nursing responsibilities: - Answer -knowledge of normal ranges
-frequency of assessment
-analysis and verification of results
-analysis and verification of results
-communication of results
-teaching
equipment for vital signs: - Answer -thermometer
-sphygmomanometer (BP cuff)
-steth...
Fundamentals Exam 1 (Vital
Signs/Assessment Questions Answered
Correctly.
nursing responsibilities: - Answer -knowledge of normal ranges
-frequency of assessment
-analysis and verification of results
-analysis and verification of results
-communication of results
-teaching
equipment for vital signs: - Answer -thermometer
-sphygmomanometer (BP cuff)
-stethoscope
-watch
what is the proper sequence for vital signs? - Answer 1. Temperature
2. Pulse
3. Respiration
4. Blood pressure
5. Pain assessment
what is the normal oral temperature of adults? - Answer 95.9-99.9 F
what is the normal axillary temp for adults? - Answer 1F lower than oral temp
what is the normal rectal temp for adults? - Answer 1F higher than oral temp
, what is the normal temp for tympanic? - Answer 1.4 F higher than oral temp
why may a patient fall above or below the temperature parameter? - Answer above: hyperthermia,
febril (fever), exercise, environment
below: hypothermia, medical conditions, environment, cold water
disadvantages of oral temperature: - Answer -affected by ingestion of fluids, food, smoke, oxygen
-should not be used with oral surgery, chills, confused pt.
advantages of oral temperature: - Answer -accessible, comfortable
-accurate surface temp.
-reflects rapid change in core temp.
disadvantages of axillary temperature: - Answer -reading impaired by diaphoresis (sweating)
-requires continuous positioning (tight)
-affected by environmental temp.
advantages of axillary temperature: - Answer -safe and noninvasive
-can be used with newborns and cooperative clients
advantages of rectal temperature: - Answer -argued to be more reliable when oral temp cannot be
obtained
disadvantages of rectal temperature: - Answer -not used for patient's who have rectal surgery, or
decreased platelets
-not used on newborns
-risk of body fluid exposure
what is the normal pulse range? - Answer 60-100 bpm
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