BSN205 Hallmark- Vital Signs ISB EXAM WITH
COMPLETE QUESTIONS AND CORRECT VERIFIED
ANSWERS (DETAILED ANSWERS) ALREADY GRADED A+
100% GUARANTEED TO PASS CONCEPTS!!
Normal respiratory rates - ✔✔ANSWER✔✔->>>>>>>>newborn
is 30 to 60 breaths per minute.
child is 20 breaths per minute.
teenager is 16 to 20 breaths per minute.
adult is 12 to 20 breaths per minute.
A rate of 10 would require follow-up.
Normal adult vital signs - ✔✔ANSWER✔✔-
>>>>>>>>temperature 36° C (96.8° F)
heart rate 60 to 100 beats per minute
respiratory rate 16 to 25 breaths per minute
,average BP less than 120 over 80
pulse oximetry 95% to 100%.
The nurse has delegated the task of temperature assessment to
the NAP. Which information should be provided to the NAP? -
✔✔ANSWER✔✔->>>>>>>>The type of temperature required.
The frequency for taking or monitoring the temperature.
What changes to report immediately to the nurse.
Which patient would it be appropriate for the nurse to delegate
vital signs? - ✔✔ANSWER✔✔->>>>>>>>The nurse may delegate
routine vital signs of stable patients. Obtaining a baseline upon
admission or transfer patient should be completed by the
nurse. If a patient has a change in condition, such as a headache
which could be reflective of hypertension, the nurse should
assess the patient's vital signs.
Which person would be expected to have the lowest body
temperature? - ✔✔ANSWER✔✔->>>>>>>>The 80 year old
would have the lower starting body temp.
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? -
✔✔ANSWER✔✔->>>>>>>>The temperature of food or liquid
could impair the accuracy of the reading. The NAP should ask
the patient not to eat, drink, or smoke for 20 minutes and then
assess the oral temperature.
Taking a rectal temperature can be needlessly embarrassing and
uncomfortable for the patient. Although the axillary route could
be used, it is less accurate than the oral route. Furthermore,
when recording an axillary temperature reading, the site is
documented, but the reading itself is unchanged.
For which patient would a tympanic thermometer be the
preferred thermometer to use? - ✔✔ANSWER✔✔->>>>>>>>An
advantage to the tympanic thermometer is that it can be used
for tachypneic patients.
The tympanic thermometer is contraindicated in patients who
have had surgery of the ear or tympanic membrane and does
not accurately measure core temperature after exercise. A
continuous measurement cannot be obtained with the
tympanic thermometer.
Which of the following patients would require frequent
assessment of their temperature? - ✔✔ANSWER✔✔-
>>>>>>>>An adult female in the recovery room following a
hysterectomy.
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