BSN 205 Exam Questions and Answers 100% Pass

BSN 205 Exam Questions and Answers 100% Pass The NAP reports to the nurse the pts RR is 32 and the pt is complaining of SOB. What is the best action by the nurse at this time? - Answer- Assess the pt, including the pulse oximetry reading. Which pt is at high risk for the pulse oximetry alarm to sound? - Answer- A pt with a continuous pulse oximetry reading of 84% The nurse is ambulating the patient for the first time following the patient's lengthy time of being on bed rest. Which of the following would be an appropriate action by the nurse to determine the patient's activity tolerance? - Answer- Assess vital signs before and after ambulating the patient. You take a patient's vital signs on admission to the hospital. Why is it important to take vital signs at this time? - Answer- To obtain a baseline measurement for comparison with subsequent vital sign measurements You are preparing to take a patient's temperature. Which of the following factors may affect the patient's oral temperature reading? - Answer- If the patient has recently consumed a hot or cold beverage, If the patient has recently exercised, Warmth of the room, If the patient has recently smoked The NAP reports to you that a patient is "feeling different" and appears less alert. Your first action should be to: - Answer- Obtain the vital signs yourself. Which of the following patients is exhibiting abnormal vital sign values for their age? 1. Newborn: Temperature 98.6º F, pulse 130, respiration 35, mean BP 65/41, pulse oximetry 99% 2. Adolescent: Temperature 37º C, pulse 84, respiration 16, BP 110/65, pulse oximetry 100% 3. Adult: Temperature 96.7º F, pulse 55, respiration 24, BP 160/90, pulse oximetry 84% 4. Older adult: Temperature 96.8º F, pulse 98, respiration 12, BP 116/76, pulse oximetry 95% - Answer- Adult: Temperature 96.7º F, pulse 55, respiration 24, BP 160/90, pulse oximetry 84% You check the patient's baseline temperature reading and note that it was recorded as 98.6° F (37 °C). What would you expect the temperature reading to be if it was obtained using the rectal route? - Answer- 99.5° F (37.5 °C) You check the patient's temperature using the axillary route, and the thermometer reads 97.9° F (36.6 °C). Which of the following would be the most accurate documentation of the reading? - Answer- 97.9° F (36.6 °C) Ax Easy to read thermometer and provides results in 4 to 15 seconds - Answer- Electric thermometer Good thermometer for patients in isolation - Answer- Chemical thermometer Disposable thermometer - Answer- chemical thermometer Provides core temperature measurement in a patient with tachypnea - Answer- tympanic thermometer Sensor thermometer cover not required - Answer- temporal artery thermometer Often underestimates temperature - Answer- chemical thermometer Risk of transferring nosocomial Clostridium infections rectally; also expensive thermometer - Answer- Electronic thermometer Otitis media and cerumen can lead to false readings with this thermometer - Answer- tympanic thermometer Affected by skin moisture such as diaphoresis or sweating - Answer- Tem