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BSN205 Hallmark- Vital Signs ISB With Questions And 100% ALL CORRECT ANSWERS
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JACKLINEBSN205 Hallmark- Vital Signs ISB With Questions And 100% ALL CORRECT
ANSWERS
Terms in this set (54)
newborn is 30 to 60 breaths per minute.
child is 20 breaths per minute.
Normal respiratory rates teenager is 16 to 20 breaths per minute.
adult is 12 to 20 breaths per minute.
A rate of 10 would require follow-up.
temperature 36° C (96.8° F)
heart rate 60 to 100 beats per minute
Normal adult vital signs respiratory rate 16 to 25 breaths per minute
average BP less than 120 over 80
pulse oximetry 95% to 100%.
BSN205 Hallmark- Vital Signs ISB
, 8/2/24, 6:25 PM
The nurse has delegated the task of temperature The type of temperature required.
assessment to the NAP. Which information should The frequency for taking or monitoring the temperature.
be provided to the NAP? What changes to report immediately to the nurse.
time of day, stress (emotional and physical), temperature alterations/weather conditions,
Which of the following situations may affect a
exercise/activity, emotions, medication, postural changes, acute pain, smoking, disease/injury status,
patient's vital signs?
noise, food/liquid consumption, and odors.
The patient who is going to surgery is going to experience a change in condition and an invasive
The nurse will take the patient's vital signs procedure. Vital signs are necessary so that the operative team has a baseline for comparison as well
preoperatively and record them as part of the as to rule out any complications before the beginning of the surgical event. Providing reassurance to
patient's preparation for surgery. Why is it necessary the patient can be done verbally. If a patient reports feeling different, assessing vital signs is
to take vital signs preoperatively? appropriate. There is no indication the patient is feeling different. Equipment should be maintained in
a functional state at all times.
The NAP reports to the nurse a 65-year-old patient This is out of normal range. If there is a question regarding a patient's vital signs or a suspected
s blood pressure is 160/98. What is the appropriate change in the patient's condition that may require further assessment, the nurse should take the
initial response of the nurse? patient's vital signs rather than delegating the task.
The nurse may delegate routine vital signs of stable patients. Obtaining a baseline upon admission or
Which patient would it be appropriate for the nurse
transfer patient should be completed by the nurse. If a patient has a change in condition, such as a
to delegate vital signs?
headache which could be reflective of hypertension, the nurse should assess the patient's vital signs.
Which person would be expected to have the The 80 year old would have the lower starting body temp.
lowest body temperature?
The temperature of food or liquid could impair the accuracy of the reading. The NAP should ask the
The NAP is preparing to measure a patient's vital patient not to eat, drink, or smoke for 20 minutes and then assess the oral temperature.
signs. The patient reports having eaten a bowl of Taking a rectal temperature can be needlessly embarrassing and uncomfortable for the patient.
warm soup. The NAP asks the RN what he should Although the axillary route could be used, it is less accurate than the oral route. Furthermore, when
do. What is the best response? recording an axillary temperature reading, the site is documented, but the reading itself is
unchanged.
An advantage to the tympanic thermometer is that it can be used for tachypneic patients.
For which patient would a tympanic thermometer The tympanic thermometer is contraindicated in patients who have had surgery of the ear or
be the preferred thermometer to use? tympanic membrane and does not accurately measure core temperature after exercise. A continuous
measurement cannot be obtained with the tympanic thermometer.
We have an expert-written solution to this problem!
An adult female in the recovery room following a hysterectomy.
Which of the following patients would require
A young adult with a white blood count of 15,000/mm3.
frequent assessment of their temperature?
A patient receiving a blood transfusion for chronic anemia.
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