When to measure vitals - Study guides, Class notes & Summaries

ATI Fundamentals Proctored Exam | Fundamentals ATI Proctored Exam 2023 1. A nurse is caring for a client who has left lower atelectasis. in which of the following positions should the nurse place the client for postural drainage? a. Supine and low-Fowler's position b. Right lateral in Trendelenburg position c. Side lying with the right side of the chest elevated d. Prone with pillows under the extremities 2. A nurse is caring for a client who is scheduled to have his alanine ...

TNCC 9th Edition final exam test 100 questions with correct and verified answers. Graded A+ 1. You are caring for a patient who was thrown from a bike and was not wearing a helmet. While performing the head-to-toe assessment, you note clear drainage from the right ear. Which of the following is the most appropriate next step? A. Clean the ear with a cotton-tipped applicator. B. Pack the ear with gauze. C. Notify the physician D. Document and continue the exam. - Correct answer C. Not...

Pediatric triangle appearance work of breathing circulation to skin General appearance considerations Tone Interactiveness: drawn to sounds or people. Wants to play Consolability Look/Gaze Speech/cry Work of breathing: Increased work of breathing evidenced by tachypnea, stridor, grunting, retractions, accessory musles, nasal flaring, head bobbing, abnormal positioning Circulation to Skin Observe palor mottling cyanosis Sick, Sicker, Sickest Sick: no disru...

A man has a knife impaled at the fourth intercostal space, left sternal border. He is pulseless and not breathing. You should: - Answer Remove the knife from the chest An adult was pinned between two vehicles. He is conscious but confused and unable to follow commands. He has bruising on both sides of his anterior chest. He has a weak carotid pulse, no peripheral pulses, clear breath sounds in all fields, and distended neck veins. You should suspect: - Answer Pericardial tamponade A patien...

NSG 6340 PREDICTOR STUDY GUIDE 2 1. A 37-year-old female patient with a history of a single episode of depression and frequent complaints of PMS is being treated for hypothyroidism. Today she complains of poor concentration and fatigue. Initially, the NP should: a. Question her further 3. Which of the following is an example of secondary prevention? a. Annual influenza vaccination 7. A 35-year old female with a history of mitral valve prolapse is scheduled for routine dental cleaning. Accor...

TEST BANK FOR INTRODUCTION TO CLINICAL PHARMACOLOGY 10TH EDITION By Constance Visovsky, Cheryl Zambroski, Shirley Hosler | Complete 2023-2024. The LPN/VN is assessing a patient before giving a drug for blood pressure management. The nurse notes the blood pressure to be 90/50 mm Hg. What is the nurse’s best action? a. Hold the drug and report the blood pressure to the RN. b. Give the patient a full glass of water before giving the drug. c. Come back in 30 minutes and recheck the blood press...

TNCC test 2023 final exam with 100% correct answers Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c - CORRECT ANSWER-a) to measure oxygenation and ventilation b) to quantify the base deficit for the adequacy of cellular perfusion c) *to gauge end-organ perfusion and tissue hypoxia ** d) to determine the underlying cause of shock A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP 10...

Fracture left hip - Answer- - Manifestations: pain in hip/groin, bruising at hip, pain on movement, muscle spasms - Bucks traction (temporary to relieve pain, reduce muscle spasm and immobilize) - use is not routine - Surgery is usually done to reduce and fixate the fracture - Care is similar to that of a patient undergoing other orthopedic surgery or hip replacement surgery Care of Hip fracture - Health history and presence of concomitant problems - Pain - VS, respiratory status, LOC, a...

Maternity and Pediatrics HESI Review 3 Latest Update 2023/2024 (All New Questions Included) Maternity and Pediatrics HESI Review 3 Mother of a preschool-aged child calls school RN to report her child was bitten by a tick while on a school outing last wk. Mother tells RN she removed tick & flushed it down toilet. What action should school RN take? Schedule test for Lyme disease if rash appears. Dr. prescribes phenytoin (Dilantin) for school-aged child diagnosed with tonic-clonic epileps...

Nursing 220-Exam 1 with Questions and Answers Four Vital Signs ANSWER -temperature -pulse -respiratory rate -blood pressure 5th vital sign ANSWER pain normal temperature ranges for adults ANSWER 36-38 celcius ot 96.8 to 100.4 F influencing factors of temperature ANSWER -age -exercise -hormones -environment -stress where to measure temperature ANSWER -oral -rectal -tymphanic membrane (ear) when to measure vitals ANSWER -on admission -during assessments -doctors orders...