vital signs test

A nurse is preparing an in-service about vital signs for a group of newly hired assistive personnel. Which of the following information should the nurse include about measuring body temperature?

Oral temperature is easily accessible despite a client's position

A nurse is caring for a client who has an increase in cardiac afterload. Which of the following findings should the nurse expect?

Increase in blood pressure

A nurse is discussing the use of a client's thigh for blood pressure measurement with an assistive personnel (AP). Which of the following information should the nurse include?

Use the thigh to obtain blood pressure when a client has severe edema in their arms

A nurse is reviewing the vital signs of four clients. The nurse should identify that which of the following clients has a vital sign outside of the expected reference range?

A 23-year-old client who runs marathons and has a blood pressure of 82/54 mm Hg

A nurse is reviewing the vital signs for a group of clients obtained by an assistive personnel. The nurse should identify that which of the following clients requires a follow-up assessment due to bradycardia?

A young adult who has a radial pulse of 56/min

A nurse is teaching a group of newly licensed nurses about vital sign measurements. Which of the following factors should the nurse include in the teaching?

Body temperature is typically lower in older adults

A charge nurse is providing an in-service for a group of nurses about cardiac output. Which of the following statements should the nurse include?

Cardiac output is the amount of blood flow through the heart in 1 minute

A nurse is preparing an in-service about factors affecting respiratory rate for a group of assistive personnel. Which of the following information should the nurse include?

Fever can increase a client's respiratory rate

A nurse is reviewing blood flow through the heart with a group of assistive personnel. The nurse should identify that blood flows to which of the following parts of the heart as it leaves the right ventricle?

Pulmonary artery

A nurse is caring for a recently admitted client and as part of the plan of care, two nurses obtained simultaneous pulse rates. The client's auscultated apical pulse was 106/min and the palpated radial pulse was 93/min. The nurse should document the findings as which of the following?

Pulse deficit of 13/min

A nurse is reviewing the vital signs obtained by an assistive personnel at 1200. For which of the following clients should the nurse plan to interview?

Toddler who has a respiratory rate of 44/min

A nurse is evaluating the effectiveness of interventions used for clients who had alterations in vital signs. Which of the following clients' vital signs indicate that interventions were effective? (SATA)

- A preschooler who was exhibiting tachypnea 2 hr postoperative and now has alterations in vital signs -An older client who has bradycardia while sleeping and now an apical pulse rate of 66/min - A young adult who had hypotension after receiving an opioid analgesic and now has a blood pressure of 98/68 mm Hg