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Test 1, NUR 101 Exam Questions and Answers Latest Update
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Test 1, NUR 101 Exam Questions and Answers Latest Update
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Test 1, NUR 101 Exam Questions andAnswers Latest Update
Vital signs (VS) include... - Answer-temperature, pulse, respiration, blood pressure,
oxygen saturation, pain
nurse's responsibility.... - Answer--take vitals correctly
-understand values and interpret them
-communicate findings
-intervene as needed
the difference between the amount of heat produced in the body and the amount of heat
____ in the environment, measured in degrees refers to - Answer-lost, heat
when do you perform hand hygiene? - Answer-before and after each pt or pt care items
The nurse may decide to ____ the taking of vitals to someone else - Answer-delegate
vitals must be checked when? - Answer--admission
-according to institutions standards
-any time there is a change in pt's condition
-before/after diagnostic, surgical, risky activity, medications that mess with cardio or
respiratory functions
body temperature is the balance between heat _____ and heat _______ - Answer-
produced, lost
normal body temperature range? - Answer-97.0-99.5
____ and ____ is the normal body temperature range - Answer-97.0-99.5
what are the types of body temperatures that can be measured? - Answer-oral,
tympanic, rectal, axillary, forehead
Annie's temperature is down in the morning, but a fever spikes around 5:30 and doesn't
break until 6:45. this is due to what affecting aspect of body temperature? - Answer-
circadian rhythms (heat will rise and fall naturally throughout the course of the day.
normal fluctuations are about 1-2F)
factors that influence body temp? - Answer-circadian rhythms, age, gender,
environmental temp
who is more sensitive to heat/cold? - Answer-very old and very young
, lower body temperature due to environmental factors is called? - Answer-hypothermia
if one is exposed to extremes of heat for long periods of time, ______ may result -
Answer-hyperthermia
an _____ person (person without a fever) has body temp values between ___ and ___ -
Answer-afebrile, 97.0, 99.5
if one has a temperature reading of 99.6F or above, they are considered _______ -
Answer-febrile
fever is also referred to as _______ - Answer-pyrexia
a fever above 105.8F is referred to as ________ - Answer-hyperpyrexia (high fever)
average forehead temp for adult? - Answer-94F
average tympanic temp for adult? - Answer-99.5F
average axillary temp for adult? - Answer-97.7F
average rectal temp for adult? - Answer-99.5F
average oral temp for adult? - Answer-98.6F
loss of appetite, headache, hot & dry skin, flushed face, thirst, muscle aches, fatigue are
all symptoms of ________ - Answer-fever
______ drugs (fever reducing) include what (2)? - Answer-antipyretic, aspirin,
acetaminophen (these drugs reset the elevated set point regulated by the
hypothalamus)
NIC/NOC stands for... - Answer-nursing interventions and nursing outcomes
classifications
nursing interventions for fever? - Answer-monitor TPR, BP, I&O
monitor for seizure
antipyretic meds/IV fluids as appropriate (aspirin, acetaminophen)
hormones that can effect body temperature (raise, I think) - Answer-epinephrine,
thyroxine
a throbbing sensation that can be palpated over a peripheral artery is called a ______ -
Answer-pulse
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