Hallmark Final Examination BSN-205

Hallmark Final Examination BSN-205 Which of the follow would require a follow up? - answer-An adult with respirtations 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, P-60, R-16, BP 116/78, O2 sat 95%. Which of the following situations may affect a patients vital signs? - answer-Time of day Moving from lying to a standing postion Pain rated as a 7 on a scale of 1-10 Why is it necessay to take a patients vital signs preoperatively? - answer-To verify the patients not experiencing any complications To provide a set of vital signs for comparison during and after surgery. The NAP reports to the nurse a 65 year old patient's BP is 160/98. What is the appropriate initial response of the nurse? - answer-Assess the patient's BP Which patient would it be appropriate for the nurse to delegate vital signs? - answer-Elderly nursing home resident The nurse has delegated the task of temperature assessment to the NAP. Which information should be provided to the NAP? - answer--The type of temperature required -The frequency for taking or monitoring the temperature -What changes to report immediately to the nurse Who would you expect to have the lowest body temperature? A) A 16 year old who ran 1 mile B) An 80 year old who walked 1/2 mile C) A toddler who is febrile D) A child playing softball - answer-B. An 80 year old who walked half a mile 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?