ATI ENGAGE FUNDAMENTALS: VITAL SIGNS
ATI ENGAGE FUNDAMENTALS: VITAL SIGNS A nurse is reviewing documentation of vital signs by a newly licensed nurse. Which of the following pieces of documentation is correct? A. Pulse 52/min B. Respiratory rate 24 C. SaO2 97% right index finger, room air D. Blood pressure 132/86 mm Hg - correct answer C. SaO2 97% right index finger, room air The nurse should identify that this documentation is thorough and complete and does not require any additional information. The information provided includes the measurement, the site used, and that the client is not on oxygen. A nurse is planning care for a group of clients and is delegating to the assistive personnel (AP) to take the clients' vital signs. For which of the following clients should the nurse obtain the vital signs rather than the AP? A. A client who just received the fourth dose of an antibiotic for an infection B. A client who has heart failure and is scheduled for discharge later in the day C. A client who is 24 hr postoperative and is visiting with friends D. A client who was recently admitted and reports chest pain - correct answer D. A client who was recently admitted and reports chest pain The nurse should identify that a new onset of chest pain is an acute change in condition. The nurse should not delegate this task to the AP. Once the client is stable, the nurse can delegate subsequent measurement of vital signs to an AP. A nurse is caring for a client who has an increase in cardiac output. Which of the following findings should the nurse expe
Escuela, estudio y materia
- Institución
- ATI Fundamentals
- Grado
- ATI Fundamentals
Información del documento
- Subido en
- 27 de enero de 2024
- Número de páginas
- 24
- Escrito en
- 2023/2024
- Tipo
- Examen
- Contiene
- Preguntas y respuestas
Temas
- ati engage fundamentals
- ati vital signs
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ati engage fundamentals vital signs