Exam 10: General Survey, measurement, and Vital Signs

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When assessing the pulse of a 6-year-old boy,the nurse notes that his heart rate varies with his respiratory cycle,speeding up at the peak of inspiration and slowing to normal with expiration.The nurse would:

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The nurse is taking the initial BP on a 72-year-old patient with documented hypertension.How should the nurse proceed?

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Which of the following is true about checking for proper BP cuff size?

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When measuring a patient's weight,which of the following does the examiner keep in mind?

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The nurse is preparing to measure the vital signs of a 6-month-old infant.The nurse will:

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When assessing an older adult,which of the following vital sign changes should be considered to occur with aging?

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Which of the following specific measurements is the best index of a child's general health?

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In which of the following patients should the nurse measure rectal temperatures?

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When measuring the radial pulse of a patient,the nurse should count the pulse:

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This is a 52-year-old patient's third visit for monitoring of his BP.His weekly BP readings over 2 months have ranged between 124/84 and 134/82 mm Hg,with an average reading of 128/82 mm Hg.Into which BP category does this BP fall?

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When assessing a 75-year-old patient with asthma,the nurse notes that he assumes the tripod position,leaning forward with arms braced on the chair.On the basis of this observation,the nurse would:

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A 60-year-old male patient has been treated for pneumonia for the past 6 weeks.He is in the clinic to check an "unexplained" weight loss of 4.5 kg (2 lb)over the last 6 weeks.The nurse knows that:

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The nurse is assessing the vital signs of a 3-year-old patient who appears to have an irregular respiratory pattern.How should the nurse assess this child's respirations?

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When measuring a patient's body temperature,the nurse keeps in mind that body temperature is influenced by:

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Which of the following situations will result in a falsely high BP reading? (Select all that apply. )

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Physical growth is the best index of a child's:

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Which of the following best describes mean arterial pressure (MAP)?

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To accurately measure the rectal temperature in an adult,the nurse would:

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Which of the following statements about the force,or strength,of the pulse is true?

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The nurse will perform palpation before auscultating for BP.The reason for this is to:

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