BSN206 - Vital Signs ISB
a. Assess vital signs before and after ambulating the patient.
Vital signs should be taken before and after ambulation to compare the readings for
change to determine activity tolerance. - answerThe 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?
a. Assess vital signs before and after ambulating the patient.
b. Assess vital signs before ambulating the patient to see if the patient is ready.
c. Assess vital signs after ambulating the patient to see if they are out of normal range.
d. Determine the patient tolerates activity if the patient does not fall.
b. Obtain a complete set of vital signs.
The nurse should assess the patient including obtaining vital signs. - answerThe UAP
(unlicensed personnel) reports to the nurse that the patient complains of "feeling funny."
Which of the following would be an appropriate initial action made by the nurse?
a. Notify the health care provider.
b. Obtain a complete set of vital signs.
c. Document the patient's complaint.
d. Review the patient's medications.
b. To obtain a baseline measurement for comparison with subsequent vital sign
measurements
You should always obtain a baseline measurement of vital signs on first contact with a
patient to provide a means for comparison with subsequent vital sign measurements. -
answerYou take a patient's vital signs on admission to the hospital. Why is it important
to take vital signs at this time?
a. To complete the routine paperwork of the admission process
b. To obtain a baseline measurement for comparison with subsequent vital sign
measurements
c. To determine how the experience of being hospitalized is affecting the patient
d. To provide accuracy in measurement before the task is delegated to NAP for future
assessment
1, 3, 4, 5
a. Assess vital signs before and after ambulating the patient.
Vital signs should be taken before and after ambulation to compare the readings for
change to determine activity tolerance. - answerThe 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?
a. Assess vital signs before and after ambulating the patient.
b. Assess vital signs before ambulating the patient to see if the patient is ready.
c. Assess vital signs after ambulating the patient to see if they are out of normal range.
d. Determine the patient tolerates activity if the patient does not fall.
b. Obtain a complete set of vital signs.
The nurse should assess the patient including obtaining vital signs. - answerThe UAP
(unlicensed personnel) reports to the nurse that the patient complains of "feeling funny."
Which of the following would be an appropriate initial action made by the nurse?
a. Notify the health care provider.
b. Obtain a complete set of vital signs.
c. Document the patient's complaint.
d. Review the patient's medications.
b. To obtain a baseline measurement for comparison with subsequent vital sign
measurements
You should always obtain a baseline measurement of vital signs on first contact with a
patient to provide a means for comparison with subsequent vital sign measurements. -
answerYou take a patient's vital signs on admission to the hospital. Why is it important
to take vital signs at this time?
a. To complete the routine paperwork of the admission process
b. To obtain a baseline measurement for comparison with subsequent vital sign
measurements
c. To determine how the experience of being hospitalized is affecting the patient
d. To provide accuracy in measurement before the task is delegated to NAP for future
assessment
1, 3, 4, 5
