Exam 19: Vital Signs

The nursing faculty member is observing a student taking a patient's carotid pulse. What action by the student requires intervention by the faculty member?

A nurse assesses a patient's radial pulse rate to be 110 beats/min and regular. What action by the nurse is best?

A nurse performs orthostatic blood pressure readings on a patient with the following results: lying 148/76 mm Hg, standing 110/60 mm Hg. What action by the nurse is best?

A nurse notes a patient has abnormal vital signs. What action by the nurse is best?

A patient's blood pressure is 142/76 mm Hg. What does the nurse chart as the pulse pressure?

A patient returned from a procedure and has vital sign measurements ordered every hour. The patient's blood pressure has dropped from 132/82 mm Hg an hour ago to 90/66 mm Hg. What priority action by the nurse is most appropriate?

The nurse is delegating taking vital signs to an unlicensed assistive personnel (UAP). What instructions does the nurse provide the UAP?

The nurse assessing respirations understands that problems in what organs can directly affect the process of respiration?

A nurse is teaching a patient and the patient's family about self-care measures for hypertension. Which topics should the nurse include?

A nurse is caring for a patient who has orthopnea. What action by the nurse is most appropriate?

A nursing student is caring for a patient with metabolic acidosis. The student asks the registered nurse why the patient's respiratory rate is so high. What response by the nurse is best?

A nurse is told in the hand-off report that a patient is afebrile. What assessment finding correlates with this statement?

The nurse is caring for a woman who had a right-sided mastectomy 2 years ago. What action by the nurse is most appropriate?

The nurse is performing a morning assessment and notes the patient to be experiencing dyspnea. Which patient assessment findings would most indicate this respiratory condition?

Which patient-specific factors does the nurse include when assessing pulse?

The nurse assesses a patient's pulse and finds it hard to obliterate with palpation. What action by the nurse is the most appropriate?

The student nurse is assessing a patient's pulses. What action by the student requires the nurse to intervene?

The nurse has applied a pulse oximeter to the finger of a patient who is hypothermic. The pulse oximeter does not provide a good reading. What action by the nurse is best?

Which patient assessment result would require the nurse to assess that patient further?

A nurse is caring for a patient who has an elevated temperature. The nurse plans to help the patient regain a normal temperature through conduction. What technique does the nurse use?