NURS 310 (Health Assessment) EXAM 1
QUESTIONS 100% ACCURATE AND
VERIFIED.
What is the oral route procedure?
✔✔shake glass down to 35.5 C, place at base of lounge, in sublingual
pockets, make sure patients lips stay closed, leave in place for 3-4 minutes
-wait 15 minutes if they have drunk
what is the axillary route?
✔✔AX
-add one degree because of the cold receptors can be stimulated from
brown fat tissue in the area that releases heat
-mark is 1-degree, short mark is .2 degrees
what is the tympanic route?
✔✔TY
-ear
-noninvasive, quick, efficient
-not as accurate as others
-add 1 degree
what is the temporal artery?
✔✔-TA
-infrared emmisions from eardrum
,-slide probe across forehead and behind the ear
-takes 6 seconds
-report degrees in Celsius
-add one degree
what is the rectal route?
✔✔(R)
-most invasive method
-use when other perferred routes aren't practical (in comatose, shock)
-most accurate route
-insert 1 inch into the rectum toward umbilicus
-take thermometer out after two minutes
-subtract 1
in a resting adult the normal heart range is...
✔✔60 to 100 bpm
what factors affect heart rate?
✔✔-gender (after puberty women have a slightly higher bpm than men)
-age (infancy and childhood more rapid)
-activity
-pain
-stimulance
-emotional state
,-medication
What is tachycardia?
✔✔heart rate greater than 100 bpm
-heart rate may increase from anxiety, increased metabolic demands, or low
blood volume
bradycardia
✔✔heart rate less than 60 bpm
-can occur in well trained athletes whose heart muscle develops along with
skeletal muscle
what is asystole?
✔✔the absence of a pulse, considered a medical emergency
when measuring regular rhythm bpm?
✔✔use middle and index finger, count number of bpm for 30 seconds and
then multiply by 2
when measuring irregular bpm?
✔✔count for one full minute
what is the bodys main thermostat. It functions to maintain a steady
temperature throughout the day.
✔✔hypothalamus
, what does the hypothalamus balance?
✔✔heat production and heat loss
-to produce steady state of temperature, required for cellular metabolism
what 3 factors result in heat production?
✔✔-increased metabolism
-excersize
-food digestion
what factors result in heat loss?
✔✔-radiation
-evaporation
-convection
-conduction
what is radiation?
✔✔form of heat loss through infrared rays. Involves the transfer of heat from
one object to another
what is evaporation?
✔✔if you are sweating, body loses heat through sweating
what is convection?
✔✔losing heat through movement of air or water molecules from the skin
-depends on air flow and exersice
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