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Terms in this set (15)
A nurse assess an oral temperature 1) Febrile 2) Hypothermia 3) Hypertension 4)
for an adult patient. The patient's Afebrile
temperature is 37.5C (99.5F). What --> Afebrile
term would the nurse use to report
this temperature
A nurse is assessing the vital signs of 1) A 4 month old infant whose temperature is 38.1C
patients who presented at the (100.5F)
emergency department. Based on 2) A 3yrs old who blood pressure is 118/80
the knowledge of age-related 3) A 9yr old whose temperature is 39C (102.2F)
variation sin normal vital signs, which 4) An adolescent whose pulse rate is 70bpm
patients would the nurse document 5) An adult whose respiratory rate is 20bpm
as having a normal vital sign? Select 6) A 72yr old whose pulse rate is 42bpm
all the apply --> 1,4,5, and 6
A patient who is febrile may lose 1) Evaporation 2) Convection 3) Radiation 4)
body heat through perspiration. The Conduction
nurse recognizes that this is an --> Evaporation
example of what mechanism of heat
loss?
, The rectal temperature, a cover 1) A newborn who has hypothermia
temperature, is considered to be one 2) A child who has pneumonia
of of the most accurate routes. In 3) An older patient who is post myocardial
which cases would taking a rectal infarction (heart attack)
temperature be contraindicated? 4) A teenager who has leukemia
Select all that apply 5) A patient receiving erythropoietin to replace red
blood cells
6) An adult patient who is newly diagnosed with
pancreatitis
--> 1, 3, 4, 5
While taking an adult patient's pulse, 1) Check the pulse again in 2 hours
a nurse finds the rate to be 140bpm. 2) Check the blood pressure
What should the nurse do next? 3) Record the information
4) Report the rate to the primary care provider
--> 4
A patient complains of severe 1) An increase in the pulse rate
abdominal pain. When assessing the 2) A decrease in body temperature
vital signs, the nurse would not be 3) A decrease in blood pressure
surprised to find the assessments? 4) An increase in respiratory depth
Select all that applies 5) An increase in respiratory rate
6) An increase in body temperature
--> 1, 5
The Nurses are taking apical-radial 1) Pulse deficit
pulse and not a difference in pulse 2) Pulse Amplitude
rate of 8bpm. The nurse would 3) Ventricular rhythm
document this difference as which of 4) Heart Arrhythmia
the following? --> 1