Exam 30: Vital Signs

The patient is admitted with shortness of breath and chest discomfort.Which of the following laboratory values could account for the patient's symptoms?

The nurse working the night shift on a surgical unit is making rounds at 0400 hours.She notices that the patient's temperature is 36°C (96.8°F),whereas at 1600 hours the preceding day,it was 37°C (98.6°F).What should the nurse do?

The patient needs temperatures measured every two hours.Which of the following cannot be delegated to an unregulated care provider?

The patient is being admitted to the emergency department after a motor vehicle accident.His jaw is broken,and he has several broken teeth.He is ashen,and his skin is cool and diaphoretic.To obtain an accurate temperature,the nurse uses which of the following routes?

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? (Select all that apply. )

The nurse is caring for a patient who has a temperature reading of 38°C (100.4°F).His last two temperature readings were 37°C (98.6°F)and 36°C (96.8°F).The nurse should

The nurse is caring for a newborn 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 how many breaths per minute?

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

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 this rate is which of the following?

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

The patient's blood pressure is 140/60.How would the nurse would record the pulse pressure?

The patient is being admitted to the emergency department with complaints of shortness of breath.The patient has had chronic lung disease for many years but still smokes.What should the nurse do?

While attempting to obtain oxygen saturation readings on a toddler,what should the nurse do?

What is one benefit of using a stationary automatic blood pressure device?

While the nurse is assessing the patient's respirations,it is important for the patient to do what?

A nurse is caring for a patient who smokes and drinks caffeine.Which point is important for the nurse to understand before she assesses the patient's blood pressure (BP)?

The nurse is preparing to assess the blood pressure of a 3-year-old.How should the nurse proceed?

Of the following values,which value would be considered as a high normal reading?

The patient is found to be unresponsive and not breathing.To determine the presence of central blood circulation and circulation of blood to the brain,the nurse checks which pulse?