Answer to Question 1
Correct Answer: 1,2,3,5
As the client moves or exercises, heart rate will increase. A client with a fever will have an increased heart rate. Stress increases heart rate. A client experiencing dehydration will have an increased heart rate. Antibiotics do not impact heart rate, although if the client has a fever associated with the need for antibiotics, that could increase the heart rate.
Answer to Question 2
Correct Answer: 1,2,3,5
If the client has smoked a cigarette, the nurse should wait 15-30 minutes before measuring temperature because of the heat created in the oral cavity by the inhaled smoke. Eating or drinking will alter temperature readings, and the nurse should postpone temperature assessment 15-30 minutes after intake. The client who is exercising will have a slight elevation in temperature due to the heat produced by the muscles. Temperature readings have been shown to be lower in the morning than in the evening. Perfusion does not impact oral temperature readings, because the sublingual area is a very vascular area that is not greatly impacted by reduced peripheral perfusion.
Use of an Ultrasonic Stethoscope to Detect a Dorsalis Pedis Pulse
Hormonal and nervous factors influencing blood pressure
Measuring Apical–Radial Pulse (Two Persons)
Locate and apply thumb pressure directly into suspected TrPs in upper trapezius.
Fundal height measurement
Palpating the dorsalis pedis pulse