The nurse is performing a general survey. Which action is a component of the general survey?
a.
Observing the patients body stature and nutritional status
b.
Interpreting the subjective information the patient has reported
c.
Measuring the patients temperature, pulse, respirations, and blood pressure
d.
Observing specific body systems while performing the physical assessment - Answers A
When measuring a patients weight, the nurse is aware of which of these guidelines?
a.
The patient is always weighed wearing only his or her undergarments.
b.
The type of scale does not matter, as long as the weights are similar from day to day.
c.
The patient may leave on his or her jacket and shoes as long as these are documented next to the
weight.
d.
Attempts should be made to weigh the patient at approximately the same time of day, if a sequence of
weights is necessary. - Answers D
, A patients weekly blood pressure readings for 2 months have ranged between 124/84 mm Hg and
136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse knows that this blood pressure
falls within which blood pressure category?
a.
Normal blood pressure
b.
Prehypertension
c.
Stage 1 hypertension
d.
Stage 2 hypertension - Answers B
A patients weekly blood pressure readings for 2 months have ranged between 124/84 mm Hg and
136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse knows that this blood pressure
falls within which blood pressure category?
a.
Normal blood pressure
b.
Prehypertension
c.
Stage 1 hypertension
d.
Stage 2 hypertension - Answers A