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Week 3 BSN205
Vital Signs: Lesson 1 Post-Test
Question | Answer |
---|---|
Which of the following patients would require follow-up? | An adult with a respiratory rate of 10 breaths per minute. |
Which of the following vital signs recorded for an older adult would be considered acceptable (within normal limits)? | Temp 97.0° F (36.1 °C), P-60, R-16, BP 116/78, O2 sat 95%. |
The nurse has delegated the task of temperature assessment to the NAP. Which information should be provided to the NAP? (Select all that apply.) | What changes to report immediately to the nurse. The frequency for taking or monitoring the temperature. The type of temperature required. |
Which of the following situations may affect a patient's vital signs? (Select all that apply.) | Moving from lying to standing position. Time of day. Pain rated as a 7 on 0-10 pain scale. |
The nurse will take the patient's vital signs preoperatively and record them as part of the patient's preparation for surgery. Why is it necessary to take vital signs preoperatively? (Select all that apply.) | To provide a set of vital signs to use for comparison during and after surgery. To verify the patient is not experiencing any complications that may contraindicate surgery or require intervention. |
The NAP reports to the nurse a 65-year-old patient s blood pressure is 160/98. What is the appropriate initial response of the nurse? | Assess the patient s blood pressure. |
Which patient would it be appropriate for the nurse to delegate vital signs? | Elderly nursing home resident. |