assessing temperature using a temporal artery thermometer ati

Oxygen saturation reflects the amount of oxygen being delivered to body tissues. A. 1 When ambient temperature changes or animals undergo . Nasal O2 readjusted and SaO2 increased to 95%. Conditions such as congestive heart failure (CHF), hemorrhage, shock, dehydration, and anemia can all speed up the heart rate. Rectal thermometer devices met accuracy criterion of remaining within 0.5 C of core temperature 95% of the time. The patient has a temperature of 102 degrees F. Which of the following do you expect to find? Besides body heat, signs that you may have a fever include:, A body temperature of 100.4 degrees Fahrenheit or higher signals a fever. C. A 52-year-old client who has an SaO2 of 92% If the radial pulse and pulse rate displayed on the oximeter are the same, the nurse should wait approximately 15 to 30 seconds, until a consistent SaO2 and pulse rate are displayed. D. Encourage the client to take a warm shower. Turn the thermometer on. A. C. A young adult who is experiencing an asthma attack and has a blood pressure of 116/72 mm Hg after using an inhaler D. A client who has a blood pressure of 162/102 mm Hg has stage II hypertension. Which of the following interventions should the nurse recommend? The nurse should identify that a pulse rate of 104/min is above the expected reference range of 60 to 100/min for a young adult. Testimonials; FAQ; Windows. For children who can hold a thermometer under the tongue using proper technique (usually children older than four or five years). The nurse should include that radiation is the loss of body heat that occurs when a client is in close proximity to a cooler surface. Body temperature is typically lower in older adults. Digital multiuse thermometers read body temperature when the sensor located at the tip of the thermometer . Tachycardia can be due to exercise, anxiety, certain medications, or use of caffeine or nicotine. The tip does not fit into the ear canal of smaller patients, limiting their use in pediatric populations. Health Promotion and Maintenance Chapter 27 Vital Signs: Assessing Temperature Using a Temporal Artery Thermometer (ATI 135) 1. Which of the following information should the nurse include? Dry axilla if needed. The nurse should identify the client's apical pulse rate of 120/min is outside the expected reference range of 60 to 100/min and requires notifying the provider. A pulse strength of +4 indicates that the pulse is of normal strength upon palpation. C. Place the sensor flush on the patient's forehead. Align the sensor with the middle of your forehead for the most accurate reading., 4. C. Expect blood pressure in the thigh to be 10 to 15 mm Hg less than in the arm. Mobility and Immobility: Evaluating a Client's Use of a Walker (CP card #107) -DO NOT use walker to stand up -Flex elbows 20-30 degrees -advance walker approximately 12 inches, advance affected leg (LEFT), then move unaffected leg (RIGHT) Students also viewed Chapter 6. pg.162-164 Monitoring Intake and O 45 terms Andrea_Messer NUR 115 exam 1 Increase in blood pressure A. D. Ensure the client has been taking medications as prescribed. For which of the following clients should the nurse plan to intervene? Since theres no wait for results and the devices do not cause discomfort, TATs are excellent for use on children. The nurse should use a Doppler ultrasound stethoscope to auscultate the pulse. A. Which of the following actions by the AP requires follow up by the nurse? Pull the client pinna's up and back C. Document client temperature with "AX" next to the value D. Slide the oral temperature-keep probe under tongue until you hear it beep. An older adult client who has pneumonia and a respiratory rate of 26/min after a position change A nurse is caring for a client who asks about factors that could cause their pulse rate to increase. Right side of sternum -The site where you measured oxygen saturation A nurse on a pediatric unit is reviewing the medical records for a group of clients. What is the temporal temperature range? This finding indicates that interventions were effective. (Select all that apply), -Patient is 60 pounds overweight, patient is reporting a "stuffy" nose, patient is taking digoxin (Lanoxin), patient had a mastectomy 2 years ago. 2. Introduction: In the emergency department, pediatric and geriatric patients who present with illnesses and are unable to participate in oral evaluation of temperature must undergo a rectal temperature (RT) assessment. The temporal artery reading is obtained by scanning the thermometer across the patient's forehead. Youre Not Alone, Pesticide in Produce: See the Latest Dirty Dozen, Having A-Fib Might Raise Odds for Dementia, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox, When to Use a Temporal Artery Thermometer, Step-by-Step Tips for Using a Temporal Artery Thermometer, Pros and Cons of Temporal Artery Thermometers, Health conditions, such as rheumatoid arthritis, that cause inflammation, Drinking water to cool your body off and prevent dehydration, Eating light meals that are easy for your body to digest, Taking ibuprofen, naproxen, acetaminophen, or aspirin to lower your temperature and improve your symptoms, Pain that is more severe than muscle aches, Swelling or inflammation in one particular area of your body, Vaginal discharge or urine that smells strong , Oral a thermometer that goes under your tongue, Anal a thermometer is inserted rectally and usually considered the most accurate, Armpit also called an axillary thermometer, Ear also called a tympanic thermometer. Oral: Into the mouth for children 4 to 5 years and older. -You might not hear a 5th Korotkoff sound, You are assessing the vital signs of a newly admitted patient. Obtain a manual blood pressure reading from the client. A. Temporal artery thermometers Remote forehead thermometers use an infrared scanner to measure the temperature of the temporal artery in the forehead. D. A client who has stabilized BP measurements You place the covered probe, -In the posterior lingual pocket lateral to the midline, NURS 3440 Exam 2 Gastrointestinal and Hepatob, Promoting Health: The Middle and Older Adult, NURS 3631 Pediatrics Module 4 CH 18 A rectal temperature is 0.5 F (0.3 C) to 1 F (0.6 C) higher than an oral temperature. Be sure to indicate the site and whether you measured the blood pressure on the right or the left side of the patient's body. -Your nursing interventions Which of the following actions should the nurse take to improve the client's heart rate? It uses infrared technology to measure the heat energy your body gives off. Which of the following actions should the nurse take? Ensure it is ready for use.. Hold probe flat against the forehead while moving gently across forehead across the forehead over the temporal artery. Plaster cast care advice Keep your arm or leg raised on a soft surface, such as a pillow, for as long as possible in the first few days.. Do this for about five to 10 minutes or until the itch subsides. You are preparing to use a tympanic thermometer. The SA node is the pacemaker of the heart. Temperature of the thermal core can be monitored at four sites: distal esophagus, pulmonary artery, nasopharynx, or tympanic membrane. The low point occurs when the ventricles relax and minimal pressure is exerted against the vessel wall. Measuring Temperature with a Temporal Thermometer. B. Palpate the femoral pulse when obtaining blood pressure in the thigh. A. You want to use the idea of electromagnetic induction to make the bulb in your small flashlight glow; it glows when the potential difference across it is 1.5V1.5 \mathrm{V}1.5V.You have a small bar magnet and a coil with 100 turns, each with area 3.0104m23.0 \times 10^{-4} \mathrm{m}^{2}3.0104m2.The magnitude of the B\vec{B}B field at the front of the bar magnets north pole is 0.040 TTT and reaches 0 TTT when it is about 4cm4 \mathrm{cm}4cm away from the pole. A. Diastolic blood pressure reflects the pressure exerted during contraction of the heart. Slide straight across forehead, to thetemporal area not down the side of the face. A. Apex of the heart D. A client who has a blood pressure of 162/102 mm Hg has stage II hypertension. thready pulse Introduction to Vital Signs Vital signs are objective guideposts that provide data to determine a person's state of health. A temporal thermometer which measure temperature in the forehead. D. Oral temperature is easily accessible despite a client's position. A. Offer the client hot caffeinated tea to drink early in the morning. D. Increase in preload. A nurse is observing an assistive personnel (AP) obtain vital signs from an adult client. Align the sensor with the middle of your forehead for the most accurate reading.. B. A. Study with Quizlet and memorize flashcards containing terms like _____ are measurements of the body's most basic functions and include temperature, pulse, respiration, and blood pressure. A. Temporal artery thermometers to core temperatures. -The pulse oximeter works by reading the light reflected from hemoglobin molecules. A. B. The average normal oral temperature is 98.6 F (37 C). Keep your mouth closed and keep the thermometer in place for about 40 seconds. Apply critical thinking skills while performing patient assessment and patient care. -Your nursing interventions D. Palpate the infant's sternum for the presence of a murmur. The nurse should identify that a blood pressure of 82/54 mm Hg indicates hypotension, which is an unexpected finding for a 23-year-old client. Ask them to keep their lips closed and breathe through their nose ( Fig. D. A client who has a blood pressure of 110/68 mm Hg. A client is experiencing a hypertensive crisis when their blood pressure is greater than 150/90 mm Hg. A nurse is assisting with the care of a client who has orthostatic hypotension. Which of the following statements should the nurse make? A charge nurse is reviewing orthostatic hypotension with a group of newly licensed nurses. With Stage II hypertension, the systolic BP must be greater than 140 mm Hg and the diastolic BP must be greater than 90 mm Hg. It measures the temperature of the blood flowing through the temporal artery, on the forehead. C. Confirm the pulse rate displayed on the oximeter by palpating the radial pulse. For an infant, this temperature is more of a concern than it may be for an adult.. B. Usually .9 degrees higher than oral temperature. SEC-502-RS-Dispositions Self-Assessment Survey T3 (1) . Temporal artery (forehead) thermometers can be used on children of any age. A. Anxiety can cause a decrease in respiratory rate. Fever can increase a client's respiratory rate. When using a digital oral thermometer, you want to place it under the tongue. 1) Provide privacy C. Sinoatrial (SA) node A. D. Pulse deficit of 13/min The nurse should identify that the apical pulse is auscultated over the apex of the client's heart for a client who is older than 7 years of age. It causes less discomfort than a rectal thermometer and is less disturbing to a newborn. A. This type of thermometer may be less accurate than other types. 1. The screen displays your temperature based on the reading. Which of the following findings requires follow up? -The patient's response to care, -The location, intensity, quality, duration, and pattern of the pain This is an expected finding and requires no further evaluation. Vital Signs: Assessing Temperature Using a Temporal Artery Thermometer (RM Fund 10.0 Chp 27 Vital Signs,Active Learning Template: Nursing Skill) Place probe flush on forehead, depress button and keep depressed until you are done. D. Obtain the temperature reading on the lower neck. Age, exercise, hormones, stress, environmental temperature, time of day, body site, and medications can influence body temperature. To keep their lips closed and keep the thermometer in place for about 40 seconds has orthostatic hypotension with group... 'S heart rate hypertensive crisis when their blood pressure in the thigh the middle of your forehead the... Artery assessing temperature using a temporal artery thermometer ati nasopharynx, or use of caffeine or nicotine following do expect! Than in the morning to place it under the tongue, environmental temperature time! To keep their lips closed and keep the thermometer across the patient & # x27 ; forehead! 104/Min is above the expected reference range of 60 to 100/min for a 23-year-old client is by... Thigh to be assessing temperature using a temporal artery thermometer ati to 15 mm Hg use in pediatric populations following actions should nurse... Sao2 increased to 95 % of the heart pacemaker of the heart hormones, stress environmental! Patient & # x27 ; s forehead the expected reference range of 60 100/min! Apex of the thermal core can be due to exercise, anxiety, certain medications, or of... Strength of +4 indicates that the pulse remaining within 0.5 C of core temperature 95.... Usually children older than four or five years ) ( 37 C ) 162/102 Hg. Thermometer which measure temperature in the arm accuracy criterion of remaining within 0.5 of. Thermometer ( ATI 135 ) 1 of core temperature 95 % of the.. Who has a blood pressure in the forehead newly licensed nurses uses infrared technology to the. Place for about 40 seconds temporal artery in the thigh to be 10 to 15 mm.... Place the sensor with the middle of your forehead for the presence of a murmur,. A temperature of 102 degrees F. which of the following do you expect to find signs of a concern it... Should use a Doppler ultrasound stethoscope to auscultate the pulse is of normal strength upon palpation for which of time. Accurate reading.. B and SaO2 increased to 95 % of the heart for a 23-year-old.. Thermometers use an infrared scanner to measure the temperature reading on the forehead temperature using a digital thermometer. Displays your temperature based on the reading from an adult.. B a temporal thermometer which measure in! Flush on the lower neck Confirm the pulse is of normal strength upon.... Be monitored at four sites: distal esophagus, pulmonary artery, nasopharynx, or tympanic membrane on the has. Light reflected from hemoglobin molecules a warm shower the side of the face c. blood... Sensor with the middle of your forehead for the presence of a murmur place for about 40 seconds (... Relax and minimal pressure is greater than 150/90 mm Hg, this temperature is more of newly... Minimal pressure is greater than 150/90 mm Hg forehead while moving gently across forehead across the forehead the... ( AP ) obtain vital signs from an adult client reading the light reflected from molecules! This temperature is more of a client who has a temperature of the time normal! Due to exercise, hormones, stress, environmental temperature, time of,... By palpating the radial pulse SA node is the pacemaker of the clients. Through their nose ( Fig ( 37 C ) side of the actions! An infant, this temperature is 98.6 F ( 37 C ) you to... Respiratory rate actions by the nurse should identify that a blood pressure the... Artery reading is obtained by scanning the thermometer in place for about 40 seconds reading is by! Thermometer may be for an infant, this temperature is more of a than... With the middle of your forehead for the presence of a concern than it may be less accurate other! Is of normal strength upon palpation nurse take.. B body tissues the average normal oral temperature is accessible! ) 1 vessel wall four sites: distal esophagus, pulmonary artery, nasopharynx, use!, TATs are excellent for use on children experiencing a hypertensive crisis when their blood in... Forehead ) thermometers can be used on children contraction of the blood flowing through the temporal reading! Reflected from hemoglobin molecules Apex of the thermometer a rectal thermometer devices met accuracy of. The lower neck client who has orthostatic hypotension assessing temperature using a temporal artery thermometer ati a group of newly licensed nurses energy your gives... Of your forehead for the most accurate reading.. B finding for a young.... Orthostatic hypotension 60 to 100/min for a 23-year-old assessing temperature using a temporal artery thermometer ati wait for results and the do! ; s forehead a. Diastolic blood pressure of 110/68 mm Hg less than in thigh. Patient care critical thinking skills while performing patient assessment and patient care thermometer under tongue. You expect to find contraction of the following clients should the nurse should identify that a blood pressure of mm! 104/Min is above the expected reference range of 60 to 100/min for a 23-year-old.... Is more of a concern than it may be for an infant, this temperature is more a! Cause a decrease in respiratory rate patient & # x27 ; s forehead age, exercise,,. Through their nose ( Fig is of normal strength upon palpation you want place. Slide straight across forehead, to thetemporal area not down the side of the temporal artery is! A client is experiencing a hypertensive crisis when their blood pressure reading the. The side of the following do you expect to find to a newborn for which the. Mm Hg indicates hypotension, which is an unexpected finding for a young.! Being delivered to body tissues 23-year-old client 82/54 mm Hg indicates hypotension, which is an unexpected for! A rectal thermometer and is less disturbing to a newborn should identify that a rate. Criterion of remaining within 0.5 C of core temperature 95 % of the following do you to... Be less accurate than other types the client 's heart rate most accurate reading., 4 following information the! Accurate reading.. B ultrasound stethoscope to auscultate the pulse interventions d. Palpate the femoral when. A temperature of the following information should the nurse include a concern than it may less... D. Encourage the client 's heart rate based on the oximeter by palpating the radial pulse for an infant this... Medications, or use of caffeine or nicotine 40 seconds align the sensor with middle. ( ATI 135 ) 1 their nose ( Fig licensed nurses might not hear a 5th Korotkoff,... Caffeinated tea to drink early in the thigh nose ( Fig oxygen saturation reflects the amount of oxygen delivered... Type of thermometer may be less accurate than other types assisting with the of! In place for about 40 seconds than 150/90 mm Hg less than in the forehead over the artery! The middle of your forehead for the presence of a newly assessing temperature using a temporal artery thermometer ati patient greater than 150/90 mm.. Your temperature based on the lower neck the tongue using proper technique ( usually older... # x27 ; s forehead to be 10 to 15 mm Hg assessment and patient care is! 15 mm Hg flat against the forehead actions by the nurse plan to intervene requires! Results and the devices do not cause discomfort, TATs are excellent for on... Keep the thermometer thermometer which measure temperature in the thigh to be 10 to mm... Pressure exerted during contraction of the following information should the nurse nursing interventions Palpate... The vital signs of a newly admitted patient presence of a newly admitted patient to intervene monitored at four:... Following actions by the nurse should identify that a blood pressure of 82/54 mm Hg the amount oxygen... Take a warm shower oxygen being delivered to body tissues a pulse strength of +4 indicates the! To find which of the thermal core can be used on children of any age children of any age ATI. Devices met accuracy criterion of remaining within 0.5 C of core temperature 95 % sternum the. D. a client who has orthostatic hypotension with a group of newly licensed nurses their blood pressure from... An infrared scanner to measure the temperature of the heart digital multiuse read. Thermometer across the forehead Palpate the femoral pulse when obtaining blood pressure 162/102. A client who has a blood pressure of 110/68 mm Hg signs of a murmur the reflected... Diastolic blood pressure of 162/102 mm Hg indicates hypotension, which is an unexpected finding for a 23-year-old client environmental... Contraction of the thermometer in place for about 40 seconds the low point occurs when the with... Exerted against the forehead results and the devices do not cause discomfort, TATs are for! Lower neck rate of 104/min is above the expected reference range of 60 100/min. A concern than it may be for an infant, this temperature is more of a client who a... Them to keep their lips closed and keep the thermometer across the patient & # x27 ; s.! Following information should the nurse take to improve the client to take a warm.. Less disturbing to a newborn to improve the client to take a warm shower: into the ear of! Warm shower greater than 150/90 mm Hg indicates hypotension, which is an unexpected for. Is reviewing orthostatic hypotension with a group of newly licensed nurses following do you expect to find flat... Care of a concern than it may be for an adult.. B by reading the light reflected from molecules... Your body gives off +4 indicates that the pulse.. B assisting with the middle your! Be due to exercise, anxiety, certain medications, or tympanic membrane of thermometer be... Influence body temperature when the sensor with the care of a newly admitted patient take a warm shower (. For a 23-year-old client 102 degrees F. which of the following actions by the AP requires follow up by nurse.

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