Vital Signs Writing Paper
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1. A 52-year-old woman is admitted with dyspnea and discomfort
in her left chest with deep breaths. She has smoked for 35 years
and recently lost over 10 pounds. Her vital signs on admission
are: HR 112, BP 138/82, RR 22, tympanic temperature 36.8° C
(98.2° F), and oxygen saturation 94%. She is receiving oxygen
at 2 L via a nasal cannula. Which vital sign reflects a positive
outcome of the oxygen therapy?
1. Temperature: 37° C (98.6° F)
2. Radial pulse: 112
3. Respiratory rate: 24
4. Oxygen saturation: 96%
5. Blood pressure: 134/78
2. The licensed practice nurse (LPN) provides you with the
change-of-shift vital signs on four of your patients. Which
patient do you need to assess first?
1. 84-year-old man recently admitted with pneumonia, RR 28,
SpO2 89%
2. 54-year-old woman admitted after surgery for fractured
arm, BP 160/86 mm Hg, HR 72
3. 63-year-old man with venous ulcers from diabetes, temperature 37.3° C (99.1° F), HR 84
4. 77-year-old woman with left mastectomy 2 days ago, RR 22,
BP 148/62
3. A 56-year-old patient with diabetes admitted for communityacquired pneumonia has a temperature of 38.2° C (100.8° F)
via the temporal artery. Which additional assessment data are
needed in planning interventions for the patient’s infection?
(Select all that apply.)
1. Heart rate
2. Presence of diaphoresis
3. Smoking history
4. Respiratory rate
5. Recent bowel movement
6. Blood pressure in right arm
7. Patient’s normal temperature
8. Blood pressure in distal extremity
4. A 55-year-old widowed patient was in a motor vehicle accident
and is admitted to a surgical unit after repair of a fractured left
arm and left leg. She also has a laceration on her forehead. An
intravenous (IV) line is infusing in the right antecubital fossa,
and pneumatic compression stockings are on the right lower
leg. She is receiving oxygen via a simple face mask. What sites
do you instruct the nursing assistant to use for obtaining the
patient’s blood pressure and temperature?
1. Right antecubital and tympanic membrane
2. Right popliteal and right axillae
3. Left antecubital and oral
4. Left popliteal and temporal artery
Vital Signs Writing Paper Essay
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