Exam 3: Vital Signs and Vital Measurements

A client asks why the provider wants a weekly blood pressure taken at home. "What's the big deal if my blood pressure is a little high?" What response by the nurse is best?

A client is in the hospital after having an operation. The client's fasting blood glucose is 186 mg/dL. The client is alarmed and says "Oh, no! Do I have diabetes now?" What response by the nurse is best?

The new nurse is obtaining a finger-stick blood glucose reading. What action by the nurse shows good understanding of this technique?

A client who has been resting quietly all day becomes restless and anxious. What action by the nurse takes priority?

The client's pulse oximeter is not providing a reliable reading. What actions are appropriate for the nurse to take? (Select all that apply.)

A nurse is applying conductive heating therapy. What action does the nurse perform?

The nursing student learns about taking blood pressures. Which actions by the student demonstrate the need to review this skill? (Select all that apply.)

Which method is the correct way to use a tympanic thermometer?

The nurse has assessed four adult clients. Which client is the priority for the nurse to assess more thoroughly?

The nurse takes the pulse of several clients. Which client would the nurse need to assess further?

A nurse assesses a client's blood pressure to be much higher than usual. What action by the nurse is best?

A student asks: How often should the nurse take vital signs? Which response by the nurse is best?

The student reports that an adult client's pulse is 138 beats/minute at rest and thready. What instruction does the faculty give to the student?

The nurse needs to take a client's oral temperature. The client just drank a cup of coffee. What action by the nurse is best?

The nurse takes a client's temperature. What action is most important?

The student nurse is obtaining an apical pulse. What anatomical landmarks does the student use to place the stethoscope? (Select all that apply.)

The nurse knows that vital sign measurements can be influenced by which of the following factors? (Select all that apply.)

A client using a thermal heating unit developed a skin burn. In completing the variance report, what question does the charge nurse ask the client's nurse?

Which statements related to blood pressure are accurate? (Select all that apply.)

A nurse is counting an 8-month old's respiratory rate. Which is the correct technique?