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Verified Answers | 100% Correct | Grade
A - Nightingale
Which of the following patients would require follow-up? - ANSWER
An adult with a respiratory rate of 10 breaths per minute.
Which of the following vital signs recorded for an older adult would be considered
acceptable (within normal limits)? - ANSWER Temp 97.0° F
(36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%
The nurse has delegated the task of temperature assessment to the NAP. Which
information should be provided to the NAP? - ANSWER What
changes to report immediately to the nurse.
The frequency for taking or monitoring the temperature.
The type of temperature required.
Which of the following situations may affect a patient's vital signs? - ANSWER
Moving from lying to standing position.
Pain rated as a 7 on 0-10 pain scale.
Time of day.
The nurse will take the patient's vital signs preoperatively and record them as part
of the patient's preparation for surgery. Why is it necessary to take vital signs
preoperatively? - ANSWER To verify the patient is not
experiencing any complications that may contraindicate surgery or require
intervention.
, To provide a set of vital signs to use for comparison during and after surgery.
The NAP reports to the nurse a 65-year-old patient s blood pressure is 160/98.
What is the appropriate initial response of the nurse? - ANSWER
Assess the patient s blood pressure.
Which patient would it be appropriate for the nurse to delegate vital signs -
ANSWER Elderly nursing home resident
Which person would be expected to have the lowest body temperature -
ANSWER An 80-year-old who walked half a mile
80-year-old would have a lower starting temperature and therefore, would most
likely have the lowest body temperature although it may take longer to return to
baseline after exercise.
The NAP is preparing to measure a patient's vital signs. The patient reports having
eaten a bowl of warm soup. The NAP asks the RN what he should do. What is the
best response - ANSWER Ask the patient not to eat, drink, or
smoke for 20 minutes and then assess the patient's oral temperature.
The temperature of food or liquid could impair the accuracy of the reading.
For which patient would a tympanic thermometer be the preferred thermometer to
use - ANSWER A tachypneic patient who is receiving oxygen by
nasal cannula.