Exam 10: General Survey, measurement, and Vital Signs

When auscultating the BP of a 25-year-old,the nurse finds that the phase I Korotkoff's sounds begin at 200 mm Hg.At 100 mm Hg,the Korotkoff's sounds become muffled,and at 92 mm Hg,they disappear.How should the nurse record this patient's BP?

When performing a general survey,the examiner is:

A patient is at the clinic complaining of "fainting episodes that started last week." How should the nurse proceed with the examination?

When counting an infant's respirations,the nurse will:

A 1-month-old infant has a head circumference of 34 cm (13.5 in. )and a chest circumference of 32 cm (12.5 in. ).The nurse would:

Cellular metabolism requires a stable core temperature that is achieved by a balance between heat production and heat loss.Which of the following is a mechanism of heat loss in the body?

The nurse is assessing the vital signs of a 20-year-old marathon runner and documents the following vital signs: temperature 36°C;pulse 50 beats per minute (bpm);respirations 14 breaths per minute;BP 104/68 mm Hg.Which of the following statements about these results is true?

Which of the following factors helps determine BP?

A 75-year-old man has a history of hypertension and was recently prescribed a new antihypertensive drug.He reports feeling dizzy at times.How should the nurse evaluate his BP?

When assessing a patient's pulse,which of the following characteristics should the nurse note?

When measuring the temperature of older adults,the nurse remembers that an older adult's body temperature:

During an examination,the nurse notes that a female patient has a round "moon" face,central trunk obesity,and a cervical hump.Her skin is fragile and has bruises.Which of the following conditions does the nurse note in this patient?

Which of the following statements about measurement of BP is true?

When assessing an 80-year-old male patient,which of the following findings would be considered normal?

A 4-month-old child is at the clinic for a well-baby checkup and immunizations.Which of the following actions is most appropriate when the nurse is assessing an infant's vital signs?

The nurse has collected the following information on a patient: BP 170/100 mm Hg;apical pulse 60 bpm;radial pulse 70 bpm.What is the patient's pulse pressure?

Which of the following statements about vital sign measurements in older adults is true?

Which of the following statements about use of the TMT is true?

Which of the following describes the correct technique the nurse should use when measuring oral temperature with a mercury thermometer?

The nurse notices that a colleague is about to check the BP of an obese patient with a standard-sized BP cuff.The nurse should expect the reading to: