A nurse is reviewing the vital signs for a group of clients obtained by an
assistive personnel. The nurse should identify that which of the following
clients requires a follow-up assessment due to bradycardia? - ANS ✓A young
adult who has a radial pulse rate of 56/min
A nurse is teaching a group of newly licensed nurses about vital sign
measurements. Which of the following factors should the nurse include in
the teaching? - ANS ✓Body temperature is typically lower in older adults.
A nurse is obtaining vital signs for a group of clients. Which of the following
findings requires intervention? - ANS ✓A 11-year old child who has a
respiratory rate of 34/min.
A nurse is reviewing the vital signs for a group of clients. Which of the
following clients should the nurse identify as exhibiting tachycardia? - ANS
✓A young adult who has an apical pulse rate of 104/min.
A charge nurse is teaching a group of assistive personnel (AP) about the
importance of documenting accurate vital signs. Which of the following
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information should the charge nurse include in the teaching? - ANS
✓Recording vital signs provides critical information regarding a client's
condition.
A nurse is preparing to obtain a young adult client's apical pulse. In which
of the following locations should the nurse place their stethoscope to
auscultate the client's pulse. - ANS ✓Apex of the heart.
A charge nurse is discussing mechanisms of loss of body heat with a newly
licensed nurse. Which of the following statements should the nurse
include? - ANS ✓"Radiation is the loss of body heat when a client is in close
proximity to a cooler surface."
A nurse is caring for a client who has a heart rate of 120/min. Which of the
following actions should the nurse take? - ANS ✓Instruct the client to bear
down like they are having a bowel movement.
A nurse is preparing an in-service about factors affecting respiratory rate
for a group of assistive personnel. Which of the following information
should the nurse include? - ANS ✓Fever can increase a client's respiratory rate.
A nurse is caring for a client who has an increase in cardiac afterload.
Which of the following findings should the nurse expect? - ANS ✓Increase in
blood pressure
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