forehead and temporal artery-choose side of head
exposed
-Time: 3-5 seconds
-Used wth people who are confused and resist care
, What must you watch out for when taking rectal temperature? - ✅✅
-If the
thermometer has a crack or break. Broken thermometers can injure the rectum
and colon
What Factors affect temperature? - ✅✅--Eating warm food/fluids
-time of day
-infection
-external tempertaure
-exercise
How do you obtain a pulse? - ✅✅-Use 2-3 fingers to press gently over an
artery; don't use thumb
meausurement of number of times the heart beats/minute
How do you obtain a Respiration? - ✅✅ --The inspirtation and expiration of air
-Observe resident's chest
-count for one full minute
-Best to have resident unaware of respirations being taken
What affects a resident's pulse rate? - ✅✅--elevated body temperature
-exercise
-fear
-anger
-anxiety
-excitement
-heat
-position
-pain
-medication
What affects a resident's respiration rate? - ✅✅--exercise
-fever
-lung disease
-heart disease
Bradycardia - ✅✅-abnormally slow heartbeat
techycardia - ✅✅-fast heart rate
apnea - ✅✅-absence of breathing
Tachyapnea - ✅✅-excessively short, rapid breaths
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