Exam 19: Vital Signs

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

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

The nurse understands that which factors can increase blood pressure? (Select all that apply.)

The nurse assessing respirations understands that problems in what organs can directly affect the process of respiration? (Select all that apply.)

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?

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

A nurse works on a postoperative care unit and sees many patients who have orthopedic surgery. One patient complains of significantly more pain than the other postoperative patients usually do. What action by the nurse is best?

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?

The nursing student learns that the purpose of measuring vital signs includes which rationale? (Select all that apply.)

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

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

A nurse is caring for an unconscious patient. What objective assessments does the nurse use to help evaluate pain in this patient? (Select all that apply.)

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

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

A nurse is teaching a patient and the patient's family about self-care measures for hypertension. Which topics does the nurse include? (Select all that apply.)

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?

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 receives a handoff report on four patients. Which patient should the nurse assess first?

Which parameters does the nurse include when assessing pain? (Select all that apply.)