Exam 30: Vital Signs

When assessing the temperature of newborns and children, the nurse decides to utilize a temporal artery thermometer. What is the rationale for the nurse's action?

A nurse is assessing results of vital signs for a group of patients. Match the condition to the assessment findings the nurse is reviewing. -Heatstroke

The patient is being admitted to the emergency department with reports of shortness of breath. The patient has had chronic lung disease for many years but still smokes. What will the nurse do?

The nurse is caring for a patient who has a temperature reading of 100.4° F (38° C). The patient's last two temperature readings were 98.6° F (37° C) and 96.8° F (36° C). Which action will the nurse take?

The nurse is preparing to assess the blood pressure of a 3-year-old. How should the nurse proceed?

A nurse is caring for a patient who smokes and drinks caffeine. Which point is important for the nurse to understand before assessing the patient's blood pressure (BP)?

The health care provider prescription reads "Metoprolol (Lopressor) 50 mg PO daily. Do not give if blood pressure is less than 100 mm Hg systolic." The patient's blood pressure is 92/66. The nurse does not give the medication. Which action should the nurse take?

A nurse is reviewing capnography results for adult patients. Which value will cause the nurse to follow up?

After taking the patient's temperature, the nurse documents the value and the route used to obtain the reading. What is the reason for the nurse's action?

The nursing assistive personnel (NAP) is taking vital signs and reports that a patient's blood pressure is abnormally low. What should the nurse do next?

The nurse is assessing the patient's respirations. Which action by the nurse is most appropriate?

The nurse is caring for an infant and is obtaining the patient's vital signs. Which artery will the nurse use to best obtain the infant's pulse?

The nurse is providing a blood pressure clinic for the community. Which group will the nurse most likely address?

A nurse is teaching the staff about alterations in breathing patterns. Which information will the nurse include in the teaching session? (Select all that apply.)

The patient is admitted with shortness of breath and chest discomfort. Which laboratory value could account for the patient's symptoms?

The patient requires routine temperature assessment but is confused, easily agitated, and has a history of seizures. Which route will the nurse use to obtain the patient's temperature?

The patient with heart failure is restless with a temperature of 102.2° F (39° C). Which action will the nurse take?

The patient is found to be unresponsive and not breathing. Which pulse site will the nurse use?

The nurse is caring for a patient who has an elevated temperature. Which principle will the nurse consider when planning care for this patient?

A nurse is assessing results of vital signs for a group of patients. Match the condition to the assessment findings the nurse is reviewing. -Hypothermia