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A nurse is preparing to measure a client's vital signs. The nurse should identify that which of the
following factors will affect the methods that are used? The client who has a BMI of 35The
client is reporting a "Stuffy" noseThe client is taking digoxin for an irregular heart rateThe client
had a mastectomy 2 years ago
A nurse is taking an adult client's temperature rectally. Which of the following actions should
the nurse take? Insert the probe about 2.5 cm (1inch) into the client's anus
A nurse is obtaining a client's vital signs. The client has a new onset of a temperature of 39 C
(102 F) Which of the following other vital signs should the nurse expect? An elevated pulse
rate
A nurse is preparing to auscultate a client's apical pulse a the point of maximal impulse (PMI). In
which of the following locations should the nurse position the stethoscope? Over the fifth
intercostal space at the left midclaviclular line.
A nurse is obtaining vital signs from a client. Which of the following findings is the priority for
the nurse to report to the provider? Respirations 30/min
A nurse is obtaining a client's vital signs. The client has a new onset of a temperature of 39
celsius (102 degrees f). Which of the following other vital signs should the nurse expect?
Elevated pulse rate
A nurse is collec Elevated pulse rate
A nurse is taking an adult client's temperature rectally. Which of of the following actions should
the nurse take? Insert the prob about 1.27 cm (0.5 in) into the client's anus