[NURSING 1I02] - Final Exam Guide - Everything you need to know! (26 pages long)

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3 respiratory rate tpr = temperate, pulse, respirations. Doctors order; nursing judgement, client condition and healthcare facility standards. Involve the patient/family with significance and interpretation of findings. When to assess vital signs: on admission or with home care visit, according to orders or facility standards. Order is the minium, nurses can always assess vital signs if needed. Temperature: heat production controlled by posterior hypothalamus. Through vasoconstriction, shivering, muscle activity: heat loss controlled by anterior hypothalamus. Through sweating, vasodilation, inhibition of heat production: temperature is controlled through peripheral vasodilation/vasoconstriction in skin through behaviour. Menopause, low progesterone levels, ovulation, thyroid hormone: circadian cycle, stress, environment, temperature changes . Common temperatures sites: head to toe: temporal artery, oral, axilla, rectum. Normal temperature values: oral 37 degrees celsius. Affe(cid:272)ted (cid:271)y food/fluid i(cid:374)take, s(cid:373)oki(cid:374)g, oral surgery, (cid:272)a(cid:374)"t use in infants or young children, or unconscious and confused clients: rectal 37. 5 degrees celsius.

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