Exam 29: Vital Signs

The patient requires routine temperature assessment but is confused and easily agitated and has a history of seizures.The nurse's best option would be to take his temperature

When heat loss mechanisms of the body are unable to keep pace with excess heat production,the result is known as

Of the following sites,which are used for obtaining a core temperature?

When taking the pulse of an infant,the nurse notices that the rate is 145 beats/min and the rhythm is regular.The nurse realizes that his rate is

When recording the patient's respiratory status,what must be recorded?

The incidence of hypertension is greater in which of the following?

The nurse is caring for a patient who complains of feeling light-headed and "woozy." The nurse checks the patient's pulse and finds that it is irregular.The patient's blood pressure is 100/72.It was 113/80 an hour earlier.What should the nurse do?

Of the following values,which value would be considered prehypertension?

One benefit of using a stationary automatic blood pressure device is that the cuff

When assessing the temperature of newborns and children,the nurse decides to utilize a temporal artery thermometer.Why is this preferable to methods used for adults?

The patient's blood pressure is 140/60.The nurse realizes that this equates to a pulse pressure of

The nurse is assessing the patient and his family for probable familial causes of the patient's hypertension.The nurse begins by analyzing the patient's personal history,as well as family history and current lifestyle situation.Which of the following issues would be considered risk factors?

When temperature assessment is required,which of the following cannot be delegated to nursing assistive personnel?

The patient has new-onset restlessness and confusion.His pulse rate is elevated,as is his respiratory rate.His oxygen saturation,however,is 94% according to the portable pulse oximeter.The nurse ignores the oximeter reading and calls the physician to obtain an order for an arterial blood gas (ABG).The nurse does this because many things can cause inaccurate pulse oximetry readings,including which of the following?

The thickness or viscosity of the blood affects the ease with which blood flows through small vessels.The nurse examines what value,which might help determine the amount of blood viscosity?

The physician order reads "Lopressor (metoprolol)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 and

The nurse is caring for a newborn infant in the hospital nursery.She notices that the infant is breathing rapidly but is pink,warm,and dry.The nurse knows that the normal respiratory rate for a newborn is _____ breaths per minute.

The nurse is working the night shift on a surgical unit and is making 4 AM rounds.She notices that the patient's temperature is 96.8° F (36° C),whereas at 4 PM the preceding day,it was 98.6° F (37° C).What should the nurse do?

After taking the patient's temperature,the nurse documents the value and the route used to obtain the reading.Why is this done?

The nurse is caring for a patient who is being discharged from the hospital after being treated for hypertension.The patient is instructed to take his blood pressure three times a day and to keep a record of the readings.The nurse recommends that the patient purchase a portable electronic blood pressure device.The nurse also instructs the patient that the