Podcast
Questions and Answers
What is an advantage of oral temperature measurement?
What is an advantage of oral temperature measurement?
- Reliable
- Non-Invasive
- Accessible (correct)
- Safe
Which pulse site is commonly called the arterial or peripheral pulse?
Which pulse site is commonly called the arterial or peripheral pulse?
- Axillary
- Posterior tibialis
- Dorsalis pedis (correct)
- Temporal
What is a disadvantage of tympanic temperature measurement?
What is a disadvantage of tympanic temperature measurement?
- Very Fast
- Inaccurate
- Misleading Results
- Membrane Injury (correct)
Where is the common arterial or peripheral pulse site located?
Where is the common arterial or peripheral pulse site located?
What is a characteristic of a normal pulse rate for adults?
What is a characteristic of a normal pulse rate for adults?
Which pulse site is used to determine the circulation to the foot when the radial pulse is not accessible?
Which pulse site is used to determine the circulation to the foot when the radial pulse is not accessible?
What is the range for rectal temperature according to the text?
What is the range for rectal temperature according to the text?
What is the purpose of assessing the general survey of a client's health status?
What is the purpose of assessing the general survey of a client's health status?
Which hormone is responsible for the regulation of metabolism (BMR)?
Which hormone is responsible for the regulation of metabolism (BMR)?
What is the purpose of a thermoneutral environment according to the text?
What is the purpose of a thermoneutral environment according to the text?
What process allows the body to maintain its core temperature?
What process allows the body to maintain its core temperature?
Which factor can influence body temperature due to its effect on metabolic rate?
Which factor can influence body temperature due to its effect on metabolic rate?
What is the approximate range for axillary temperature as per the text?
What is the approximate range for axillary temperature as per the text?
What can be a probable cause of Pyrexia or Fever based on the text?
What can be a probable cause of Pyrexia or Fever based on the text?
What is the main role of Shivering according to the text?
What is the main role of Shivering according to the text?
How do large muscles contribute to heat production according to the text?
How do large muscles contribute to heat production according to the text?
What is the first step a nurse should take when assessing a client's pulse rate?
What is the first step a nurse should take when assessing a client's pulse rate?
Which artery is routinely used for infants and children up to 3 years of age during cardiac arrest/shock?
Which artery is routinely used for infants and children up to 3 years of age during cardiac arrest/shock?
What does a pulse deficit refer to?
What does a pulse deficit refer to?
What is bradycardia?
What is bradycardia?
What is arterial elasticity indicative of?
What is arterial elasticity indicative of?
Which artery runs along the radial bone, on the thumb side of the inner wrist?
Which artery runs along the radial bone, on the thumb side of the inner wrist?
What does pulse volume measure?
What does pulse volume measure?
What is tachycardia characterized by?
What is tachycardia characterized by?
What is the primary muscle used in diaphragmatic breathing?
What is the primary muscle used in diaphragmatic breathing?
Which term refers to the cessation of breathing?
Which term refers to the cessation of breathing?
What does dyspnea refer to?
What does dyspnea refer to?
Which sound is associated with a high-pitched musical squeak on expiration?
Which sound is associated with a high-pitched musical squeak on expiration?
What is the purpose of diaphragmatic breathing?
What is the purpose of diaphragmatic breathing?
Which term is used to describe overexpansion of the lungs with rapid deep breaths?
Which term is used to describe overexpansion of the lungs with rapid deep breaths?
What sound is associated with a snoring or sonorous respiration?
What sound is associated with a snoring or sonorous respiration?
'Atelectasis' refers to:
'Atelectasis' refers to:
Which term refers to quick, shallow breathing usually seen during tension and anxiety?
Which term refers to quick, shallow breathing usually seen during tension and anxiety?
What is the primary function of diffusion in respiration?
What is the primary function of diffusion in respiration?
Study Notes
Vital Signs
Body Temperature
- Normal body temperature range: 36.3°C - 37.9°C
- Factors affecting body temperature: age, exercise, hormones, environment, and stress
- Methods of temperature measurement: oral, rectal, axillary, temporal, and tympanic
- Importance of temperature regulation: maintaining core body temperature at 37°C
Pulse
- Definition: a shock wave produced by the contraction of the heart and measured at peripheral pulse sites
- Normal pulse rate for adults: 60-100 beats per minute
- Pulse characteristics: quality, rate, rhythm, and volume
- Pulse sites: radial, ulnar, femoral, popliteal, posterior tibialis, and dorsalis pedis
- Importance of pulse measurement: indirect measurement of cardiac output
Respiration
- Definition: the act of breathing, including external respiration (gas exchange between alveoli and pulmonary blood) and internal respiration (gas exchange between circulating blood and body tissues)
- Normal breathing: slightly observable, effortless, quiet, automatic, and regular
- Types of breathing: coastal/thoracic, abdominal/diaphragmatic, and apnea (cessation of breathing)
- Importance of respiration: exchange of oxygen and carbon dioxide between the lungs and body tissues
Blood Pressure
- Definition: the measure of pressure exerted as blood flows through the artery
- Importance of blood pressure measurement: indicator of cardiovascular health
Health Assessment
General Health Status
- Importance of temperature measurement in health assessment
- Vital signs: indicators of health, including body temperature, pulse, respiration, and blood pressure
- Purpose of vital signs measurement: to determine changes in health status and monitor clients at risk for imbalance
Additional Concepts
Thermoregulation
- Definition: the process of maintaining core body temperature at 37°C
- Factors affecting heat production: basal metabolic rate, thyroxine (T4) output, and thyronine (T3) output
Thyroid Hormones
- Thyroxine (T4): a thyroid hormone regulating metabolism (BMR)
- Triiodothyronine (T3): a thyroid hormone regulating metabolism (BMR)
Fever
- Definition: an increase in body temperature above the normal range
- Causes of fever: medical conditions (viral, bacterial, parasitic infections)
- Manifestations of fever: flushed skin, sweating, increased heart rate and breathing rate, and headache
Studying That Suits You
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Description
Test your knowledge on nursing assessment techniques, including how to assess normal pulse rate, palpate peripheral pulses, and count pulse rate while noting rhythm. This quiz also covers assessing for a pulse deficit and understanding the internal carotid artery.
