Week 2 NR 224 Nursing Skill: Vital Signs EDAPT Test Questions and Answers Updated.

When determining the best site for blood pressure measurement, which scenarios require the nurse to choose an alternative site? - Answer -an arteriovenous shunt is present -intravenous fluids infusing in right forearm -mastectomy on left side The nurse knows using a blood pressure cuff that is too ---- can lead to a false ---- reading - Answer wide, low When assessing the oral temperature of an adult client, which findings indicate an alternate route is needed? - Answer -the client has eaten within the last 20 minutes -a hot or cold beverage consumed in the last 20 minutes -the client is chewing gum the client smoked in the last 20 minutes Upon review of the client's chart, which site/method of temperature measurement would you avoid for this client? - Answer rectal Review the table below. Mark each supply as indicated for performing vital signs return - Answer INDICATED - pulse oximeter - disinfectant wipes - watch with second hand - stethoscope NOT INDICATED - penlight - betadine Reflect on the vital signs video and CASE Moments video clips you just watched. Utilize your critical thinking and clinical judgement to determine what you should do if the following things occur. Match the situation with the nursing action to take. - Answer Client has an arteriovenous shunt on their left arm: Find an alternate site to measure blood pressure.