Hallmark final exam BSN-205 Questions and Answers 100% Pass

Hallmark final exam BSN-205 Questions and Answers 100% Pass Which of the follow would require a follow up? - Answer- An adult with respirtations of 10 breaths per minute Which of the following vital signs recorded for an older adult would be considered acceptable (within normal limits)? - Answer- Temp 97.0° F, P-60, R-16, BP 116/78, O2 sat 95%. Which of the following situations may affect a patients vital signs? - Answer- Time of day Moving from lying to a standing postion Pain rated as a 7 on a scale of 1-10 Why is it necessay to take a patients vital signs preoperatively? - Answer- To verify the patients not experiencing any complications To provide a set of vital signs for comparison during and after surgery. The NAP reports to the nurse a 65 year old patient's BP is 160/98. What is the appropriate initial response of the nurse? - Answer- Assess the patient's BP Which patient would it be appropriate for the nurse to delegate vital signs? - Answer- Elderly nursing home resident The nurse has delegated the task of temperature assessment to the NAP. Which information should be provided to the NAP? - Answer- -The type of temperature required -The frequency for taking or monitoring the temperature -What changes to report immediately to the nurse Who would you expect to have the lowest body temperature? A) A 16 year old who ran 1 mile B) An 80 year old who walked 1/2 mile C) A toddler who is febrile D) A child playing softball - Answer- B. An 80 year old who walked half a mile The NAP is preparing to measure a patient's vital signs. The patient reports having eaten a bowl of warm soup. The NAP asks the RN what he should do. What is the best response? A) "Ask the patient not to eat, drink, or smoke for 15 minutes and then assess the patient's oral temperature" B) "Since the soup was not hot, go ahead and take the patient's temperature." C) "Change to the red thermometer probe and take the patient's temperature rectally." D) "Take the patient's temperature using the axillary route and when you record the reading, add 1°F." - Answer- A) "Ask the patient not to eat, drink, or smoke for 15 minutes and then assess the patient's oral temperature For which patient would a tympanic thermometer be the preferred thermometer to use? A) A marathon runner who developed weakness during the race. B) A newborn in the intensive care unit that requires continuous temperature monitoring. C) A child who had tubes surgically placed in the ears. D) A tachypneic patient who is receiving oxygen by nasal cannula. - Answer- D) A tachypneic patient who is receiving oxygen by nasal cannula. Which of the following patients would need frequent assessment of their temperature? (Select all that apply.) A) A patient receiving a blood transfusion for chronic anemia B) An elderly patient who needs assistance with feeding and dressing C) A 43 year old female who has undergone a hysterectomy D) A child who is small for his age E) A 19 year old with a while blood cell count of 15,000/mm - Answer- A) A patient receiving a blood transfusion for chronic anemia A 43-year-old female who has undergone a hysterectomy. Correct E) A 19 year old with a while blood cell count of 15,000/mm The NAP reports that the patient's temperature is 39° C (102.2 °F). Which of the following are appropriate nursing actions? (Select all that apply.) A) Place the patient's feet in a tub of cool water with ice. B) Apply a hyperthermia blanket as ordered. C) Remove the patient's blankets. D) Limit the patient's fluid intakeE) Administer an antipyretic to th