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Rle 103 Q and

The document discusses proper techniques for taking vital signs like temperature, pulse, and positioning of clients. Rectal temperature is considered the most accurate because it is closest to the body's true temperature. Oral temperature should not be taken for clients under 6 or those with mouth/nose issues. Pulse should not be taken with the thumb and is felt strongest at specific areas like the carotid artery. The document also defines common medical tests like CBC and ABG.

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Lexie Kepner
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27 views2 pages

Rle 103 Q and

The document discusses proper techniques for taking vital signs like temperature, pulse, and positioning of clients. Rectal temperature is considered the most accurate because it is closest to the body's true temperature. Oral temperature should not be taken for clients under 6 or those with mouth/nose issues. Pulse should not be taken with the thumb and is felt strongest at specific areas like the carotid artery. The document also defines common medical tests like CBC and ABG.

Uploaded by

Lexie Kepner
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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1. What are the following clients that rectal temperature should never be taken?

- In clients having rectal diseases, having diarrhea, clients who have undergone rectal surgery,
clients who are suffering from abdominal pain and those clients who have heart diseases or
problems.
2. What is the rationale on why we should apply sufficient pressure so that the client's pulsating
artery can be felt distinctly?
- We apply sufficient pressure so that the client's pulsating artery can be felt distinctly because a
moderate pressure allows the nurse to feel the superficial artery as it expands and contract with
each heartbeat.
3. Why do we need to apply transmission gel either to the probe at the narrow end of the plastic
case housing the transducer or to the clients skin?
-Ultrasound beams do not travel well through air. The gel makes an airtight seal, which
promotes optimal ultrasound wave transmission
4. Which part of the body gives the most accurate temperature and why?
- The most accurate way to measure temperature is to take a rectal method.
A rectal temperature is 0.5 F (0.3 C) to 1 F (0.6 C) higher than an oral temperature.
5. What is the reason why we should not use our thumb for counting the pulse?
-Our thumb has its own pulse, using our own thumb may be confused with the client's pulsation
6. What is the client's position in the doing the Rectal Method? And it's rationale
-Client should be position in Sim's position and drape client exposing rectum. This is to avoid
unnecessary exposure to the clients body
7. Why we need to measure Vital signs?
- we need to measure the vital signs because vital sign is a very useful tool in maintaining
optimum health status, it is helpful in detecting medical problem during emergencies to ensure
current status and prevent deterioration.
8. Is Rectal Temperature Method is most accurate? Why?
- Yes, because a temperature taken in the rectum is the closest way to finding the body's true
temperature. Rectal temperatures run higher than those taken in the mouth or armpit because
the rectum is warmer.
9. What are the following client's that oral temperature should never be taken?
- Client under 6 years of age, clients with nasal obstruction or dyspnea, with disease of oral
cavity or surgery of the nose or mouth, and client's who are uncooperative, delirious,
unconscious and irrational.
10. What are the specific areas/sites that pulse is felt strongly?
- Temporal at the superior (above) and lateral to (away) from the midline of the eye, apical at the
apex of the heart. Adult: on the left side of the chest, about 8 cm (3in) to the left sternum
(breastbone) at the first intercostal space (are between ribs), brachial at the inner aspect of the
biceps muscle of the arm or medially in the antecubital space, radial on the thumb side of the
inner aspect of the wrist, femoral along the inguinal ligament, popliteal behind the knee,
posterior tibial on the medial surface of the ankle, dorsalis pedis over the bones of the foot and
carotid.
9. What is CBC?
The complete blood count (CBC) is a group of tests that evaluate the cells that circulate in
blood, including red blood cells (RBCs), white blood cells (WBCs), and platelets (PLTs). The
CBC can evaluate your overall health and detect a variety of diseases and conditions, such as
infections, anemia and leukemia.
10. What is ABG?
An arterial blood gases (ABG) test measures the acidity (pH) and the levels of oxygen and
carbon dioxide in the blood from an artery. This test is used to find out how well your lungs are
able to move oxygen into the blood and remove carbon dioxide from the blood.

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