ATI virtual scenario : vital signs Exam Questions with Correct Answers 100% Verified|
Guaranteed Success
What should you do if a clients temperature is above the expected reference range? Select all
that apply N/A
- blood pressure cuff size Large (16x36)
Give instructions Lean forward so you can rest your arm on your knee
Blood pressure reading 108/60
things that elevate BP -caffeine
- alcohol
- smoking tobacco
- talking during a reading
Pulse rate 68
Action - check apical pulse
Action Get another nurse to double check HR
Action Done asking questions
Apical pulse location Mid clavicular line, 5th intercostal space 1st image
Guaranteed Success
What should you do if a clients temperature is above the expected reference range? Select all
that apply N/A
- blood pressure cuff size Large (16x36)
Give instructions Lean forward so you can rest your arm on your knee
Blood pressure reading 108/60
things that elevate BP -caffeine
- alcohol
- smoking tobacco
- talking during a reading
Pulse rate 68
Action - check apical pulse
Action Get another nurse to double check HR
Action Done asking questions
Apical pulse location Mid clavicular line, 5th intercostal space 1st image
