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NSG 3100 Vital signs Question and answers rated A+

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NSG 3100 Vital signs Question and answers rated A+ NSG 3100 Vital signs- Temp Assessing temp: Has the patient undergone exercise or physical therapy within the last 30 minutes? - correct answer Intervention: physical exercise increases body temperature, have the patient rest for 30 minutes ...

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  • October 26, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • NSG 3100

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NSG 3100 Vital signs- Temp
Assessing temp: Has the patient undergone exercise or physical therapy
within the last 30 minutes? - correct answer ✔Intervention: physical exercise
increases body temperature, have the patient rest for 30 minutes beofre
assessing temperature


Assessing temp: does the temperature derivate from the normal range in
either direction? - correct answer ✔Intervention: validate equipment
accuracy and proper use, assess the room temp, asses the patient for clincal
manifestations, of hyperthermia or hypothermia, retake the temp using
different equipment or a different method, check the PCP orders and care
plan for further intervention


Assessing orally: has the patient consumed cold or hot food or beverages,
chewed gum or smoked within the past 30 minutes - correct answer
✔intervention: wait 30 minutes from the last oral intake to assess oral temp or
use a different method


Assessing orally: what is the patients level of consciousness? is the patient,
awake, alert, oriented - correct answer ✔Intervention: select an alternative
route to measure temp if unconscious


Assessing orally: are there any moith lesions or sores? - correct answer
✔intervention: select an alternative route to meaures if lesions or sores


Assesing temporal: does the patient exhibit extreme perspiration - correct
answer ✔intervention: use a different method. extreme perspiration interferes
with the accuracy of the temp reading

, Assessing temporal: is the patient lying on their side? - correct answer
✔intervention: use the side of the patient face that is not on the pillow. the
side of the face that is on the pillow has an artificially high temp


Assessing temporal: does the nurse suspect an inaccurate or unreliable result
- correct answer ✔intervention: wait 30 seconds before repeating the temp. it
takes at least 30 seconds for the skin temp to normalize


Assessing axiallry: has teh skin recently been washed? - correct answer
✔intervention: wait 1 hour after bathing before assessing axiallry temp to
allow time for the skin temp to noramlize or use a different method


Assessing Axillary: is the axilla moist or diaphoretic? - correct answer
✔intervention: use the other arm. use a different method. or dry the axiallry
region with a towel, using a patting motion because perspiration causes
inaccurate readings


Assessing axillary: are lesions, wounds, skin irritations or sore present -
correct answer ✔use the other axilla or use a different method because skin
problems may raise temp.


Assessing rectal: is there a patient history of rectal surgery or bleeding -
correct answer ✔intervention: rectal method is contraindicated. avoid for risk
of injury.


Assessing rectal: is the patient on an anticoagulant or having diarrhea? -
correct answer ✔Intervention: use a different method, avoid risk for bleeding,
or stimulating bowel movements


Assessing rectal: are lesions, wounds, hemorrhoids or other sores present? -
correct answer ✔Intervention: use different mehtod to avoid risk for injury.

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