Subject: Fundamentals of Nursing

Learning Objectives:

 To be able to define medical terms

regarding body temperature and its
alterations.
 To be able to identify the normal and
acceptable pulse ranges from infant to
adult.
 To be able to enumerate factors in affecting
and influencing pulse rate.
 To be able to create a nursing care plan
based on respiratory problems.
 To be able to familiarize nursing
abbreviations related to vital sign.

GUIDED QUESTIONS
Vital signs

 TEMPERATURE

Define the following terms that address the physiology of body temperature
and alterations.

1. Basal Metabolic rate

2. Thermoregulation

3. Core temperature

4. Non-shivering thermogenesis

5. Conduction

6. Pyrexia

7. Hyperthermia

8. Malignant hyperthermia

9. Diaphoresis

10. Fever of unknown origin

 PULSE
List the following acceptable pulse ranges

1. Infant

2. Toddler

3. Pre-schooler

4. School-aged child

5. Adolescent

6. Adult

Give four factors affecting/influencing pulse rate.

7.

8.

9.

10.

 RESPIRATION

SITUATIONAL (10 POINTS)

CASE 1

An 86 y/o patient comes into the emergency room department

saying “ Hindi ko masyadong mailabas ang plema ko, halos
mahirapan na ako huminga”. Upon assessment: (-) cyanosis, (-)
alar flaring and patient verbalized excessive cough production
with yellowish-greenish thick phlegm. In addition, he claimed to
have nasal congestion.

Vital signs as follows: BP: 150/100; PR: 118 bpm; RR: 26 bpm;
O2 saturation: 93%

QUESTION:

With the given nursing diagnosis ( ineffective airway clearance),

make a Nursing Care Plan( NCP) based on the situation above
using the school format.

ABBREVIATIONS:
1. BMR
2. FUO
3. BPM
4. PMI
5. ICS
6. MMHG
7. HDL
8. ROM
9. MHBR
10. HOB
11. LMCL
12. SPO2
13. MAP
14. SBP
15. TSB
16. ABG
17. CBC
18. CBR
19. S/Sx
20. VS