NUR 29 Chap 20 Vital Signs

Front

The nursing assistant is caring for a client diagnosed with a bilateral ear infection and recent dental surgery. What method should the nursing assistant employ? Use:

Back

The temporal artery thermometer swept across the forehead.

Front

How is the spread of infection prevented when using an electronic thermometer?

Back

A new probe sheath is used with each measurement.

Front

What is meant by the term pulse rhythm?

Back

The pattern of the beats and the pauses

Front

The nursing assistant measures respirations that are irregular by:

Back

counting the number of respirations for 1 full minute.

Front

The nursing assistant is caring for a client lying in bed who suddenly develops dyspnea with respirations 28 breaths per minute. What action should the nursing assistant take first?

Back

Raise the head of the bed.

Front

When a blood pressure measurement needs to be repeated to assure an accurate measurement, the nursing assistant will:

Back

fully deflate the cuff and wait 1 full minute before reinflating it.

Front

When taking a person’s blood pressure, how should the person’s arm be positioned? Options: Higher than the heart with the palm facing down, Lower than the heart with the palm facing down, Higher than the heart with the palm facing up, Level with the heart with the palm facing up

Back

Level with the heart with the palm facing up

Front

The nursing assistant (NA) prepares to take the blood pressure (BP) of a client returning from dialysis. Which action by the NA requires further intervention? Options: Waiting 5 minutes for the client to rest after returning to their chair, Asking the client to keep legs uncrossed and feet flat on the floor, Placing the cuff below the dialysis access point in the right arm, Determining the correct size BP cuff to use on the client

Back

Placing the cuff below the dialysis access point in the right arm

Front

What effect does hypertension have on the human body?

Back

The heart is forced to work much harder than is healthy.

Front

The nursing assistant collects a client’s vital signs and the client has a “thready pulse” with a rate of 45. What is the first action for the nursing assistant to take?

Back

Notify the nurse immediately about the situation.