Exam 15: Vital Signs

The nursing student is obtaining the patient's vital signs.The patient has gone to the clinic seeking help because she is having chest pain.Which of the following vital signs are most important to obtain?

Medications that reduce fever by interfering with the hypothalamic response include:

What term refers to a fever whose cause cannot be determined?

The patient's temperature has reached 103.4° F.The nurse prepares to draw a blood culture before giving the patient an antipyretic medication.What is the best reason to draw a blood culture before giving an antipyretic medication?

A 56-year-old grandmother has been admitted to the hospital with a fever of 103.2° F after caring for her 5-year-old granddaughter who also developed a fever.The health care provider has ordered blood cultures,antibiotics,antipyretics,a clear liquid diet,and a chest radiograph.Which of the orders should the nurse do first?

Core temperatures are obtained via which of the following? (Select all that apply.)

One of the ways the body increases heat production is through:

A woman has been hospitalized with pneumonia.She has had oxygen on via nasal cannula at a rate of 2 L per minute.A nursing student is taking her vital signs.She notes that her respirations are labored and the rate is 32 respirations per minute.The nursing student recognizes this as which of the following?

A nurse delegates the task of obtaining vital signs to a nursing assistant.The nurse reminds the nursing assistant that blood pressure:

The mechanical movement of gases into and out of the lungs is known as:

A senior nursing student is doing her community clinical rotation.When visiting a young family to whom she has been assigned,the mother of a 3-year-old child states that her daughter does not feel well.The nursing student feels her skin,which is warm.She asks the mother if she has taken her temperature to which the mother replies,"Yes,I used the same thermometer that was my great-grandmother's; it has been used by my family for years.Her oral temperature was 102.3° F." The most important action for the nursing student to perform is to do which of the following?

The nurse is obtaining an oxygen saturation reading from a female patient who was brought in after collapsing at a party.Factors that may lead to inaccurate SpO? readings include which of the following? (Select all that apply.)

A 45-year-old mother of three children is at the doctor's office and her blood pressure 152/92.This is the first time that she has ever shown an elevated reading.She is concerned that she has hypertension.The nurse's best response would be:

The young mother of an 8-month-old patient brought her daughter to the clinic after taking the little girl's temperature rectally and obtaining a reading of 100.4° F.The mother was concerned that her daughter might be ill.Which of the following is the best response?

A nurse is working on a medical unit in an acute care hospital.One of the patients she is caring for has a fever of 100.6° F.Which of the following is the best reason why the patient should not receive an antipyretic at this time?

The nurse has assessed the need to check the patient for orthostatic hypotension.Conditions that would cause the nurse to be concerned about this would be which of the following? (Select all that apply.)

The nurse is taking the pulse of an adult patient and finds that the patient's heart rate is 48.He knows that this is considered:

A registered nurse is caring for a patient who was admitted to the hospital after being involved in a motor vehicle accident.The patient has undergone two surgeries and now has a health care-acquired infection.Multiple medications were ordered.Which of the following would be appropriate for the nurse to administer to reduce the fever without masking signs of infection? (Select all that apply.)

A patient is obese.At the bedside is a standard-size blood pressure cuff.The nurse realizes that the use of this cuff will provide which of the following?

A 15-year-old girl was taken to a small rural hospital by her mother.The family had been camping,and it had become very cold during the night.The mother had difficulty waking her daughter in the morning,and she was shivering uncontrollably.The patient is still unconscious.Which of the following interventions should the admitting nurse do first?