Exam 11: Vital Signs

When assessing factors that may influence the patient's pulse rate,what should the nurse take into consideration? (Select all that apply.)

How should the nurse position the ear pinna when using the tympanic thermometer on a child?

The nurse assesses respirations of a patient demonstrating pursed-lip breathing,flared nostrils,and retractions.How will the nurse describe these respirations?

What part of the body maintains a balance between heat production and heat loss,regulating body temperature?

If a patient has an axillary temperature of 96.2° F,the nurse understands that the true temperature is ______.

A patient is admitted to a medical surgical unit.What factors will determine how frequently vital signs will be assessed? (Select all that apply.)

What is the term for a fever that rises and falls but does not return to normal until the patient is well?

A nurse assesses a patient's dorsalis pedis pulse.The pulse is difficult to feel and not palpable when only slight pressure is applied.How should the nurse document this finding?

A nurse assesses a patient's dorsalis pedis pulse.The pulse feels full and springlike even under moderate pressure.How should the nurse document this finding?

What does the nurse use the diaphragm of the stethoscope to best assess?

A patient is suspected of having a cardiac arrhythmia.The nurse is concerned with the findings of an apical rate of 88 and a radial rate of 80.What is the term for the difference between these two rates?

The home health nurse is preparing to educate a patient regarding electronic self-blood pressure measurement.What information should the nurse provide regarding this procedure? (Select all that apply.)

The patient's pulse is below 60.The nurse is aware that the patient is not receiving digoxin.What does the nurse suspect is causing the bradycardia?

A nurse assesses a neonate's temperature by using a temporal artery scanner.What intervention should the nurse implement if the neonate's temperature is 96° F?

What type of body temperature remains relatively constant?

The emergency department nurse quickly assesses the temperature of an unconscious patient who has been outside all night in below-freezing temperatures.What temperature is the nurse aware of that can lead to death?

What is the term for the exchange of carbon dioxide and oxygen that takes place at the alveolar level?

The nurse assesses the blood pressure as 192/86,noting that the patient has a pulse pressure of ________.

What site should be selected if a peripheral pulse needs to be assessed quickly?

The nurse assesses for the fifth vital sign,which is______________.