8/24/22, 11:36 AM
8/24/22, 11:36 AM Elsevier O To maintain proper position of the probe
XPerformance Exit
Rationale Closing the lips after placing the thermometer into the mouth helps maintain the proper position of the thermometer. Accurate measurement depends on correct positioning of the thermometer under the tongue in the sublingual pockets. Instructing the patient to close the lips is not to provide comfort, nor does it reduce the transmission of organisms.
Vital signs week 1 Due Aug 27,2022 by 11:59 pm
pp. 525-531
Final Score
100%
Correct (14)
The nurse is assessing the rectal temperature of a patient with an electronic thermometer. Which patient position would promote comfort?
14 out of 15 que
ed correctly
O Side-lying position
O Sitting position
/ Completed on Aug 20, 2022 4:06 pm
O Supine position
O High-Fowler's position
Incorrect (1)
While assessing the oral temperature of a patient using an electronic thermometer, for which reason would the nurse ask the patient to close the lips? O To ensure proper measurement
Rationale While measuring rectal temperature with an electronic thermometer, patients are positioned in a side-lying position with the upper leg flexed to promote comfort. The sitting and supine positions are recommended for measuring blood pressure in patients with orthostatic hypertension, not for assessing rectal temperature. A patient with oxygen saturation (SpO2) of less than 90% should be placed in a high-Fowler's position to improve ventilation.
O To provide comfort to the patient
O To reduce transmission of organisms
http://eaqng.elsevier.com//quizPerformance/28309603
1/11
http:/leaqng.lsevier.com//quizPerformance28309603
2/11
8/24/22, 11:36 AM pp. 525-531
8/24/22, 11:36 AM healthy adult. The normal range for pulse pressure in a healthy adult is 30 to 50 mm Hg. The normal range for capnography in a healthy adult is 35 to 45 mm Hg.
Which vital sign can be altered because of a decrease in sweat gland
p. 500
reactivity in older adults? O Pulse rate O Blood pressure
Which body temperature would indicate a fever in the older-adult patient? O Rectal temperature of 36 C (96.8 F)
O Respiratory rate
Single oral temperature of 38 C (100.4 F)
Body temperature
O Rectal temperature of 36.7 C (98 F)
O Repeated oral temperature of 36.1 C (97 F)
Rationale Body temperature may be varied when there is a decrease in sweat gland reactivity in older adults.Decreased vessel elasticity will alter the systolic blood pressure. Pulse rate, blood pressure, and respiratory rate are not altered by decreased sweat gland reactivity.
Rationale A single oral temperature of more than 37.8 C (100 F) indicates fever in older adults Therefore, the single oral temperature of 38 C (100.4 F) indicates fever. Rectal temperatures of more than 37.5 C (99.5 F) indicate fever in older adults. Rectal temperatures of 36 C (96.8' F) and 36.7 C (98 F) do not indicate fever in the patient. Repeated oral temperatures of more than 37.2' C (99 F) indicate fever. Therefore, a temperature of 97' F does not indicate fever.
p. 524
Which range is acceptable for the diastolic b