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Terms in this set (17)
Name 8 factors that affect body temperature
Age, exercise, circadian rhythm, environment, temp. alterations, stress, menopause, and ovulation.
What is Basal Metabolic Rate (BMR) ?
Rate of energy utilization of the body required to maintain essential activities e.g. Breathing
Sites where you find core temperature?
Rectal, tympanic membrane, esophagus, urinary bladder, and pulmonary artery
Where would you find surface temperature?
Skin, axillae, oral
What are the mechanisms for heat production?
Vasoconstriction, shivering, increased activity, huddled position, increased metabolism
What are the mechanisms for heat loss?
Vasodilation, sweating, reduced activity, stretched body position, decreased appetite
What is the normal temperature range for an adult?
What happens during hypovolemic shock?
Tachycardia, tachypnea, and hypotension
Why is the average elders temp. Lower (36)?
Deterioration in control mechanisms, poor vasomotor control, decreased subcutaneous tissue, decreased metabolism, and decreased sweat gland activity
What are the nursing interventions for hypothermia?
Provide warm blanket, provide dry clothing, apply warm blankets, cover scalp with hat/turban, and supply warm oral fluids
Where should you place the oral thermometer for the most accurate reading?
Under the tongue (frenulum) in the rear sublingual pockets
Your elderly patient has just drank a hot cup of tea before you decide to take her oral temp. What should you do?
Wait 30 minutes and then take the temp.
A patient having seizures is admitted to the Emergency room. Which type of thermometer and route should the nurse select for the most accurate core temperature reading:
How do you properly position the ear for a tympanic measurement on an adult?
Pull ear pinna back, up and out
What is a pulse?
The wave of blood created by the contraction of the left ventricle.
The palpable bounding of blood flow
What are the 9 pulse sites?
Temporal, carotid, brachial, apical, radial, femoral, popliteal, posterior tibial, and pedal.
What is the difference between the diaphragm and bell of the chest piece?
The diaphragm transmits high pitched bowel, lung, and heart sounds. Use firm pressure. The bell transmits low pitched heart and vascular sounds. Use light pressure.
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