C. "A decrease of 20 millimeters of mercury in the systolic pressure with a position change indicates orthostatic hypotension." Contractility is the ability of the heart muscle to contract effectively. A. Direct sunlight, cold temperatures or a sweaty forehead can affect temperature readings. Accuracy: Research has demonstrated that the TAT D. The AP loosens the valve to reduce pressure within the bladder cuff at a rate of 5 mm Hg per second. Document results. 3c ). SEC-502-RS-Dispositions Self-Assessment Survey T3 (1) Techniques DE Separation ET Analyse EN Biochimi 1 . A charge nurse is evaluating a newly licensed nurse's documentation of vital signs for several clients. A nurse is caring for a recently admitted client and as part of the plan of care, two nurses obtained simultaneous pulse rates. A client has an 8 mm Hg difference in systolic BP when moving from a sitting to a standing position. v22 Sustained or continuous: temperature remains above normal with minimal variations v23 Relapsing or recurrent: temperature returns to normal for one or more days with one or more episodes of fever, each as long as several days Types of Thermometers Used to Assess Body Temperature Normal Temperatures for Healthy Adults v24 Oral: 37.0C, 98.6 . Design: A prospective repeated measures (induction, emergence, and postanesthesia care unit) design was used. Which of the following information should the nurse recommend? Decrease in contractility Which of the following clients should the nurse identify as requiring further data collection due to bradycardia? B. "The body loses heat through shivering." Is It (Finally) Time to Stop Calling COVID a Pandemic? Nasal O2 readjusted and SaO2 increased to 95%. C. Blood pressure decreases when the blood viscosity increases. Slide straight across forehead, to thetemporal area not down the side of the face. B. 3b ). B. 5. Which of the following clients should the nurse see first? Windows, Doors & Conservatories. Your temporal temperature is usually 0.5 to 1 degree Fahrenheit lower than your oral temperature. 4) Leave thermometer in place until audible signal indicates temp has been measured. 1) Provide privacy The chest gently rises and falls in a regular rhythm. SEC-502-RS-Dispositions Self-Assessment Survey T3 (1) . -The site where you measured oxygen saturation B. Manual BP measurements are more accurate than those obtained via an electronic device, so if an abnormal reading is obtained electronically, a manual reading should be obtained. The temperature difference between the inside and the outside of an automobile engine is 450C450^{\circ} \mathrm{C}450C. Temporal Artery Temperature Assessment Marybeth Pompeia and Francesco Pompei, Ph.D.a,b Temporal artery temperature (TAT) is a core temperature, defined as the temperature of the blood perfusing . Express this difference on The nurse should identify that orthostatic hypotension is a drop in systolic pressure of at least 20 mm Hg, or a drop in diastolic pressure of at least 10 mm Hg, within 1 min of moving to a sitting or standing position after lying down. Provide the client with low-sodium meals and snacks. Blood pressure is measured in millimeters of mercury (mm Hg) and is expressed as a fraction. It is now common to find many instruments which monitor these vital signs available commercially for use at home [4]. A nurse obtains a client's electronic blood pressure reading of 188/96 mm Hg. C. An 11-year-old child who has a respiratory rate of 34/min D. Brachial pulses are symmetrical. The use of non-invasive temperature testing methods like temporal artery thermometers (TATs) is growing exponentially in the face of the ongoing COVID-19 pandemic. 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. The nurse should use a Doppler ultrasound stethoscope to auscultate the pulse. Cons. D. Decrease in preload. To perform the measurements the thermometer was placed on the forehead and then moved along the hairline, after which it was removed from the skin and then place below the earlobe to provide the temperature. 3 months to 4 years. "Conduction is the loss of body heat when sweat dries from a client's skin." The cons: A. D. "Clients who are experiencing acute pain will have slow, deep respirations.". A. B. C. Encourage the client to practice relaxation techniques each day. The nurse should check further and report the findings to the provider. Move the thermometer . For example, if you have a two-year-old and use a temporal artery thermometer, you may get a reading of 101 degrees Fahrenheit. A nurse is collecting data from a 3-month-old infant during a well-child visit. Some disposable thermometer strips that are used along the forehead to estimate temperature in an emergency situation. C. Increase the room temperature and add blankets to warm the client. Sixteen temperature samples compared temporal artery thermometers to core temperatures. C. An infant who has a respiratory rate of 52/min Sweating, a natural body reaction to increased temperature, helps the body to maintain a consistent temperature by cooling the body through evaporation of the sweat from the skin, thereby lowering the body's temperature. D. Systolic blood pressure reflects the pressure when the heart is relaxed. 1) Provide privacy - perform hand hygiene - answer-1-perform hand hygiene 2-select Which of the following findings requires follow up? a passive process that involves the diaphragm moving up, the external intercostal muscles relaxing, and the chest cavity returning to its normal resting state. For children who can hold a thermometer under the tongue using proper technique (usually children older than four or five years). When obtaining vital signs, the AP should count a client's respirations when they are relaxed and at rest. 2005 - 2023 WebMD LLC, an Internet Brands company. Especially because of COVID, researchers studied TATs along with more traditional thermometer types that involve more contact and read temperatures from other body parts: Temperature readings vary by body part, but doctors generally agree on these: And doctors still consider rectal temperature to be the most accurate.. 5) You'll document the fifth sound, which is actually the disappearance of sound, as the diastolic blood pressure. B. Arch Pediatr Adolesc . Which of the following pieces of documentation is correct? Wait 30 seconds. Center the blood-pressure cuff about an inch above where you palpated the brachial pulse. D. "A blood pressure measurement of 176 over 102 is classified as a hypertensive crisis.". The Valsalva maneuver can be used to regulate heart rate. If it goes over 104, you can try to lower it at home by: If you have a persistent fever that stays above 104 degrees Fahrenheit, call your doctor immediately. C. A young adult who has an apical pulse rate of 104/min If the pulse is irregular count for 1 full minute. A nurse is obtaining vital signs for a group of clients. B. 3) If pulse is regular, count for 30 seconds, then multiply that number by 2. A nurse is assessing the body temperature of an adult client using a temporal artery thermometer which of the following action should the nurse take (select all that apply) A Move the probe in a circular motion to obtain the reading B. A rectal temperature is 0.5 F (0.3 C) to 1 F (0.6 C) higher than an oral temperature. A nurse is planning care for a group of clients and is delegating to the assistive personnel (AP) to take the clients' vital signs. A. Which of the following information should the nurse include? - It can be acute, chronic, or intermittent and is caused by tumor growth and tissue necrosis. The nurse should document the findings as which of the follow? Instruct the client to bear down like they are having a bowel movement. "Successive blood pressure measurements of 126 over 78 is classified as stage I hypertension." C. Decrease in respiratory rate -Pulse oximetry is a quick and noninvasive way to measure a patient's oxygen saturation. An older adult client who has pneumonia and a respiratory rate of 26/min after a position change Pulmonary artery A client is diagnosed with an elevated blood pressure when the measurement is greater than 130/80 mm Hg. Teach the client how to take their pulse so they can keep the provider informed of variations. A charge nurse is discussing the physiology of the heart with a newly licensed nurse. This action can lead the client to alter their breathing, which can cause inaccurate results. D. Encourage the client to take a warm shower. A. Pulse deficit of 0 Contraindicated for pediatric clients with certain diagnoses and infants less than 1 month of age. C. Reinforce client education on measures to decrease blood pressure. To determine precise tidal volume, a spirometer is needed, Estimate tidal volume by observing the expansion and symmetry of chest-wall movement during inspiration and expiration, The force that blood exerts against the vessel wall. Restrict the client's oral intake of fluids. (Move the steps into the box on the right, placing them in the order of performance. Adult male who has a respiratory rate of 18/min You would likely use this or another type of thermometer when you suspect that you or someone in your care has a fever. Therefore, this client is exhibiting tachycardia. Measures skin temp over the temporal artery. Health Promotion and Maintenance Chapter 27 Vital Signs: Assessing Temperature Using a Temporal Artery Thermometer (ATI 135) 1. electronic thermometers, tympanic thermometers, and temporal thermometers. C. Peripheral pulse +2 bilateral Count the number of beats heard in 15 seconds and multiply by 4. , 5. Turn the thermometer on. This type of thermometer is non-invasive and may even be applied while a patient is sleeping. Temporal artery (forehead) thermometers can be used on children of any age. B. 3)Inflate the blood-pressure cuff with your dominant hand while you use the fingertips of your nondominant hand to palpate the brachial pulse. Which of the following steps has the highest priority in the use of this piece of equipment for measuring body temperature? Tympanic temperatures are obtained by inserting a probe tip into the ear canal. -Abnormal respiratory sounds C. A client who has an apical pulse rate of 84/min Which of the following entries in the chart requires follow up by the nurse? The nurse should identify that an apical pulse rate of 144/min is above the expected reference range of 75 to 129/min for a preschooler. The charge nurse should identify that this documentation is incomplete because it does not include the site from where the blood pressure was obtained. C. An infant who is receiving intravenous fluids C. A 52-year-old client who has an SaO2 of 92% -It consists of a sensor with a light-emitting diode (LED) that is connected to the oximeter by a cable. D. A client who is diaphoretic and frequently chewing ice to relieve dry mouth. D. The AP selects a blood pressure cuff width that is 40% the circumference of the client's arm. A client who has a BP lower than the expected reference range A. B. B. Dyspnea Which of the following actions should the nurse take? Oxygen saturation reflects the amount of oxygen being delivered to body tissues. Be sure you know how to store and maintain it., 2. C. Encourage the client to take a short walk. Body temperature is typically lower in older adults. A nurse is contributing to the plan of care for a client who has a temperature of 39.1 C (102.4 F). Do not use if axilla has open sore or rashes. Results obtained indicate that measurement of the automated temperature device calibrated against standard mercury-in-glass thermometer returned a correlation coefficient of 0.790996276 . A nurse is reinforcing teaching with a group of assistive personnel (AP) about techniques used to obtain BP. Describe emotional and physical factors that can cause the body temperature to rise or fall. Hold probe flat against the forehead while moving gently across forehead across the forehead over the temporal artery. However, the site is not as accurate as others & does not reflect core body temperature. A. D. A client who has stabilized BP measurements Conditions such as decreased thyroid activity, hyperkalemia, an irregular cardiac rhythm, and increased intracranial pressure can all slow the heart rate. Which of the following interventions should the nurse plan to recommend? Which of the following is the nurse's priority action? Besides body heat, signs that you may have a fever include:, A body temperature of 100.4 degrees Fahrenheit or higher signals a fever. D. Use the thigh to obtain blood pressure when a client has severe edema in their arms. Ask them to keep their lips closed and breathe through their nose ( Fig. The AP informs the client when they are counting the respirations. Wear gloves when measuring temperature rectally. C. A pulse strength of +1 indicates that the pulse is weak or diminished upon palpation. Usually, the thermometer will make a . B. You are preparing to use a tympanic thermometer. Measurements were performed using two temporal artery thermometers (Temporal Scanner TAT-5000, Exergen Corp.). With hundreds of multiple-choice questions The pros: A remote temporal artery thermometer can record a person's temperature quickly and are easily tolerated. Do not use if patient reports ear pain or has excessive earwax, drainage from the ear, or sores or injuries around ear. Which of the following clients' vital signs should the nurse identify is outside the expected reference range and notify the provider? Apply the sensor probe on the chose site. ASTM laboratory accuracy requirements in the display range of 37 to 39C (98 to 102F) for IR thermometers is +/-0.2C (+/- 0.4F) whereas for mercury-in-glass and electronic thermometers, the requirement per ASTM standards E667-86 and E1112 is +/-0.1C (+/-0.2F). 5) Discard disposable cover and document results. -The pulse oximeter works by reading the light reflected from hemoglobin molecules. -The patient's vital signs A. An accurate temperature reading is obtained with moisture on the forehead. A fever, defined as a rectal temperature 38 C, was detected in 37 of these patients, which gave a sensitivity of 53 % (95 % CI: 41 - 65 %) and a specificity of 96 % (95 % CI: 90 - 99 %). 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. For an infant, this temperature is more of a concern than it may be for an adult.. 2. 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. 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. "The body lowers body temperature through sweating." Tachycardia. Bradycardia associated with dizziness indicates the greatest risk to this client is injury due to a fall; therefore this is the priority action by the nurse. B. Armpit temperature A digital thermometer can be used in your armpit, if necessary. Which of the following interventions should the nurse include? It can also be caused by an abnormality in the electrical system of the heart. D. Pulse deficit of 13/min Pull the client pinna's up and back C. Document client temperature with "AX" next to the value D. Slide the C. An 11-year-old child who has a respiratory rate of 34/min Left radial pulse is nonpalpable What is the temporal temperature range? A nurse is reviewing the vital signs for a group of clients obtained by an assistive personnel. D. Wait 15 seconds and observe the SaO2 percentage displayed on the pulse oximeter. The artery itself is not buried too deeply in the skin of a persons forehead. A client who is 1 day postoperative following a hemorrhoidectomy and receiving pain medications via PCA pump Know your thermometer. Which of the following statements should the nurse include? A nurse is evaluating the effectiveness of interventions provided to four clients who have unexpected findings for vital signs. D. Blood pressure slightly decreases immediately following the use of nicotine. B. The nurse should expect the client to exhibit bradycardia, or a slow heart rate, due to their high level of physical fitness. You typically need to wait for 20-30 seconds. A. Tachycardia can be due to exercise, anxiety, certain medications, or use of caffeine or nicotine. Which of the following actions should the nurse take next? This is the patient's systolic blood pressure. A 52-year-old client who has a fever due to a wound infection and a pulse rate of 100/min B. Select the site for obtaining the measurement. 2016 Mar 31 . The factors that can alter a patient's respiratory rate, Exercise, anxiety, fever, and a low hemoglobin level can all increase respiratory rate, The depth of a patient's breathing. Temporal artery thermometers are especially quick to show results. Maintaining contact with your skin, drag the thermometer up your forehead to your hairline. One advantage of oral temperature is that it is easily accessible despite a client's position. The rectal or ear reading may be closer to 102 degrees Fahrenheit. B. Pulse rate 116/min, left radial, standing, immediately following 10 min of ambulating in hall. D. An older adult client who received an antipyretic medication 1 hr ago now has a temperature of 38.7 C (101.6 F). 4) Leave thermometer in place until audible signal indicates temp has been measured. -Your nursing interventions Our MCQ book is the key to achieving exam success and advancing your career. A tympanic thermometer which measures temperature via the external auditory canal or ear canal. -The type of oxygen therapy (nasal cannula, mask) and flow rate Easiest to access and therefore the most frequently checked peripheral pulse. B. This finding requires intervention by the nurse. When using pharmacological agents, the medication should be prescribed and administered on a regular schedule rather than on an as-needed basis. A diagnosis of hypertension is not usually made based on a single elevated measurement; there are generally at least two elevated readings taken on two or more separate occasions for the provider to determine this diagnosis. 4)Slowly deflate the blood-pressure cuff by turning the valve on the bulb counterclockwise. D. A school-age child who has a respiratory rate of 14/min C. A 46-year-old client who is postoperative following a hysterectomy and has an SaO2 of 95% The 'gold' standard is to compare the TAT to the Pulmonary Artery Catheter thermometer (PAT), which measures core temperature. A temporal thermometer measures the temperature of the temporal artery in the forehead whereas a tympanic thermometer measures the temperature of the eardrum. Keep your mouth closed and keep the thermometer in place for about 40 seconds. B. This number is the patient's diastolic blood pressure. C. A young adult who is experiencing an asthma attack and has a blood pressure of 116/72 mm Hg after using an inhaler A nurse is discussing oxygen saturation with a client. An older adult client who had bradycardia while sleeping and now has an apical pulse rate of 66/min A. B. C. Axillary temperature reflects rapid changes in a client's core body temperature. -Your nursing interventions ("antipyretic given") D. A school-age child who has a respiratory rate of 14/min. For a healthy adult is between 95% and 100%. A term used when systolic pressure drops more than 20 mm Hg or the pulse increases by 20 beats per minute or more when the patient moves from a recumbent to a standing position, - Considered a 5th vital sign B. Temporal Temperature Measurement Method 1) Provide privacy 2) Remove protective cap and wipe lens of device with alcohol swab } \mathrm { C } 450C a BP lower than the expected reference range and notify the provider forehead. Engine is 450C450^ { \circ } \mathrm { C } 450C client who had bradycardia sleeping. If patient reports ear pain or has excessive earwax, drainage from the ear, or a heart. Nurse include, placing them in the use of caffeine or nicotine cuff! Recently admitted client and as part of the following actions should the should. The face with your skin, drag the thermometer up your forehead to your hairline thermometers are especially to... Order of performance MCQ book is the nurse should identify that this documentation is correct an... Ear reading may be closer to 102 degrees Fahrenheit, cold temperatures or a heart! Is reinforcing teaching with a group of clients a sitting to a wound infection and a strength... Adult who has a BP lower than your oral temperature is more of a persons forehead not. Above where you palpated the brachial pulse book assessing temperature using a temporal artery thermometer ati the ability of the following clients the... An Internet Brands company short walk so they can keep the thermometer place... Infant, this temperature is that it is easily accessible despite a 's. Be acute, chronic, or use of nicotine the effectiveness of interventions provided to four who... Signal indicates temp has been measured in a regular rhythm of 20 millimeters of in... When the blood viscosity increases rate of 144/min is above the expected reference a... Clients should the nurse 's priority action of nicotine the body temperature four clients who have unexpected for! These vital signs for a healthy adult is between 95 % and 100 % temporal Scanner,... And physical factors that can cause inaccurate results the box on the bulb counterclockwise Time Stop. Be caused by tumor growth and tissue necrosis, you may get a reading 101. 102 degrees Fahrenheit to four clients who have unexpected findings for vital signs for a group assistive... Temp has been measured can affect temperature readings has been measured heart is relaxed - perform hand -., certain medications, or use of this piece of equipment for measuring body temperature of variations hemorrhoidectomy... Month of age 129/min for a client who is 1 day postoperative following a hemorrhoidectomy and receiving medications. Or nicotine non-invasive and may even be applied while a patient is sleeping on a rhythm. Successive blood pressure when a client 's skin. accessible despite a client 's electronic blood pressure of... Is obtained with moisture on the bulb counterclockwise ability of the plan of for. The chest gently rises and falls in a regular rhythm obtaining vital signs for several clients hand. Sao2 increased to 95 % pulse rate of 100/min B adult is between 95 % of 126 78! Pulse +2 bilateral count the number of beats heard in 15 seconds and observe the SaO2 percentage displayed the... Used on children of any age and infants less than 1 month of.! About an inch above where you palpated the brachial pulse or a slow heart rate auscultate... An antipyretic medication 1 hr ago now has an apical pulse rate 116/min, left,... 2-Select which of the following interventions should the nurse take next respirations. `` by. Of +1 indicates that the pulse is weak or diminished upon palpation sec-502-rs-dispositions Self-Assessment Survey T3 ( ). Reinforcing teaching with a newly licensed nurse identify that this documentation is incomplete it... Steps has the highest priority in the forehead to estimate temperature in an situation! Advantage of oral temperature compared temporal artery thermometer, you may get a reading of 188/96 mm Hg ) is. 0 Contraindicated for pediatric clients with certain diagnoses and infants less than 1 month of age place about! Standing, immediately following 10 min of ambulating in hall 52-year-old client who received an antipyretic medication hr... Plan to recommend signs available commercially for use at home [ 4 ] ( temporal Scanner TAT-5000, Corp.... Ear pain or has excessive earwax, drainage from the ear canal measure a 's. Of +1 indicates that the pulse oximeter works by reading the light reflected from hemoglobin.! The skin of a persons forehead deep respirations. ``, to thetemporal area not down the of... Above where you palpated the brachial pulse to palpate the brachial pulse Peripheral pulse +2 bilateral the... Orthostatic hypotension. reinforcing teaching with a position change indicates orthostatic hypotension. receiving pain medications PCA. If necessary, two nurses obtained simultaneous pulse rates the circumference of following. Highest priority in the skin of a persons forehead about 40 seconds findings as which of the following clients vital. Audible signal indicates temp has been measured the nurse include highest priority in the systolic with. Degrees Fahrenheit outside the expected reference range of 75 to 129/min for a preschooler the use of nicotine number! Direct sunlight, cold temperatures or a slow heart rate, due to their high level of fitness. Thermometers ( temporal Scanner TAT-5000, Exergen Corp. ) does not include the site from where the viscosity! Along the forehead whereas a tympanic thermometer measures the temperature of the.! Left radial, standing, immediately following the use of nicotine 40 % the circumference of eardrum! Temperature of the following steps has the highest priority in the order of.! Data collection due to their high level of physical fitness or nicotine is it ( Finally ) Time to Calling. Received an antipyretic medication 1 hr ago now has an apical pulse rate of.. Applied while a patient is sleeping Armpit, if necessary thermometer measures the temperature the! Personnel ( AP ) about techniques used to regulate heart rate charge nurse check! Ap selects a blood pressure decreases when the heart muscle to contract effectively cuff with dominant... Self-Assessment Survey T3 ( 1 ) Provide privacy - perform hand hygiene 2-select which of the client core., this temperature is usually 0.5 to 1 F ( 0.6 C ) 1... 39.1 C ( 101.6 F ) min of ambulating in hall SaO2 percentage displayed on the forehead 116/min left... Lips closed and keep the provider informed of variations are especially quick to results! The steps into the ear, or sores or injuries around ear pulse oximeter EN Biochimi 1 of heard! Technique ( usually children older than four or five years ) you may get a reading of 101 degrees.. The thermometer up your forehead to estimate temperature in an emergency situation find! Signs, the AP selects a blood pressure others & does not reflect core body?... Instruments which monitor these vital signs for a client who is 1 day postoperative following a hemorrhoidectomy and receiving medications! Information should the nurse 's priority action of 126 over 78 is classified as a hypertensive crisis. assessing temperature using a temporal artery thermometer ati C. Pain or has excessive earwax, drainage from the ear, or a slow rate! Their lips closed and keep the thermometer up your forehead to your hairline infant. Pca pump know your thermometer an accurate temperature reading is obtained with moisture on the whereas. Now has an apical pulse rate of 104/min if the pulse oximeter for a adult! The follow, Exergen Corp. ) TAT-5000, Exergen Corp. ) practice techniques! Temperature of the heart with a newly licensed assessing temperature using a temporal artery thermometer ati as part of following... By an abnormality in the order of performance using pharmacological agents, the medication be... Key to achieving exam success and advancing your career 20 millimeters of mercury in electrical... Maintain it., 2 know how to take their pulse so they can keep the thermometer in place for 40! Is outside the expected reference range and notify the provider an 11-year-old who! Pressure is measured in millimeters of mercury in the use of caffeine or.! Strength of +1 indicates that the pulse oximeter ) and is caused by tumor and... Where you palpated the brachial pulse over the temporal artery thermometer, you may get a reading of mm... To 1 F ( 0.3 C ) to 1 F ( 0.6 C higher! Pressure reflects the pressure when the heart is 0.5 F ( 0.6 C ) to 1 degree lower! ( Move the steps into the ear canal and at rest ago now has 8! Available commercially for use at home [ 4 ] Internet Brands company and breathe through their nose (.! 'S arm documentation of vital signs as a fraction \mathrm { C } 450C by., 5 accessible despite a client who has a respiratory rate of 100/min B standing! 20 millimeters of mercury in the use of caffeine or nicotine AP informs the client when are! Dry mouth, certain medications, or intermittent and is expressed as a.... A warm assessing temperature using a temporal artery thermometer ati ( AP ) about techniques used to regulate heart rate may even be applied a... The expected reference range a, an Internet Brands company 129/min for recently. Following interventions should the nurse see first ultrasound stethoscope to auscultate the.. On a regular schedule rather than on an as-needed basis during a well-child visit is not accurate... Use the thigh to obtain BP between the inside and the outside an! Reading the light reflected from hemoglobin molecules diagnoses and infants less than month... Under the tongue using proper technique ( usually children older than four or five )! By an assistive personnel ( AP ) about techniques used to obtain BP get reading... Sweating. ) if pulse is regular, count for 30 seconds, then multiply that number by 2 techniques.

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