Question 1

The nurse needs to measure the radial pulse in a patient.For accuracy,what must the nurse do?

Accepted Answer

A) Place the tips of the nurse's first two fingers over the groove along the thumb side of the patient's wrist. 
B) Place the thumb over the groove along the thumb side of the patient's wrist. 
C) Apply a very light touch so that the pulse is not obliterated. 
D) Apply very strong pressure to detect the pulse. 
A) Place the tips of the nurse's first two fingers over the groove along the thumb side of the patient's wrist. 
B) Place the thumb over the groove along the thumb side of the patient's wrist. 
C) Apply a very light touch so that the pulse is not obliterated. 
D) Apply very strong pressure to detect the pulse.

Question 2

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?

Accepted Answer

A) Call the physician immediately. 
B) Perform an apical/radial pulse assessment. 
C) Apply more pressure to the radial artery to assess the pulse. 
D) Use own thumb to detect the patient's pulse. 
A) Call the physician immediately. 
B) Perform an apical/radial pulse assessment. 
C) Apply more pressure to the radial artery to assess the pulse. 
D) Use own thumb to detect the patient's pulse.

Question 3

The patient has a temperature of 40.7°C (105.2°F).The nurse is attempting to lower his temperature by providing tepid sponge baths and placing cool compresses in strategic body locations.The nurse is attempting to lower the patient's temperature through the use of which of the following?

Accepted Answer

A) Radiation. 
B) Conduction. 
C) Convection. 
D) Evaporation. 
A) Radiation. 
B) Conduction. 
C) Convection. 
D) Evaporation.

Question 4

Of the following patients,which one is the best candidate to have his temperature measured orally?

Accepted Answer

A) A 27-year-old postoperative patient with an elevated temperature. 
B) A teenage boy who has just returned from outside "for a smoke." 
C) An 87-year-old confused male suspected of hypothermia. 
D) A 20-year-old male with a history of epilepsy. 
A) A 27-year-old postoperative patient with an elevated temperature. 
B) A teenage boy who has just returned from outside "for a smoke." 
C) An 87-year-old confused male suspected of hypothermia. 
D) A 20-year-old male with a history of epilepsy.

Question 5

The patient is restless and has a temperature of 39°C (102.2°F).What is one of the first things the nurse should do?

Accepted Answer

A) Place the patient on oxygen. 
B) Restrict fluid intake. 
C) Increase patient activity. 
D) Increase patient's metabolic rate. 
A) Place the patient on oxygen. 
B) Restrict fluid intake. 
C) Increase patient activity. 
D) Increase patient's metabolic rate.

Exam 30: Vital Signs

The nurse needs to measure the radial pulse in a patient.For accuracy,what must the nurse do?

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?

The patient has a temperature of 40.7°C (105.2°F).The nurse is attempting to lower his temperature by providing tepid sponge baths and placing cool compresses in strategic body locations.The nurse is attempting to lower the patient's temperature through the use of which of the following?

Of the following patients,which one is the best candidate to have his temperature measured orally?

The patient is restless and has a temperature of 39°C (102.2°F).What is one of the first things the nurse should do?

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