Term
| What are factors that can affect a patient's temperature? |
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Definition
| Environment, exercise, emotional/mental status, age, circadian rhythm (a roughly 24-hour cycle in the biochemical, physiological or behavioral processes of living entities) hormones |
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Term
| What are factors that can affect a patient's pulse? |
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Definition
| meds, exercise, age, position, fluid balance, temperature, sympathetic stimulation |
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Term
| What are factors that can affect a patient's respirations? |
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Definition
| meds, exercise, smoking, acute pain, anxiety, body position, neurological injury. |
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Term
| What are factors that can affect a patient's blood pressure? |
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Definition
| age, stress, ethnicity, gender, meds, smoking, and weight |
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Term
| What are factors that can affect a patient's pulse ox? |
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Definition
| respiration, meds, smoker, athlete, age |
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Term
| Where is the apical pulse taken? |
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Definition
| 5th intercostal space, left side of patient. |
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Term
| What is the average temperatures for an adult via oral route? |
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Definition
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Term
| What is the average temperatures for an adult via rectal route |
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Definition
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Term
| What is the average temperatures for an adult via axillary route? |
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Definition
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Term
| What is the acceptable range of heart rate for an adult? |
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Definition
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Term
| What is the acceptable range for respiratory rate for an adult? |
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Definition
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Term
| What is the average blood pressure in an adult? |
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Definition
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Term
| If a patient's pulse ox is 92 is this considered normal? |
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Definition
| no. 95-100 is the normal parameters. |
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Term
| If a patient has an elevated temperature what are some interventions that a nurse can do? |
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Definition
| cool environment, reduce external coverings, clothing and linen dry, hypothermia blanket, limit physical activity, administer antipyretics, increase fluids. |
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Term
| If a patient's temperature is 92F, what can a nurse do to help? |
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Definition
| Heat environment, more blankets, apply hyperthermia blanket, close the room door, encourage warm liquid consumption. |
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Term
| If a patient has tachycardia, what can a nurse do to help? |
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Definition
| access potential causes (pain, fear, recent exercise, low bp, blood loss, elevated temperature, inadequate oxygen) |
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Term
| if a patient has a weak or difficult-to-palpate pulse what can a nurse do? |
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Definition
| observe for symptoms of tissue perfusion, asses for swelling, obtain a Doppler, asses both radial pulses, have another nurse take the pulse. |
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Term
| If a patient is experiencing bradycardia, what should a nurse do? |
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Definition
| listen to the apical pulse, if apical pulse is below 60 check tissue perfusion, have physician order an ECG. |
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Term
| If you determine a patient's pulse is irregular, what should you do? |
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Definition
| listen to apical pulse, assess for pulse deficit, report findings to physician, and do ECG. |
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