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Vital Signs NURS 1700 Exams With Complete Solutions
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Vital Signs NURS 1700 Exams With Complete Solutions
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Vital Signs NURS 1700 Exams With Complete SolutionsWhat are the most common Vital Signs taken on a regular bases
pulse, body temp, BP and oxygen saturation
When are height and weight measurements taken?
usually when visual signs are taken
Why is it critical to get a proper weight and not an estimate?
And How to you check weight
For medication purposes.
Ways to check weight:
- Actual
-Reported
-Estimated (last resort)
What is body temperature?
Body temperature is the difference between the amount of heat
produced by body processes and the amount of heat lost to the
external environment.
What controls your body temperature?
Hypothalamus, causes vasoconstriction and vasodilation
Acceptable Body Temperature Range
Average ranges from 36C-38C
,Average body temp for rectum
Rectum- 37.5C (99.5C)
36.8-38.2
Average body temp for axillary
Axillary- 36.5 (97.5F)
34.8C-36.3
Average body temperature for Tympanic/oral
Oral/tympanic - 37C (99F)
36.1-37.9
Factors that affect body temp
Fever (pyrexia)
Hypothermia
Hypothermia
What are factors that affect body temp when not physically ill �
- Age
-Exercise (hormones)
-Circadian Rhythm
- Stress
- Environment
What is a circadian rhythm?
the biological clock; change in temp, lower body temperature
around 0400 then at 1600
, What are your assessment sites
- Rectal, skin, oral, axillary, tympanic membrane, temporal
artery
What are the three devices used to determine temperature
Electronic, Chemical strip, glass
What are advantages to measuring rectal temp
reliable as it's not affected by the environment
What are disadvantages of taking rectal temperature
It's invasive
What is an advantages of taking axillary temperature
Easy access and good for kids
Disadvantages of taking Axillary temp
Exposure and affected by the environment (tends to be cooler)
The nurse has the task of measuring vital signs to an unregulated
care provider. The care provider informs the nurse that the
patient has just finished a bowl of hot soup. What would be the
nurse's most appropriate advice to the care provider?
A.Take the rectal temperature of the patient.
B.Take the oral temperature as planned.
C.Advise the patient to drink a glass of cold water.
D.Wait 30 minutes, and then take the patient's oral temperature.
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