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Brandi Sizemore
Fundamentals QUIZ 1 Vital Signs
Question | Answer |
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Which of the following vital signs are expected for the adult patient who has problems in oxygenation? | Temp: 98.6F (37.C), P-102, R 28, BP 98/50, O2 sat 85% |
A healthy 30-year-old male arrives at the clinic for a physical. The nurse is responsible for collecting his vital signs. Which of these can be delegated to NAP? (Select all that apply). | Pulse Respiration BP Pulse oximetry |
The nurse decides t collect the patient's temperature orally using an electronic thermometer. Choose the equipment to be used. (Select all that apply). | Blue probe electronic thermometer Thermometer cover patient data recording sheet and a pen |
The patient's BP reading is 150/80 mm Hg. For this patient, 80 is representative of (select all that apply). | The ventricles during relaxation. The diastolic pressure. |
The nurse is having great difficulty hearing any sound when taking a patient's BP. What can the nurse do to increase the ability to auscultate the reading? | 1. Keep the stethoscope tubing still to avoid extraneous sound. 2. Ensure the chest piece is rotated to the diaphragm side. 3. Reduce environmental noise by turning off the TV or closing the door. 4. Ensure the bladder of the cuff is centered 1 inch ( |
The NAP reports to the nurse that the patient's pulse oximetry is 88%. What action(s) should the nurse take? (Select all that apply). | Verify the reading by taking the patient's pulse oximetry. Assist the patient to a high Fowler's position. Notify the health care provider. Be prepared to administer oxygen. Perform a cardiopulmonary assessment. |
A 15 year old male patient is hypothermic. Which temperature reflects hypothermia? | 95.F (35C) |
Identify why a child's respirations might be shallow. | The child is in acute pain. |
You are taking a patient's BP by using the one step method. Which of the following is an incorrect step in the sequence for performing this procedure? | Pump the cuff to 20 mm Hg above the patient's normal diastolic pressure. Release the valve quickly. Observe the needle fall. Identify the onset of the first Korotkoff sound in mm Hg. |
patient has been given an opioid analgesic (e.g. morphine) for pain relief. Why does the nurse assess the patient's respiratory rate before administering the next dose? | Opioid analgesics may depress rate and depth of respirations. |
A teen has come to the health care provider's office because he does not feel well after football practice. His temperature is 102 F (38.9 C) The nurse may conclude which of the following regarding this temperature reading? | This is a high temperature for a person his age. |
Who would the nurse expect to have the highest body temperature reading? | An adult female who is walking. |
Which of the following should the nurse report to the health care provider? | An adult patient with a heart rate of 55. |
The patient was brought to the emergency department following a motor vehicle accident.He appears drowsy, but will arouse to his name being called. He is bleeding profusely from an injury to his leg. What would the nurse expect his vital signs to be? | 97.8 F (36.5C), 110, 24, 80/40 |
The nurse was assigned to care for five patients. Which of the following vital signs measurements would be cause for concern? | 75 year old with pulse oximetry of 88% on room air. 65 year old with blood pressure of 140/90 |
The nurse reads the following nurse's note in the patient's health record. What is the priority nursing intervention based on this information. | Obtain a complete set of vital signs and gather further assessment data. |
A nursing student is assigned to take the vital signs on the patient and finds the radial pulse to be irregular. What action should the nursing student take? | Auscultate the patient's apical pulse. |