Podcast
Questions and Answers
Which measurements are included as cardinal vital signs?
Select all that apply.
Which measurements are included as cardinal vital signs? Select all that apply.
- Pain
- Pulse/ Blood pressure (correct)
- Respirations (correct)
- Oxygen saturation
What is the expected pulse range for an adult patient?
What is the expected pulse range for an adult patient?
- 50-90
- 60-100 (correct)
- 50-100
- 65-105
How frequently would the nurse take vital sign measurements for a stable hospitalized patient?
How frequently would the nurse take vital sign measurements for a stable hospitalized patient?
- Every 5 minutes
- Every 15 to 60 minutes
- Every hour
- Every 4 to 8 hours (correct)
Which finding takes precedence when interpreting a patient's vital sign values?
Which finding takes precedence when interpreting a patient's vital sign values?
Which situations require vital sign assessment?
Select all that apply.
Which situations require vital sign assessment? Select all that apply.
Which tasks would the nurse delegate to the unlicensed assistive personnel (UAP)?
Select all that apply.
Which tasks would the nurse delegate to the unlicensed assistive personnel (UAP)? Select all that apply.
Which action would the nurse take before notifying the health care provider about a patient's vital signs?
Which action would the nurse take before notifying the health care provider about a patient's vital signs?
Which response indicates a nurse has a correct understanding about the components of a vital sign assessment?
Which response indicates a nurse has a correct understanding about the components of a vital sign assessment?
Which actions are strictly a nurse's responsibility?
Select all that apply.
Which actions are strictly a nurse's responsibility? Select all that apply.
Which actions are required for proper documentation of vital signs? Select all that apply.
Which actions are required for proper documentation of vital signs? Select all that apply.
How frequently would the nurse assess vital signs for a patient with a head injury who suddenly reports a severe headache and whose blood pressure rises from 118/62 to 170/94?
How frequently would the nurse assess vital signs for a patient with a head injury who suddenly reports a severe headache and whose blood pressure rises from 118/62 to 170/94?
Which action would the nurse take for a stable patient who is scheduled for a transfer to the rehabilitation unit later in the afternoon?
Which action would the nurse take for a stable patient who is scheduled for a transfer to the rehabilitation unit later in the afternoon?
Which action would the nurse take when the unlicensed assistive personnel (UAP) reports the patient’s pulse increased from 74 beats/min to 100 beats/min and the temperature increased from 99° to 101.8°F (37.2° to 38.8°C)?
Which action would the nurse take when the unlicensed assistive personnel (UAP) reports the patient’s pulse increased from 74 beats/min to 100 beats/min and the temperature increased from 99° to 101.8°F (37.2° to 38.8°C)?
Which entries would the nurse include when documenting vital signs?
Select all that apply.
Which entries would the nurse include when documenting vital signs? Select all that apply.
Which vital sign finding indicates the adult patient is improving?
Which vital sign finding indicates the adult patient is improving?
Which actions are responsibilities of the nurse when assigning vital signs to the unlicensed assistive personnel (UAP)?
Select all that apply.
Which actions are responsibilities of the nurse when assigning vital signs to the unlicensed assistive personnel (UAP)? Select all that apply.
Which factors influence the interpretation of a patient’s vital signs?
Select all that apply.
Which factors influence the interpretation of a patient’s vital signs? Select all that apply.
Which finding is unexpected for a 15-year-old patient?
Which finding is unexpected for a 15-year-old patient?
Which information about a patient’s pain is accurate?
Which information about a patient’s pain is accurate?
Which vital sign measurements are unexpected?
Select all that apply.
Which vital sign measurements are unexpected? Select all that apply.
Which vital sign measurements of adult patients would require the nurse to immediately notify the health care provider?
Select all that apply.
Which vital sign measurements of adult patients would require the nurse to immediately notify the health care provider? Select all that apply.
Which patient trend does the vital sign graphic indicate?
Which patient trend does the vital sign graphic indicate?
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