BSN 206 - Vital Signs post tests and exam|58 Q’s and A’s Which of the following patients would require follow-up? - -An adult with a respiratory rate of 10 breaths per minute.
- Which of the following vital signs recorded for an older adult would be
- The nurse has delegated the task of temperature assessment to the NAP.
- Which of the following situations may affect a patient's vital signs? - -
- The nurse will take the patient's vital signs preoperatively and record them
- The NAP reports to the nurse a 65-year-old patient s blood pressure is
- Which patient would it be appropriate for the nurse to delegate vital signs -
- Which person would be expected to have the lowest body temperature - -
- The NAP is preparing to measure a patient's vital signs. The patient reports
considered acceptable (within normal limits)? - -Temp 97.0° F (36.1 °C), P- 60, R-16, BP 116/78, O2 sat 95%
Which information should be provided to the NAP? - -What changes to report immediately to the nurse.The frequency for taking or monitoring the temperature.The type of temperature required.
Moving from lying to standing position.Pain rated as a 7 on 0-10 pain scale.Time of day.
as part of the patient's preparation for surgery. Why is it necessary to take vital signs preoperatively? - -To verify the patient is not experiencing any complications that may contraindicate surgery or require intervention.To provide a set of vital signs to use for comparison during and after surgery.
160/98. What is the appropriate initial response of the nurse? - -Assess the patient s blood pressure.
-Elderly nursing home resident
An 80-year-old who walked half a mile 80-year-old would have a lower starting temperature and therefore, would most likely have the lowest body temperature although it may take longer to return to baseline after exercise.
having eaten a bowl of warm soup. The NAP asks the RN what he should do.What is the best response - -Ask the patient not to eat, drink, or smoke for 20 minutes and then assess the patient's oral temperature. 1 / 2
The temperature of food or liquid could impair the accuracy of the reading.
- For which patient would a tympanic thermometer be the preferred
- Which of the following patients would require frequent assessment of their
- The NAP reports that the patient's temperature is 39° C (102.2 °F). Which
- Which of the following actions, if made by the NAP, would require
- Identify the factors that may have an effect on an elderly patient's
- If a 52-year-old patient has a normal temperature, what range should the
- A newborn patient's temperature has been rising rapidly and the baby has
- The task of pulse assessment could be delegated to the NAP for which of
- Which of the following patients would be at risk for having an alteration in
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thermometer to use - -A tachypneic patient who is receiving oxygen by nasal cannula.
temperature - -A young adult with a white blood count of 15,000/mm A patient receiving a blood transfusion for chronic anemia.An adult female in the recovery room following a hysterectomy.
of the following are appropriate nursing actions? - -Remove the patient's blankets Administer an antipyretic to the patient as ordered.
intervention and further instruction by the nurse? - -The NAP wipes the single-use chemical dot thermometer and places it back in the patient's drawer for future use.The NAP inserts the red-tipped electronic thermometer probe into the patient's mouth after applying a probe cover.
temperature - -Drinking a cold glass of water.Infection Room temperature.Participation in physical therapy exercises.
patient's temperature fall within - -96.8-100.4 °F (36-38 °C)
been crying. Which of the following thermometers would be the best to use in measuring this patient's temperature - -Temporal artery
the following patients - -A radial pulse on a patient with a 1200 mL fluid restriction.The temporal pulse of a child.
peripheral pulse - -A patient with peripheral vascular disease.A patient who is receiving bolus IV fluids.The patient who was just informed of a diagnosis of cancer.