Exam 30: Vital Signs

The patient appears to be breathing faster than before.Which of the following actions should the nurse take first?

In teaching a patient at home to assess accurately the auxiliary temperature of an 18-month-old child with a glass thermometer,which of the following instructions should the nurse give the parent?

A mercury-in-glass thermometer is being used in the extended care facility.While the nurse is taking the patient's temperature,the thermometer falls and breaks on the floor without coming into contact with the nurse or patient.Which of the following should be the nurse's first action?

The nurse obtains the following results after measuring the patient's vital signs: blood pressure 180/100 mm Hg,pulse 82 beats per minute,respiratory rate 16 breaths per minute,and rectal temperature 37.5°C.Which of the following actions should the nurse take?

While the nurse is taking the patient's blood pressure,the patient asks if the reading is high.In accordance with the newest guidelines,the nurse informs the patient that which of the following blood pressure measurements is consistent with hypertension?

Which of the following vital signs is said to have a circadian rhythm?

An individual contacts the emergency room of the local hospital to ask what to do for a skiing partner who appears to be suffering from hypothermia.The victim is alert and able to respond to questions.Which of the following actions does the nurse instruct the individual to have the victim take?

What is the ideal site to use to measure oxygen saturation in a patient with tremors?

The student nurse is assessing the vital signs of a 10-year-old patient.What are the expected values for pulse (beats per minute),respirations (breaths per minute),and blood pressure (mm Hg)for a patient of this age?

The patient comes to the emergency department after having been in the sun for an extended period.The nurse also determines that the patient is taking a diuretic.Heatstroke is suspected.For which of the following does the nurse observe?