Exam 30: Vital Signs

The patient was found unresponsive in her apartment and is being brought to the emergency department.She has arm,hand,and leg edema;her temperature is 35.3°C (95.6°F);and her hands are cold secondary to her history of peripheral vascular disease.It is reported that she has a latex allergy.To quickly measure the patient's oxygen saturation,what should the nurse do?

The nurse is caring for an elderly patient and notes that his temperature is 36°C (96.8°F).This patient is in which condition?

Of the following mechanisms of heat loss by the body,identify the mechanism that transfers heat away by using air movement?

The physician's 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;what else does the nurse do?

The nurse is caring for an infant and is measuring vital signs.The best site for the nurse to obtain the infant's pulse would be which artery?

The nurse is caring for a patient who has an elevated temperature.What should the nurse know?

Of the following sites,which are used for obtaining a core temperature? (Select all that apply. )

The nurse is caring for a patient who is being discharged from the hospital after being treated for hypertension.The patient is instructed to measure 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.What other instruction should the nurse give the patient?

When focusing on temperature regulation of newborns and infants,what should the nurse know?

When temperature assessment is required,which of the following cannot be delegated to an unregulated care provider?

When the nurse records the patient's respiratory status,what must be recorded? (Select all that apply. )

Which artery is the most appropriate for assessing the pulse of a small child?

Which statement is true of the ovulation phase?

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

The unregulated care provider is measuring vital signs and reports that a patient's blood pressure is abnormally low.What should the nurse do?

The patient is being encouraged to purchase a portable automatic blood pressure device so he can monitor his own blood pressure at home.What are some of the benefits of self-monitoring? (Select all that apply. )

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 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 measuring arterial blood gases (ABGs).The nurse does this because many things can cause inaccurate pulse oximetry readings,including which of the following? (Select all that apply. )

How does the posterior hypothalamus help control temperature?

The nurse is caring for a patient who has a pulse rate of 44.His blood pressure is within normal limits.In trying to determine the cause of the patient's low heart rate,what would the nurse suspect?