NURS 311 Final Exam

NURS 311 Final Exam
What will the nurse instruct nursing assistive personnel (NAP) to do when measuring a
patient's rectal temperature using an electronic thermometer?
Use the probe with the red tip.
What contraindicates taking a rectal temperature measurement?
Patient has painful and swollen hemorrhoids.
Which nursing action best evaluates the effectiveness of an antipyretic medication in a
patient with an oral temperature of 101.6°F?
Assess oral temperature 30 minutes after the agent is administered.
Which instruction might the nurse give to nursing assistive personal (NAP) that is
applicable only to tympanic temperature assessment?
Gently tug the pinna backward, up, and out before inserting the probe.
Which instruction might the nurse give to nursing assistive personnel (NAP) that is
applicable only to temporal artery temperature assessment?
Place the sensor flush on the patient's forehead.
During the admissions process, the nurse initially assesses the patient's radial pulse
primarily for what purpose?
Establishment of a baseline as part of the patient's vital signs
What will the nurse instruct nursing assistive personal (NAP) to do when measuring an
adult patient's radial pulse?
Palpate the patient's inner wrist on the thumb side with the fingertips of your two middle
fingers.
What is the nurse's priority action if a patient's radial pulse has an irregular rhythm?
Assess the patient for a pulse deficit.
Inadequate oxygenation to the body will cause the radial pulse to become:
Tachycardic
Which action would best assess the effect of exercise on a patient's radial pulse
measurement?
Measuring the patient's radial pulse before and after exercise
Which action can the nurse take to keep a patient from consciously controlling his or her
breathing during an assessment?
Assess respiration after measuring the pulse.