Podcast
Questions and Answers
What is a common symptom when a patient has a temperature of 102°F?
What is a common symptom when a patient has a temperature of 102°F?
- Elevated heart rate (correct)
- Normal body temperature
- Decreased heart rate
- Low fever
When obtaining oxygen saturation, which finger should be chosen?
When obtaining oxygen saturation, which finger should be chosen?
- Any finger can be chosen.
- The finger without capillary refill.
- The finger with capillary refill quicker than 2 seconds. (correct)
- The finger with capillary refill more than 5 seconds.
What is an appropriate intervention for a patient with hypothermia (35°C)?
What is an appropriate intervention for a patient with hypothermia (35°C)?
- Increase the room temperature (correct)
- Remove excess clothing
- Apply a cold compress
- Give the patient ice water
What indicates orthostatic hypotension when checking a patient's blood pressure supine?
What indicates orthostatic hypotension when checking a patient's blood pressure supine?
What is an appropriate first intervention if a patient's oxygen saturation is 88%?
What is an appropriate first intervention if a patient's oxygen saturation is 88%?
What should the nurse do when a patient's heart rate is irregular?
What should the nurse do when a patient's heart rate is irregular?
What is an expected symptom to observe when a patient's heart rate is 56 bpm?
What is an expected symptom to observe when a patient's heart rate is 56 bpm?
What action should the nurse take for a patient experiencing dehydration and hypotension?
What action should the nurse take for a patient experiencing dehydration and hypotension?
What intervention is appropriate for a patient with postural hypotension?
What intervention is appropriate for a patient with postural hypotension?
When obtaining an electronic blood pressure reading, where should the arm be?
When obtaining an electronic blood pressure reading, where should the arm be?
What is the appropriate action when a patient's temperature is 35°C?
What is the appropriate action when a patient's temperature is 35°C?
What should be done when a patient's oxygen saturation is 88%?
What should be done when a patient's oxygen saturation is 88%?
What assessment finding is associated with a heart rate of 56 bpm?
What assessment finding is associated with a heart rate of 56 bpm?
What is the first action to take for a patient experiencing dehydration and hypotension?
What is the first action to take for a patient experiencing dehydration and hypotension?
What change in systolic blood pressure indicates orthostatic hypotension when obtained with the patient supine?
What change in systolic blood pressure indicates orthostatic hypotension when obtained with the patient supine?
Flashcards
Symptoms of 102°F Temperature
Symptoms of 102°F Temperature
High fever, elevated heart rate
Oxygen saturation
Oxygen saturation
Choose the finger with capillary refill less than 2 seconds.
Intervention for 35°C (hypothermia)
Intervention for 35°C (hypothermia)
Remove excess clothing, apply a cold compress.
Orthostatic hypotension
Orthostatic hypotension
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Intervention for Oâ‚‚ Saturation of 88%
Intervention for Oâ‚‚ Saturation of 88%
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Palpating radial pulses
Palpating radial pulses
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Constipation symptom
Constipation symptom
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Irregular heart rate intervention
Irregular heart rate intervention
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56 bpm heart rate symptom
56 bpm heart rate symptom
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Dehydration and hypotension intervention
Dehydration and hypotension intervention
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High temperature effect
High temperature effect
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Electronic BP arm position
Electronic BP arm position
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Postural hypotension assistance
Postural hypotension assistance
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Hypothermia intervention
Hypothermia intervention
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Oxygen saturation location
Oxygen saturation location
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Study Notes
- If a patient's temperature is 102°F, symptoms include high fever and an elevated heart rate.
- When obtaining oxygen saturation, choose a finger with capillary refill less than 2 seconds.
- If a patient's temperature is 35°C (hypothermia), interventions include removing excess clothing, applying a cold compress, and removing excess blankets.
- If a patient shows orthostatic hypotension, check blood pressure while they are supine; a decrease of 20 mmHg systolic indicates orthostatic hypotension
- If a patient has an oxygen saturation of 88% (O2 %), encourage a deep breath.
- When palpating radial pulses (right: 80 bpm, left: 48 bpm), report as 4+80.
- A patient with constipation and recent bowel movement may experience a decreased heart rate.
- If a patient has an irregular heart rate, auscultate the apical pulse.
- If a patient's heart rate is 56 bpm, expect dizziness (bradycardia).
- For a patient with dehydration and hypotension, increase fluid intake.
- For a patient with postural hypotension, assist them from lying down to a standing position; systolic pressure may be higher when standing.
- If a patient has an elevated temperature of 108°F, this causes an increased heart rate.
- When obtaining electronic blood pressure, elevate the client's arm above the level of the heart (brachial artery).
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