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, Meditation
A 40-year-old client who comes to the clinic for a routine physical exam asks the nurse how much
exercise is recommended for a healthy lifestyle. Which answer is most appropriate?
Vigorous activity for 25 minutes three days a week
The client’s temperature at 8:00 a.m. using an oral electronic thermometer is 36.1°C (97.2°F). If the
respiration, pulse, and blood pressure were within normal range, what would the nurse do next?
Check what the client's temperature was the last time it was taken.
Which client meets the criteria for selection of the apical site for assessment of the pulse rather than
a radial pulse?
A client with an arrhythmia
When the nurse enters a client’s room to measure routine vital signs, the client is on the phone.
What technique should the nurse use to determine the respiratory rate?
Since there is no evidence of distress or urgency, postpone the measurement until later.
For a client with a previous blood pressure of 138/74 mmHg and pulse of 64 beats/min,
approximately how long should the nurse take to release the blood pressure cuff in order to obtain
an accurate reading?
30-45 seconds
It would be appropriate to assign the taking of vital signs of which client to assistive personnel?
A client being prepared for elective facial surgery with a history of stable hypertension
An 85-year-old client has had a stroke resulting in right-sided facial drooping, difficulty swallowing,
and the inability to move self or maintain position unaided. The nurse determines that which sites
are most appropriate for taking the temperature? Select all that apply.
Rectal
Axillary
Tympanic
A nursing diagnosis of impaired perfusion of peripheral tissue would be validated by which one of
the following?