TEST BANK FOR ESSENTIALS FOR NURSING PRACTICE 8TH EDITION BY POTTER

Chapter 15: Vital Signs Potter: Essentials for Nursing Practice, 8th Edition MULTIPLE CHOICE 1.The nursing student is obtaining the patients vital signs. The patient has gone to the clinic seeking help because she is having chest pain. Which of the following vital signs are most important to obtain? a. Temperature, pulse, respirations b. Temperature, pulse, respirations, oxygen saturation c. Temperature, pulse, respirations, blood pressure, oxygen saturation d. Temperature, pulse, respirations, blood pressure, oxygen saturation, pain ANS: D The cardinal vital signs are temperature, pulse, respiration, blood pressure, and oxygen saturation. A sixth vital sign, assessment of pain, is a standard of care in health care settings. Frequently pain and discomfort are the signs that lead a patient to seek health care. Therefore assessing a patients pain helps a nurse understand the patients clinical status and progress. PTS: 1 DIF: Cognitive Level: Understanding (Comprehension) REF:270 OBJ:Accurately assess body temperature, pulse, respiration, oxygen saturation, and blood pressure.TOP:Nursing Process: Diagnosis MSC: NCLEX: Management of Care 2.Upon a patients admission to the nursing unit, the registered nurse delegated to the nursing assistive personnel to take her vital signs. What is the registered nurses responsibility regarding delegating this task? a. This is inappropriate delegation; the nurse should always take the vital signs b. Have the NAP repeat the measurement if vital signs appear abnormal. c. The nurse should review and interpret the vital sign measurements.