What are vital signs used for? - Answer-Monitor patient's condition
Identify problems
Evaluate response to intervention
Baseline - Answer-An individual's normal state of being
How often should you check a post-operation patient's vital signs? - Answer-Every 15 minutes
Range of normal tem...
NUR 218 Exam 1 Questions with
Complete Solutions
What are vital signs used for? - Answer-Monitor patient's condition
Identify problems
Evaluate response to intervention
Baseline - Answer-An individual's normal state of being
How often should you check a post-operation patient's vital signs? - Answer-Every 15
minutes
Range of normal temperature - Answer-97.6-99.6 F
Hyperthermia - Answer-Abnormally high body temperature (above 104)
different than a fever
Emergency
Hypothermia - Answer-abnormally low body temperature (Below 95)
Normal pulse - Answer-60-100 bpm
bradycardia - Answer-slow heart rate (less than 60 bpm)
Tachycardia - Answer-fast heart rate (above 100)
If patient has irregular heart rate..... - Answer-assess apical pulse for a full minute
What if the patient's HR is difficult to palpate? - Answer-dangle their arm (strengthens
pulse) and give warm blanket (dilates vessels)
When doing a tympanic temperature on a kid... - Answer-pull their ear down and out
When doing a tympanic temperate on an adult... - Answer-pull their ear up and out
how should you check a babies temperate? - Answer-axillary, NEVER rectal
what kind of patients will have higher HR? - Answer-babies, HTN, pregnant, anxious
What should you not do when checking vitals and it's abnormal? - Answer-NEVER
HAVE ANOTHER NURSE CHECK VITALS,
PEOPLE BEFORE PAPER
, Normal respiratory rate - Answer-12-20 breaths per minute
What should you be assessing for when checking respirations? - Answer-rate, rhythm,
quality
Elevated BP - Answer-120-129/<80
Stage 1 HTN - Answer-130-139/80-89
Stage 2 HTN - Answer->140 or <90
Primary HTN - Answer-no known cause
Secondary HTN - Answer-identifiable cause
How are sweat glands activated? - Answer-heat, nervousness, or stress (create body
odor)
What do sebaceous glands secrete? - Answer-sebum (oil)
Excoriation - Answer-Skin sore or abrasion produced by scratching or scraping
Alopecia - Answer-hair loss
pediculosis - Answer-lice
You are caring for a non-English speaking male patient. When preparing to assist him
with personal hygiene, you should....
1. use soap and water on all types of skin
2. ensure that culture and ethnicity influence hygiene practices
3. shave facial hair to make patient more comfortable
4. know that all patients need to be bathed daily - Answer-2. ensure that culture and
ethnicity influence hygiene practices
(consult with family)
When bathing a patient you should be... - Answer-inspecting the skin for dry skin,
rashes, sores
What is the Braden Scale used for? - Answer-predicting pressure sore risk
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