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Week 3 BSN205
Vital Signs: Lesson 2 Post-Test
| Question | Answer |
|---|---|
| Which person would be expected to have the lowest body temperature? | An 80-year-old who walked half a mile. |
| The NAP is preparing to measure a patient's vital signs. The patient reports having eaten a bowl of warm soup. The NAP asks the RN what he should do. What is the best response? | "Ask the patient not to eat, drink, or smoke for 20 minutes and then assess the patient's oral temperature." |
| For which patient would a tympanic thermometer be the preferred thermometer to use? | A tachypneic patient who is receiving oxygen by nasal cannula. |
| Which of the following patients would require frequent assessment of their temperature? (Select all that apply.) | A young adult with a white blood count of 15,000/mm3. A patient receiving a blood transfusion for chronic anemia. An adult female in the recovery room following a hysterectomy. |
| The NAP reports that the patient's temperature is 39° C (102.2 °F). Which of the following are appropriate nursing actions? (Select all that apply.) | Remove the patient's blankets. Administer an antipyretic to the patient as ordered. |
| Which of the following actions, if made by the NAP, would require intervention and further instruction by the nurse? (Select all that apply.) | The NAP inserts the red-tipped electronic thermometer probe into the patient's mouth after applying a probe cover. The NAP wipes the single-use chemical dot thermometer and places it back in the patient's drawer for future use. |
| Identify the factors that may have an effect on an elderly patient's temperature: (Select all that apply.) | Drinking a cold glass of water. Room temperature. Infection. Participation in physical therapy exercises. |
| If a 52-year-old patient has a normal temperature, what range should the patient's temperature fall within? | 96.8-100.4 °F (36-38 °C) |
| A newborn patient's temperature has been rising rapidly and the baby has been crying. Which of the following thermometers would be the best to use in measuring this patient's temperature? | Temporal artery |