Questions and Answers | A+ Score
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The nurse is reviewing vital signs obtained as part of a community health
fair. Which patient would be referred for follow-up based on the patient's
vital signs?
Patient 1:
Temp: 98.9 F (37.1 C)
Pulse: 84 BPM
BP: 128/74
Pulse Ox on room air: 98%
Patient 2:
,Temp: 97.5 F (36.3 C)
Pulse: 92 BPM
BP: 116/78
Pulse Ox on room air: 95%
Patient 3:
Temp: 99.1 F (37.2 C)
Pulse: 78 BPM
BP: 108/70
Pulse Ox on room air: 97%
Patient 4:
Temp: 98.2 F (36.7 C)
Pulse: 94 BPM
BP: 136/86
Pulse Ox on room air: 95% - 🧠 ANSWER ✔✔Patient 4
The nurse is admitting a stable patient for a minor outpatient procedure.
Which site would the nurse most commonly use to assess pulse rate?
,A. Temporal
B. Popliteal
C. Brachial
D. Radial - 🧠 ANSWER ✔✔D
The unlicensed assistive personnel reports a patient's vital signs to the
nurse: oral temperature of 37.3 C (99.2 F), pulse of 88 BPM and regular,
respirations of 18 BPM and regular, blood pressure of 178/112 mm Hg, and
oxygen saturation of 96%. Based on these cues, which vital sign should the
nurse be most concerned about?
A. Temperature
B. Pulse
C. Respirations
D. Blood Pressure - 🧠 ANSWER ✔✔D
From the nurse's understanding, which statements regarding temperature
and heat production in the body are accurate? (Select all that apply.)
A. Heat generates energy for cellular functions
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, B. Hormones, such as thyroid hormones, decrease metabolism and heat
production.
C. Exercise decreases heat production through muscular activity.
D. Expected temperature readings vary by the route selected for
measurement.
E. Women tend to have more fluctuations in temperature than do men. - 🧠
ANSWER ✔✔A, D, E
The nurse is performing an initial assessment of a patient with a severe
infection at hospital admission. Vital signs for the patient indicate
hypotension and tachycardia. Which data would support this evaluation?
A. Pulse 78, BP 140/88
B. Pulse 86, BP 120/76
C. Pulse 100, BP 118/68
D. Pulse 114, BP 88/56 - 🧠 ANSWER ✔✔D
The nurse places a patient with a high fever on a cooling blanket. How is
heat loss achieved with this treatment?
A. Radiation