Exam 5: Vital Signs

The nurse is taking a rectal temperature on an adult patient.She expects to insert the thermometer __________ inches.

To take a manual blood pressure,the nurse places the cuff of the _____________ around the patient's upper arm.

The patient was found in an alley on a cold winter night and is admitted with hypothermia from environmental exposure.She is elderly and is having difficulty breathing.Her breath sounds are diminished,and the tip of her nose is cyanotic.The nurse wants to assess the oxygen level in the patient's blood.She decides to use the pulse oximeter.The best way to apply this to this patient would be:

When the benefits of the different types of blood pressure monitoring devices are compared,which of the following patients would be the best candidate for noninvasive electronic blood pressure measurement?

The patient has been sleeping and has been lying on his right side.The nurse is ready to take his temperature using a tympanic thermometer.She needs to insert the thermometer into his ___________ear.

When evaluating the radial pulse measurement technique of the nursing assistant,the nurse identifies appropriate technique when the assistant:

During the normal cardiac cycle,blood pressure reaches a peak,followed by a trough in the cycle.The peak is known as:

The patient is a 1-year-old male infant who is admitted with possible sepsis.The patient is irritable and agitates easily.To assess the patient's temperature,the nurse should:

The patient is admitted in a near comatose state with a blood glucose level of 750.His respiratory rate is 42 breaths per minute,and his respiratory pattern is deep and regular.This type of breathing is known as:

During his initial screening,the patient's blood pressure was noted to be elevated.Two months after the first assessment,he was noted to have a blood pressure of 150/92 and 166/96 at different times during the visit.It is now a month and a half later,and the nurse is concerned because the patient's initial blood pressure on this visit was 154/94.She is preparing to take a second blood pressure,understanding that another reading in this range could lead to a diagnosis of:

An appropriate method for assessing a patient's respirations is for the nurse to:

An appropriate procedure for the measurement of an adult's temperature with a tympanic membrane sensor is:

The nurse is caring for a 2-year-old child who is admitted with croup and crying.To take the child's vital signs,the nurse should:

The patient has an order to be off the floor for 15 minutes every 2 hours to smoke a cigarette.The patient has just returned from his "cigarette break." The nurse is about to take the patient's temperature orally and should:

___________,a subjective symptom,also is referred to as a vital sign,along with the physiological signs.

A disadvantage of the disposable sensor pad for pulse oximetry is:

_____________ occurs when the systolic blood pressure falls to 90 mm Hg or below.

The patient is returning from a cardiac catheterization.The puncture site is in the right femoral artery.The patient is having vital signs assessed every 15 minutes.Along with vital signs,the nurse assesses the pedal pulses of the right and left feet.A major concern would be if:

The percent to which hemoglobin is filled with oxygen is known as _________________.

The patient has been in the hospital for several days for urosepsis.He has been responding favorably to treatment,and his vital signs have been "normal" for 2 days.When the nurse takes his vital signs,however,the patient's apical pulse is 152 and regular.The nurse suspects that: