Questions and Answers
A patient has a head injury and damages the hypothalamus. Which vital sign will the nurse monitor most closely?
A patient presents with heatstroke. The nurse uses cool packs, cooling blanket, and a fan. Which technique is the nurse using when the fan produces heat loss?
The patient has a temperature of 105.2F. The nurse is attempting to lower temperature by providing tepid sponge baths and placing cool compresses in strategic body locations. Which technique is the nurse using to lower the patient’s temperature?
A nurse is focusing on temperature regulation of newborns and infants. Which action will the nurse take?
Signup and view all the answers
The nurse is working the night shift on a surgical unit and is making 4:00 AM rounds. The nurse notices that the patient’s temperature is 96.8F (36C), whereas at 4:00 PM the preceding day, it was 98.6F (37C). What should the nurse do?
Signup and view all the answers
The nurse is caring for a patient who has a temperature reading of 100.4F (38C). The patient’s last two temperature readings were 98.6F (37C) and 96.8F (36C). Which action will the nurse take?
Signup and view all the answers
A patient is experiencing pyrexia. Which piece of equipment will the nurse obtain to monitor this condition?
Signup and view all the answers
The nurse is caring for a patient who has an elevated temperature. Which principle will the nurse consider when planning care for this patient?
Signup and view all the answers
The patient with heart failure is restless with a temperature of 102.2F (39C). Which action will the nurse take?
Signup and view all the answers
The patient requires temperatures to be taken every 2 hours. Which task will be the responsibility of an RN?
Signup and view all the answers
The patient requires routine temperature assessment but is confused, easily agitated, and has a history of seizures. Which route will the nurse use to obtain the patient’s temperature?
Signup and view all the answers
The patient is being admitted to the emergency department following a motor vehicle accident. The patient’s jaw is broken with several broken teeth. The patient is ashen, has cool skin, and is diaphoretic. Which route will the nurse use to obtain an accurate temperature reading?
Signup and view all the answers
The nurse is caring for an infant and is obtaining the patient’s vital signs. Which artery will the nurse use to best obtain the infant’s pulse?
Signup and view all the answers
The patient is found to be unresponsive and not breathing. Which pulse site will the nurse use?
Signup and view all the answers
The nurse needs to obtain a radial pulse from a patient. What must the nurse do to obtain a correct measurement?
Signup and view all the answers
The nurse is assessing the patient’s respirations. Which action by the nurse is most appropriate?
Signup and view all the answers
The patient’s blood pressure is 140/60. Which value will the nurse record for the pulse pressure?
Signup and view all the answers
The nurse reviews the laboratory results for a patient and determines the viscosity of the blood is thick. Which laboratory result did the nurse check?
Signup and view all the answers
The patient is being admitted to the emergency department with reports of shortness of breath. The patient has had chronic lung disease for many years but still smokes. What will the nurse do?
Signup and view all the answers
A nurse is reviewing capnography results for adult patients. Which value will cause the nurse to follow up?
Signup and view all the answers
The nurse is caring for a patient who has a pulse rate of 48. His blood pressure is within normal limits. Which finding will help the nurse determine the cause of the patient’s low heart rate?
Signup and view all the answers
The patient was found unresponsive in an apartment and is being brought to the emergency department. The patient has arm, hand, and leg edema, temperature is 95.6F, and hands are cold secondary to a history of peripheral vascular disease. It is reported that the patient has a latex allergy. What should the nurse do to quickly measure the patient’s oxygen saturation?
Signup and view all the answers
The patient is admitted with shortness of breath and chest discomfort. Which laboratory value could account for the patient’s symptoms?
Signup and view all the answers
A nurse reviews blood pressures of several patients. Which finding will the nurse report as prehypertension?
Signup and view all the answers
The nurse is providing a blood pressure clinic for the community. Which group will the nurse most likely address?
Signup and view all the answers
A nurse is caring for a patient who smokes and drinks caffeine. Which point is important for the nurse to understand before assessing the patient’s blood pressure (BP)?
Signup and view all the answers
When taking the pulse of an infant, the nurse notices that the rate is 145 beats/min and the rhythm is regular. How should the nurse interpret this finding?
Signup and view all the answers
The nurse is caring for an older-adult patient and notes that the temperature is 96.8F (36C). How will the nurse interpret this finding?
Signup and view all the answers
When assessing the temperature of newborns and children, the nurse decides to utilize a temporal artery thermometer. What is the rationale for the nurse’s action?
Signup and view all the answers
The nurse is caring for a small child and needs to obtain vital signs. Which site choice from the nursing assistive personnel (NAP) will cause the nurse to have confidence in the NAP?
Signup and view all the answers
The nurse is caring for a newborn infant in the hospital nursery and notices that the infant is breathing rapidly but is pink, warm, and dry. Which normal respiratory rate will the nurse consider when planning care for this newborn?
Signup and view all the answers
The nurse is preparing to obtain an oxygen saturation reading on a toddler. Which action will the nurse take?
Signup and view all the answers
The nurse is preparing to assess the blood pressure of a 3-year-old. How should the nurse proceed?
Signup and view all the answers
