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NSG 3100 Exam 2 | Actual verified Study complete Solutions | A+ Graded | 2026 Updates | 100% correct

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NSG 3100 Exam 2 | Actual verified Study complete
Solutions | A+ Graded | 2026 Updates | 100% correct
Vital signs - ANSWER- -Vital signs are key in obtaining physiologic data on patients.

-They are used to monitor physiological functioning of body systems.

-Useful in assessing for condition changes in patients as well as determining the effectiveness of
interventions.

6 vital signs - ANSWER- -Temperature

-Pulse

-Respirations

-Blood pressure

-Pulse oximetry

-Pain

Temperature - ANSWER- -Measurable heat of the body.

-97.6-99.5 F

-Can be measured in multiple ways- measurement type (oral, rectal, axillary, and temporal) will
be based on patient status.

-Rectal temperature is rarely used in adults- never if rectal/anal surgery, diarrhea, or tissue
trauma is present.

-***Increased temperature when infections are present (fever) is associated with a mild
increase in heart rate and blood pressure r/t increased metabolic demand in the body***

Things that affect temperature readings: - ANSWER- -Anything that increased metabolic
activity (running, fever, physical activity, smoking)

-Age: Older adults typically have a lower temperature than younger adults. Older adults are less
likely to have a high fever due to decreased immune response. Older adults are more
susceptible/sensitive to environmental temperature changes.

-Can be the first signs of infection: this is a concerning and priority finding within the first 48
hours after a surgical or other invasive procedure!

, Pulse - ANSWER- -Palpable rhythmic expansion of the artery as a result of the heart pumping
number of heartbeats per minute.

-60-100 BPM

-Assessment includes rate, rhythm, and force (strength)

-If any regulatory is noted on the palpation, check apical pulse/radial pulse at the same time for
one full minute.

-Always assess symmetry; both sides at the same time EXCEPT carotid pulse (this will decrease
the blood flow to the brain!)

-If an area has a pulse (for example the dorsalis pedis) that means there is blood flow to that
area!

Factors that affect pulse rate: - ANSWER- -Age decreases with age.

-Increased with fever, activity, smoking.

-Medications can decrease or increase HR.

-HR decreases with hypovolemia/dehydration (low volume in the vascular system)

-HR increases with standing briefly to meet blood flow demand of the brain (needs to increase
because of gravity)

Where can you find/palpate a pulse? - ANSWER- -Temporal: head

-Carotid: neck (check first if pt is found unresponsive)

-Apical: chest

-Brachial: arm

-Radial: wrist

-Femoral: thigh/groin

-Popliteal: knee

-Posterior tibial: ankle

-Dorsalis pedis: foot (lateral to the extensor tendon on the great toe).

Respirations - ANSWER- -The act of breathing.

-Normal range: 12-20

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