Vital Signs Discussion Paper
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5. A patient has been transferred to your unit from the respiratory
intensive care unit, where he has been for the past 2 weeks recovering from pneumonia. He is receiving oxygen via 4 L nasal cannula.
His respiratory rate is 26 breaths/min, and his oxygen saturation
is 92%. In planning his care, which information is most helpful
in determining your priority nursing interventions?
1. Activity order
2. Medication list
3. Baseline vital signs
4. Patient’s perception of dyspnea
6. During a patient’s routine annual physical, she tells you that she
has noted that her heart feels like it’s “racing,” usually in the later
morning, early afternoon, or just before she goes to bed. Her
radial pulse rate is 68 beats/min and regular; her blood pressure
is 134/82 mm Hg. What additional information is helpful in
evaluating the patient’s racing heart? (Select all that apply.)
1. Dietary habits
2. Medication list
3. Exercise regimen
4. Age, weight, and height
7. You observe a nursing student taking a blood pressure (BP) on
a patient. The patient’s BP range over the past 24 hours is
132/64 to 126/72 mm Hg. The student used a BP cuff that was
too narrow for the patient. Which of the following BP readings
made by the student is most likely caused by the incorrect
choice of BP cuff?
1. 96/40 mm Hg
2. 110/66 mm Hg
3. 130/70 mm Hg
4. 156/82 mm Hg
8. As you are obtaining the oxygen saturation on a 19-year-old
college student with severe asthma, you note that she has black
nail polish on her nails. You remove the polish from one nail,
and she asks you why her nail polish had to be removed. Your
best reply is:
1. Nail polish attracts microorganisms and contaminates the
finger sensor.
2. Nail polish increases oxygen saturation.
3. Nail polish interferes with sensor function.
4. Nail polish creates excessive heat in sensor p
9. A patient has been hospitalized for the past 48 hours with
a fever of unknown origin. His medical record indicates
tympanic temperatures of 38.7° C (101.6° F) (0400), 36.6° C
(97.9° F) (0800), 36.9° C (98.4° F) (1200), 37.6° C (99.6° F)
(1600), and 38.3° C (100.9° F) (2000). How would you describe
this pattern of temperature measurements?
1. Usual range of circadian rhythm measurements
2. Sustained fever pattern
3. Intermittent fever pattern
4. Resolving fever pattern
Vital Signs Discussion Paper Essay
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