Exam 30: Vital Signs

Which of the following breathing alterations describes a low respiratory rate?

A patient complains of pain and asks the nurse for pain medication.The nurse first assesses vital signs and finds them to be as follows: Blood pressure 134/92 mm Hg,pulse 90 beats per minute,and respirations 26 breaths per minute.Which of the following is the nurse's most appropriate action?

The visiting nurse is evaluating the measurement of the patient's blood pressure by his spouse.The nurse determines that additional teaching is required if the spouse is observed doing which of the following?

What is the normal volume of blood circulating in litres (L),within the vascular system of an adult?

Which of the following describes the correct placement of a blood pressure cuff on an adult patient?

The nurse has just taken vital signs for the 30-year-old patient.Based on the results,the nurse will report which of the following findings that is out of the expected range for a patient of this age?

An 84-year-old diabetic patient is admitted for insulin regulation.Which of the following sets of blood pressure (mm Hg),pulse (beats per minute),and respiration (breaths per minute)measurements,respectively,is considered to be within the expected limits for a patient of this age?

The postoperative vital signs of an average-sized adult patient are blood pressure 110/68 mm Hg,pulse 54 beats per minute,respirations 8 breaths per minute.The patient appears pale,seems disoriented,and has minimal urinary output.Which of the following actions should the nurse take?

A patient is being monitored with pulse oximetry.Which of the following does the nurse know will influence the values?

A construction worker is seen in the emergency department with low blood pressure,normal pulse,diaphoresis,and weakness.These are clinical signs of which of the following conditions?

The nurse is alert to which of the following factors that lowers blood pressure?

The patient is seen in the emergency department for heat exhaustion as a result of exposure.Which of the following does the nurse anticipate that treatment will include?

The registered nurse explains to the registered practical nurse that a false high blood pressure reading may result if the registered practical nurse does which of the following?

The nurse is ready to take vital signs on a 6-year-old child.The child has just enjoyed a grape Popsicle.What is the most appropriate action for the nurse?

Which of the following sites does the nurse know is appropriate for taking a pulse on a 2-year-old child?

The nurse is working in the newborn nursery.In planning for temperature measurement,the nurse will obtain the best reading on the infants by using which one of the following?

The patient has bilateral casts on the upper extremities,so the nurse will be measuring the blood pressure in the legs.Which of the following does the nurse expect the diastolic pressure to be?

Which of the following is a normal respiratory rate (breaths per minute)for a toddler?

The patient has developed pneumonia,and his temperature is 38.5ºC.The patient is shivering and "feels uncomfortable." Which one of the following actions should the nurse take?

A patient has just gotten out of bed to go to the bathroom.As the nurse enters the room,the patient states,"I feel dizzy." Which of the following actions should the nurse take first?