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Exam 5: Vital Signs

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Question 21

Multiple Choice

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A person's core temperature is considered the most accurate since it is:

A) reflective of the surrounding environment.
B) the same for everyone.
C) controlled by the hypothalamus.
D) independent of external influences.

E) C) and D)
F) All of the above

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Question 22

Multiple Choice

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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:

A) wait about 15 minutes before taking his pulse.
B) use her thumb to detect the pulse and get an accurate count.
C) press hard to detect the pulse and get an accurate count.
D) take his pulse for 15 seconds and multiply by 4.

E) A) and B)
F) A) and D)

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Question 23

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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 nurse takes the patient's temperature using a tympanic electronic thermometer.The temperature reading is 36.5° C (97.7° F) .The nurse knows that this correlates with:

The nurse should report an assessment of _____ respirations per minute for a(n) _____.

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 temperature orally and 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?

During his initial screening,the patient's blood pressure was noted to be elevated.Two months after the first assessment,he was noted to have a blood pressure of 150/92 and 166/96 at different times during the visit.It is now a month and a half later,and the nurse is concerned because the patient's initial blood pressure on this visit was 154/94.She is preparing to take a second blood pressure,understanding that another reading in this range could lead to a diagnosis of:

When heat loss mechanisms are unable to keep pace with heat production,____________ is the result.

An appropriate method of assessing a patient's respirations is for the nurse to:

The percent to which hemoglobin is filled with oxygen is known as _________________.

The nurse is about to take vital signs on a newborn patient in the nursery.She should:

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

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.

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 nurse is caring for a 2-year-old child who is admitted with croup and crying.To take the child's vital signs,the nurse should:

What is a disadvantage of using the disposable sensor pad for pulse oximetry?

The patient was found in an alley on a cold winter night and is admitted with hypothermia from environmental exposure.She is elderly and is having difficulty breathing.Her breath sounds are diminished,and the tip of her nose is cyanotic.The nurse wants to assess the oxygen level in the patient's blood.She decides to use the pulse oximeter.The best way to apply this to this patient would be with a(n) :

___________,a subjective symptom,is also referred to as a vital sign,along with the physiological signs.

When inserting a rectal thermometer,the nurse encounters resistance.The nurse should: