Exam 4: General Inspection and Measurement of Vital Signs

Which action by the nurse results in the patient's blood pressure measurement being falsely low? (Select all that apply.)

A patient is sitting slightly forward bracing his arms on his knees in a tripod position. This position is associated with which symptom?

Which body system does the nurse assess primarily by inspection?

The nurse suspects an irregularity in the rhythm of the patient's radial pulse. What is the most appropriate action for this nurse to take at this time?

Which method of temperature measurement indirectly reflects inner core temperature? (Select all that apply.)

Nurses understand that a patient's diastolic pressure represents which physiologic function?

A nurse is taking vital signs of an adult patient whose oxygen saturation is 96%. The patient's temperature is 102° F, blood pressure is 130/86, pulse is 100 beats/min, and respiratory rate is 26 breaths/min. Which factor may be contributing to the elevated respiratory rate?

A temperature of 99.8° F taken in the axilla is equivalent to which temperature value taken orally?

A nurse notices that the patient has gained 11 lb. If this increase in weight is related to fluid retention, the patient is retaining approximately how many liters of fluid?

Which action by the nurse results in the patient's blood pressure measurement being falsely high? (Select all that apply.)

The nurse taking a patient's blood pressure recognizes that several factors may cause an increased blood pressure reading. Which factors below can increase blood pressure? (Select all that apply.)

The temperature of a patient is measured every 6 hours at 6 AM, 12 PM, 6 PM, and 12 AM. Which temperature reading is expected to be low due to a normal variation?

Which of these respiratory rates are within normal limits?

A patient's blood pressure has been averaging 120/72 when using the upper arms. Today, the nurse uses this patient's thigh to measure the blood pressure. What is the expected systolic pressure using the thigh that is equivalent to a systolic pressure of 120?

A female patient admitted with fluid retention has been in diuretic therapy to remove fluid. She weighed 187 lb on admission. Today she weighs 179 lb. Since admission, this patient has lost _____ L from fluid loss.

According to research findings, which site is preferred for measuring blood pressure when the nurse is unable to use the patient's upper arms?

Which method of temperature measurement does a nurse choose when assessing school-aged children in a wellness clinic? (Select all that apply.)

Which statement is correct regarding taking or interpreting axillary temperatures?