NUFT 204 Exam #1 Questions With
Complete Solutions
Fundamentals of Nursing (Communication, Documentation, Patient Safety, Hygiene, Vital Signs, Asepsis Technique + Infection Control)
define temperature: correct answer: difference between heat produced & heat lost
define pulse: correct answer: palpable bounding of blood flow
_______ represents the minimum amount of pressure exerted on
the arteries correct answer: diastolic pressure
core temperature measurement sites (6) correct answer: - rectum
- tympanic membrane
- temporal artery
- pulmonary artery
- esophagus
- urinary bladder
acceptable oral temperature range of an adult: correct answer: 36 to 38 ºC (96.8 to 100.4 ºF)
_______ temperatures are usually 0.5 ºC higher than oral and tympanic temperatures correct answer: rectal where should an oral probe be placed? correct answer: posterior
sublingual pocket
use this temperature site ______ for clients who are 4 years of age or older correct answer: oral
how far should an anal probe be inserted? correct answer: 1 to 1.5 inches (for an adult)
safety measures to consider when taking temperature rectally (3): correct answer: - do not use for patients with diarrhea
- do not use for patients on bleeding precautions - do not use for patients with rectal disorders
a ______ measurement of temperature is generally most accurate correct answer: rectal
physical process of measuring tympanic temperature in an adult:
correct answer: pull the ear up and back
physical process of measuring tympanic temperature in a child younger than 3: correct answer: pull the ear down and back
fever is usually not harmful unless it exceeds ______ correct answer: 102.2 ºF (39 ºC)
how would you manage fever in adults? correct answer: provide
antipyretics (aspirin, acetaminophen, ibuprofen) how should fever NOT be managed in children and adolescents with viral illness? why? correct answer: do not give aspirin; risk
of Reye syndrome
hypothermia is a body temperature less than________ correct answer: 35ºC (95.2 ºF)
define pulse deficit: correct answer: difference between the apical and radial pulse rates
what is the procedure for irregular pulsation? correct answer: count for a full minute and compare the result to the apical pulse
rate
when would you use the apical pulse site (4)? correct answer: when assessing:
- infants
- rapid rates (faster than 100/min)
- irregular rhythms
- prior to the administration of cardiac medications
proper stethoscope placement: correct answer: fifth intercostal space at the left midclavicular line
accurate assessment of respiration involves observing 3 things: correct answer: - rate
- depth
- rhythm
respiration: the expected reference range for adults (per ATI) correct answer: 12 to 20 breaths/min
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
