NUR336 NSO Module 03 Vital Signs Questions With
Complete Solutions
- age
- gender
- range of physical activity
- hydration status
- state of health Correct Answers Temperature range depends
on...
- anxiety for results
- external temperature & noise
- crowding
- time of day
- exercise
- emotions
- medications
- postural changes
- acute pain
- smoking
- disease
- food/liquid consumption
- odors
- fluid & electrolyte status Correct Answers Factors that effect
vital signs
- history of heart disease
- cardiac dysrhythmia
- onset of sudden chest pain or acute pain from any site
- invasive cardiovascular diagnostic tests
- surgery
,- sudden infusion of a large volume of IV fluid
- internal/external hemorrhage
- meds that alter cardiac function Correct Answers risk factors
for pulse alterations
- If the patient has dark nail polish on
- If the patient's fingertips are cold Correct Answers Which of
the following factors, if present, could affect the patient's pulse
oximetry (with a reusable digit probe)? (Select all that apply.)
- If the patient has dark nail polish on
- If the patient's fingertips are cold
- If the patient has an irregular heart beat
-History of cardiovascular disease
-Renal disease
-Diabetes
-Circulatory shock (hypovolemic, septic, cardiogenic, or
neurogenic)
-Acute or chronic pain
-Rapid intravenous (IV) infusion of fluids or blood products
-Increased intracranial pressure
-Postoperative status
-Pregnancy-induced hypertension Correct Answers risk factors
for blood pressure alteration
"Ask the patient not to eat, drink, or smoke for 20 minutes and
then assess the patient's oral temperature." Correct Answers
The NAP is preparing to measure a patient's vital signs. The
patient reports having eaten a bowl of warm soup. The NAP
asks the RN what he should do. What is the best response?
, 1. on admission
2. routine schedule (hospital, based on condition)
3. during home care visits
4. before, during, and after surgery
5. before, during, and after administration of meds or therapies
6. before doctor examines patient and after
7. before, during, & after transfusion
8. before, during, & after nursing interventions
9. when patient says they feel different
10. when patient's physical condition changes (LOC, pain)
Correct Answers When to take vital signs
2nd left ICS Correct Answers Pulmonic Valve
2nd right ICS Correct Answers Aortic Valve
3rd left ICS Correct Answers Erb's point
40% of the circumference of the midpoint of the limb on which
the cuff is used Correct Answers The width of the blood
pressure cuff should be...
5th ICS/left MCL Correct Answers PMI
60-100 bpm Correct Answers What is the normal pulse range
for an adult?
95° F (35°C) Correct Answers A 15-year-old male patient is
hypothermic. Which temperature reflects hypothermia?
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