Exam 7: Vital Signs

The nurse is working on the general surgical unit and is caring for a patient who has a right total mastectomy.To take the patient's vital signs and to accurately assess the patient's blood pressure,it will be necessary to

When heat loss mechanisms are unable to keep pace with heat production,____________ is the result.

The nurse is taking a rectal temperature on an adult patient.She expects to insert the thermometer __________ cm.

An appropriate method of assessing a patient's respirations is for the nurse to

Which of the following processes are involved in respiration? (Select all that apply.)

___________ is the heart sound of the tricuspid and mitral valves closing at the end of ventricular filling.

The patient is an 86-year-old woman who is being admitted for dehydration and pneumonia.The patient is lying in bed but tells the nurse that she needs to go to the bathroom.The nurse tells the patient that she will stay with her and will help her get there.The patient states,"That's okay.I can make it on my own." The nurse should

Which site is used to auscultate blood pressure?

The patient is complaining of a severe headache.The nurse takes the patient's blood pressure and finds it to be 240/110.What is the pulse pressure?

The patient is a 1-year-old male infant who is admitted with possible sepsis.The patient is irritable and agitates easily.What should the nurse do to assess the patient's temperature?

The patient has been in the hospital for several days for urosepsis.He has been responding favorably to treatment,and his vital signs have been normal for 2 days.When the nurse takes his vital signs,however,the patient's apical pulse is 152 and regular.The nurse suspects that the

When evaluating the radial pulse measurement technique of the unregulated care provider (UCP),the nurse identifies appropriate technique when the UCP

The nurse is about to take a patient's blood pressure.Which of the following conditions would cause the nurse to obtain a false high reading? (Select all that apply.)

The patient is brought to the emergency department complaining of severe shortness of breath.She is cyanotic and her extremities are cold.In an attempt to quickly assess the patient's respiratory status,the nurse should

When inserting a rectal thermometer,the nurse encounters resistance.The nurse should

The patient was found in an alley on a cold winter night and is admitted with hypothermia from environmental exposure.She is elderly and is having difficulty breathing.Her breath sounds are diminished,and the tip of her nose is cyanotic.The nurse wants to assess the oxygen level in the patient's blood.She decides to use the pulse oximeter.The best way to apply this to this patient would be with a(n)

The patient has been sleeping and has been lying on his right side.The nurse is ready to take his temperature using a tympanic thermometer.Which ear should the nurse take the temperature in?

_________ is the heart sound of the pulmonic and aortic valves closing at the end of the systolic contraction.

After applying the sphygmomanometer to the patient's upper arm,the nurse inflates the cuff to the proper level,and then,using a stethoscope,listens for the ________________ sounds.

The nurse is preparing to take the patient's temperature.Which of the following may cause the temperature to fluctuate? (Select all that apply.)