40 Questions
Which type of thermometer captures heat emitted by the skin over the temporal artery?
Temporal artery thermometer
What affects the accuracy of readings from the temporal artery thermometer?
Technique and cleanliness of the device
Under what condition should oral temperature not be taken?
In patients with a broken jaw that is wired closed
How long should the probe remain in the sublingual pocket for oral temperature measurement?
1 minute
What is a characteristic of disposable single-use thermometers?
They measure body temperature within 10 seconds
Which route is a frequent method for estimating core body temperature?
Tympanic membrane
What is the definition of Vital Signs?
They reflect the health status of a person and often vary by age
Which of the following is NOT a component of Vital Signs?
Mental alertness
What is the balance that temperature represents in relation to Vital Signs?
Balance between heat produced and lost
Why are Vital Signs important in patient care?
They help identify normal patterns for patients and changes in patient status
What is the main purpose of taking Vital Signs?
To monitor normal patterns for patients and detect changes in patient status
Why are Vital Signs considered an important component of health care?
Because they reflect the health status of a person and often vary by age
What is the significance of Phase I of the Korotkoff sounds?
It marks the beginning of faint tapping sounds and indicates systolic pressure
What is the auscultatory gap as mentioned in the text?
The temporary disappearance of sounds in Phase I and during Phase II
What characterizes Phase III of the Korotkoff sounds?
Loud sounds as the blood flows freely through the open artery
What distinguishes Phase IV of the Korotkoff sounds?
Abrupt muffled sounds with a soft blowing sound
Which phase of Korotkoff sounds represents the last sound before continuous silence and is used to define diastolic pressure?
Phase V
When does the muffled or swishing sound that may disappear for up to 40mmHg long then reappear occur?
During Phase II of Korotkoff sounds
What does the abrupt muffled sound with a soft blowing sound in Phase IV indicate?
Diastolic pressure
What are the Korotkoff sounds in Phase III primarily caused by?
Blood flowing freely through an open artery
What is the primary symptom associated with orthostatic hypotension?
Pallor
What is the main cause of orthostatic hypotension?
Dehydration
What is the recommended nursing intervention for a patient with orthostatic hypotension?
Teaching and helping patient to arise and move slowly
How is orthostatic hypotension assessed?
By measuring and recording blood pressure and pulse in different positions
What is the significance of a decrease in SBP of > 20 mmHg or a decrease in DBP of > 10 mmHg within 3 minutes of standing?
It indicates orthostatic hypotension
What can be a potential cause of orthostatic hypotension?
Certain classes of medications
What factors should a nurse consider when choosing the site for temperature assessment?
The patient's state of consciousness and amount of pain
What is a characteristic of the Temporal Artery thermometer?
It measures body temperature by capturing heat emitted by the skin over the temporal muscle
What should a nurse do before taking an oral temperature if a client has been taking hot or cold foods or liquids, or smoking or chewing gum?
Wait for 30-45 minutes before taking the temperature
What is the purpose of the Disposable single-use thermometer?
To provide a non-breakable temperature measurement within seconds
What is essential for assessing temperature through the oral route?
The probe must remain in the sublingual pocket for the full period of measurement
What is an important consideration when assessing temperature through the tympanic membrane?
The presence of earwax or foreign objects in the ear canal
Which factors may decrease Basal Metabolic Rate (BMR)?
Following a very low-calorie diet and prolonged fasting
What is the main purpose of Body Mass Index (BMI)?
To provide an estimation of relative risk for heart disease, diabetes, and hypertension
What does a high BMI value indicate?
Overweight or obesity
When is Waist circumference used as a measure?
As an initial assessment of nutritional status for adults and children
What is the significance of Ideal Body Weight (IBW)?
It is an estimate of optimal body weight for optimal health
How are Height and weight tables commonly used?
To define optimal body weight for infants and children
What do higher Basal Metabolic Rates (BMRs) in men result from?
Larger muscle mass compared to women
What is the purpose of Body Mass Index (BMI) chart?
To determine the ideal body weight for adults and children
Join the discussion on vital signs in medical surgical nursing, including definitions, normal and abnormal findings, assessment skills, and the rationales for each action. Understand the importance of vital signs as an indicator of physiologic functioning and their role in reflecting the health status of individuals.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
