Exam 2: Vital Signs

Which factors could influence respiratory rate measurement?

In order to obtain an accurate oxygen saturation reading,on which location will the nurse place the probe?

The nurse is informed during shift report that the assigned client has a wide pulse pressure,is hypertensive,and has a pulse deficit.When the nurse enters the client's room,which assessments would the nurse perform in order to confirm this report?

The nurse is assessing the client's peripheral pulses.What would the nurse assess for?

The nurse observes the unlicensed assistive personnel (UAP)obtaining vital signs.Which would indicate a safe temperature measurement procedure?

The nurse is assessing the client's peripheral pulse,and is not able to palpate a pedal pulse.The client's foot is pink and warm.Which action by the nurse is the most appropriate?

When the nurse delegates measurement of vital signs to an unlicensed assistive personnel (UAP),which are the nurse's responsibilities?

Which respiratory finding would indicate the need for further assessment by the nurse?

When might it be inappropriate for the nurse to assess a client's vital signs?

The most accurate pulse rate is obtained at which pulse site?

Which set of vital signs obtained by the nurse would indicate the need to notify the health care provider?

The nurse is assisting with resuscitative efforts on an infant who is experiencing cardiac arrest.Where would the nurse measure pulse rate?

The nurse is caring for a newborn with rapid respirations.How would the nurse get an accurate respiratory rate?

The nurse is caring for a postoperative client who returned from surgery a few hours ago.The client is currently demonstrating shallow,slow breathing,with audible adventitious sounds.Which is the most likely cause for the client's clinical manifestations?

What is a normal range for an adult's blood pressure reading? ____ to ____ mmHg diastolic ____ to ____ mmHg systolic

Which statement should the nurse )when discussing what is included when taking vital signs?

The client has an elevated temperature.Which statement is the most clinically appropriate for the nurse to use when documenting this finding in the medical record?

The nurse working at a community health center is caring for a client who required bilateral amputation of both arms.How would the nurse measure pulse rate?

Which task could not be delegated by the nurse to the unlicensed assistive personnel (UAP)?

The nurse is caring for a client admitted with pneumonia requiring oxygen administration.Which are the priority assessments to document for this client?