Exam 5: Vital Signs

To take a manual blood pressure, the nurse places the cuff of the _____________ around the patient's upper arm.

When evaluating the radial pulse measurement technique of the nursing assistant, the nurse identifies appropriate technique when the assistant:

Which site is used to auscultate blood pressure?

Which of the following processes are involved in respiration? (Select all that apply.)

The patient is a 1-year-old male infant who is admitted with possible sepsis.The patient is irritable and agitates easily.What should the nurse do to assess the patient's temperature?

After applying the sphygmomanometer to the patient's upper arm, the nurse inflates the cuff to the proper level, and then, using a stethoscope, listens for the __________________ sounds.

The patient has been sleeping and has been lying on his right side.The nurse is ready to take his temperature using a tympanic thermometer.She needs to insert the thermometer into his ___________ ear.

The nurse is preparing to take the patient's temperature.Which of the following may cause the temperature to fluctuate? (Select all that apply.)

The nurse chooses a sphygmomanometer that has a circular gauge and a needle that registers the millimeter calibrations.This type of device is known as a(n) _____ manometer.

During the normal cardiac cycle, blood pressure reaches a peak, followed by a trough, in the cycle.What is the peak known as?

The patient has an order to be off the floor for 15 minutes every 2 hours to smoke a cigarette.The patient has just returned from his "cigarette break." The nurse is about to take the patient's radial pulse and should:

The nurse is caring for an infant in the NICU.While taking vital signs, the nurse finds that the baby's heart rate is 195.The nurse calls the physician, knowing that the normal heart rate should be:

The nurse is about to take a patient's blood pressure.Which of the following conditions would cause the nurse to obtain a false high reading? (Select all that apply.)

The nurse is about to teach the patient about risk factors for hypertension.Which of the following are risk factors for hypertension? (Select all that apply.)

The patient is brought to the emergency department complaining of severe shortness of breath.She is cyanotic and her extremities are cold.In an attempt to quickly assess the patient's respiratory status, the nurse should:

The patient is an 86-year-old woman who is being admitted for dehydration and pneumonia.The patient is lying in bed but tells the nurse that she needs to go to the bathroom.The nurse tells the patient that she will stay with her and will help her get there.The patient states, "That's OK.I can make it on my own." The nurse should:

When the benefits of the different types of blood pressure monitoring devices are compared, which of the following patients would be the best candidate for noninvasive electronic blood pressure measurement?

___________ is the sound of the tricuspid and mitral valves closing at the end of ventricular filling.

The nurse is working on the general surgical unit and is caring for a patient who has a right total mastectomy.To take the patient's vital signs and to accurately assess the patient's blood pressure, it will be necessary to:

The patient is returning from a cardiac catheterization.The puncture site is in the right femoral artery.The patient is having vital signs assessed every 15 minutes.Along with vital signs, the nurse assesses the pedal pulses of the right and left feet.Which of the following would be of major concern?