NUR 1023 Fundamentals of Nursing Chapter 26-Vital Signs
Questions With Complete solutions
▪When evaluating the vital signs of a group of patients, the nurse
takes into consideration the circadian rhythm of body
temperature. At which time of day is body temperature usually
the lowest?
A. 4 p.m. to 6 p.m.
B. 4 a.m. to 6 a.m.
C. 8 p.m. to 10 p.m.
D. 8 a.m. to 10 a.m. Correct Answer B. 4 a.m. to 6 a.m.
A fever is not usually harmful unless it exceeds... Correct
Answer 39⁰C/102.2⁰F
A patient is experiencing dyspnea. What is the nurse's
PRIORITY action? Correct Answer 1.Remove pillows from
under the head
2.Elevate the foot of the bed
3.Elevate the head of the bed
4.Anticipate: Apply oxygen via mask at 2L
How do you take a Tympanic Temperature on a toddler under
3ysro? Correct Answer pull ear down and back
How do you take a Tympanic Temperature on an adult? Correct
Answer pull ear Up and back
How long should you take a patient pulse for? Correct Answer
1 minute
,State the pulse point scale 1-4. Correct Answer ▪0= Unable to
palpate
▪1+= Diminished, weak
▪2+= Brisk, normal
▪3+= Increased, strong
▪4+= Bounding
T/F: Changes in the rate and depth of inhalation and exhalation
are brought about by the inhibition or stimulation of the
respiratory muscles by respiratory centers in the medulla and
pons. Correct Answer True
T/F: High BP can give cause fluid retention and edema. Correct
Answer True
T/F: It take longer to register a newborns temp on a
thermometer. Correct Answer False. It takes longer to register
an older adults temp on a thermometer.
T/F: The normal pulse rate for adolescents and adults ranges
from 60 to 100 beats/min. Correct Answer True from 60 to 100
beats
T/F: You MUST lower a low-grade fever immediately. Correct
Answer False
T/F: Younger patients have higher heart rates. Pulse strength and
regularity decreases in older adulthood. Correct Answer True
What are factors that may influence pulse rate? Correct Answer
▪Body position.
What are some Factors Affecting Body Temperature? Correct
Answer ▪Circadian rhythms
▪Age and gender
▪Physical activity
▪State of health- fever, hypothyroidism
▪Environmental temperature
▪Infection
What are some factors affecting oxygen saturation? Correct
Answer ▪Lung disease
COPD
Cancer
▪Heart Disease
Cyanotic
Heart Failure
What are some nursing interventions for Bradycardia? Correct
Answer ▪Monitor patient
▪Labs and diagnostics
▪Assess for potential adverse effects of medications
▪Protect client from injury
What are some Nursing Interventions for Fever and
Hyperthermia? Correct Answer ▪Encourage sips of cool fluids.
▪Remove excess clothing.
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