RNSG 1105 Exam 3 Questions with 100% Verified Correct Answers Temperature Range for adult - Correct Answer 96.8-100.4 degrees F Pulse Range for adult - Correct Answer 60-100 bpm Respiration range for adult - Correct Answer 12-20 breaths/min Blood Pressure Range for adult - Correct Answer 120/80 O2 Saturation - Correct Answer >= 95% When to Measure vital signs - Correct Answer on admission routine schedule based on facility policy or HCP order change in pt condition before and after: admin of meds that affect respiratory, cardiovascular or temperature-control function and physical activity as appropriate before,during, and after: surgery or invasive dx procedures and blood product transfusions Hypothalamus decreases temperature by - Correct Answer vasodilation, sweating, and inhibition of heat production Hypothalamus increases temperature by - Correct Answer vasoconstriction, muscle contraction, and shivering Heat production - Correct Answer metabolism, physical exertion, hormones, and shivering heat loss - Correct Answer evaporation, convection, conduction, and radiation 90% of heat loss comes from - Correct Answer the skin 1 / 2
Factors affecting body temperature - Correct Answer age, exercise, hormone level, circadian rhythm, stress, environment, temperature alterations Oral temp safety alert - Correct Answer if patient ate, drank, chewed gum, or smoked, wait 15-30 minutes Rectal temp safety alert - Correct Answer lubricate the thermometer; avoid in patients with heart disease or heart surgery; may stimulate vagus nerve, causing bradycardia; do not perform on patients with rectal disease or those who have had rectal surgery Tympanic temp safety alert - Correct Answer do not perform on patients who have drainage from the ear Axillary temp safety alert - Correct Answer axilla must be dry to obtain accurate reading HR x Stroke Volume = - Correct Answer Cardiac Output (5000 mL/min) Factors that increase pulse - Correct Answer hemorrhage activity fever (increase 10 bpm per 1 degree above normal) pain emotions Factors that decrease pulse - Correct Answer elderly endurance athletes beta blockers calcium channel blockers hypothermia Carotid pulse safety alert - Correct Answer lightly palpate one side at a time to prevent diminished O2 to the brain
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