Exam 9: General Survey, vital Signs, and Pain

You observe that the right side of a patient's mouth droops and the affected side of her face appears flaccid.Which condition is most likely the cause of these findings?

A patient's blood pressure is 168/102 in the left arm and 175/104 in the right arm.According to The Joint National Committee's seventh report,in which BP classification category would this patient be?

Increased pulse pressure can be caused by which of the following? Select all that apply.

Bradypnea,a respiratory rate of less than 12 breaths per minute in an adult at rest,commonly occurs with which of the following?

You are conducting a general assessment of a 6-years-old child.While the child is sitting on the examination table you assess his respiratory rate.You would begin by

Which pain assessment tool is verbally administered and can assess sensory,affective,and evaluative aspects of pain?

An apical pulse rate greater than the radial pulse rate is called ____________________.

Which pain assessment tool is a visual tool that can be completed by the nurse or the patient?

Poor oral hygiene,allergic rhinitis,or infections such as tonsillitis,sinusitis,or pneumonia can be indicated by bad ____________________.

To obtain an accurate blood pressure reading,the nurse should

Your patient's vital signs are pulse 74,respirations 20,temperature 37°C,and blood pressure 126/82.You determine that the patient's pulse pressure is which of the following?

Bradypnea can be caused by which of the following? Select all that apply.

When do the Korotkoff sounds generate a clear,intense tapping?

Your patient has a pacemaker electrode and a central venous (CV)line in the right antecubital area and an arteriovenous (AV)shunt in his left lower arm.You determine that the most appropriate site to measure the blood pressure is which of the following?

Your patient reported pulse volume of 2+/4+,which indicates that his pulse is

Patients experiencing emotional or physical pain may exhibit similar signs,such as a pained facial expression.Which sign is most likely to indicate emotional pain rather than physical pain?

You enter your patient's room and notice an ammonia odor.Which of the following conditions can cause an ammonia odor?

You obtain a blood pressure of 105/62 in your patient's right arm but decide to take a second blood pressure reading to double-check the findings,because the blood pressure reading taken in the left arm an hour earlier was 143/91.To obtain an accurate reading,you should

A patient complains of pain.When caring for this patient,the most important thing the nurse must recall is that

Your examination of a newly admitted patient reveals that the patient's vital signs are pulse 68,respirations 22,temperature 37.2C,and blood pressure 130/88.You hypothesize that the pulse pressure is which of the following?