latest u pdated ver sion w ith exper t
cu r ated qu estions and answ er s |
GUARANTEED SUCCESS
Which of the following patients would require follow-up? - answer
An adult with a respiratory rate 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 (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%
The nurse has delegated the task of temperature assessment to the
NAP. Which information should be provided to the NAP? -
answer What changes to report immediately to the nurse.
The frequency for taking or monitoring the temperature.
The type of temperature required.
Which of the following situations may affect a patient's vital
signs? - answer Moving from lying to standing position.
Pain rated as a 7 on 0-10 pain scale.
Time of day.
, The nurse will take the patient's vital signs preoperatively and
record them as part of the patient's preparation for surgery. Why
is it necessary to take vital signs preoperatively? - answer To
verify the patient is not experiencing any complications that may
contraindicate surgery or require intervention.
To provide a set of vital signs to use for comparison during and
after surgery.
The NAP reports to the nurse a 65-year-old patient s blood
pressure is 160/98. What is the appropriate initial response of the
nurse? - answer Assess the patient s blood pressure.
Which patient would it be appropriate for the nurse to delegate
vital signs - answer Elderly nursing home resident
Which person would be expected to have the lowest body
temperature - answer An 80-year-old who walked half a mile
80-year-old would have a lower starting temperature and
therefore, would most likely have the lowest body temperature
although it may take longer to return to baseline after exercise.
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 - answer Ask