Exam 77: Vital Signs

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

The patient is being admitted to the emergency department following 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?

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

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

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 an arterial blood gas (ABG).The nurse does this because many things can cause inaccurate pulse oximetry readings,including which of the following?

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

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.The nurse should

The incidence of hypertension is greater in which of the following?

Which statement is true of the ovulation phase?

The nurse is working the night shift on a surgical unit and is making 4 AM rounds.She notices that the patient's temperature is 96.8° F (36° C),whereas at 4 PM the preceding day,it was 98.6° F (37° C).What should the nurse do?

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,the nurse would suspect

The patient has a temperature of 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

When heat loss mechanisms of the body are unable to keep pace with excess heat production,the result is known as

The nurse needs to obtain a radial pulse from a patient.To obtain the correct measure,what must the nurse do?

When recording the patient's respiratory status,what must be recorded?

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 the patient's _____ pulse.

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 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?

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

The nurse is caring for a newborn infant 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 _____ breaths per minute.

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?