Exam 20: Measuring and Recording Vital Signs, Height, and Weight

The nursing assistant is caring for a client lying in bed who suddenly develops dyspnea with respirations 28 breaths per minute. What action should the nursing assistant take first?

The nursing assistant is caring for a client diagnosed with a bilateral ear infection and recent dental surgery. What method should the nursing assistant employ? Use:

A client returns to the room after a physical therapy session. The client has a cast on the right arm. The nursing assistant takes the blood pressure (BP) and notes the reading is 160/90 mm Hg, which is higher than the client's previous reading. What is the appropriate action for the nursing assistant to take?

The nursing assistant (NA) prepares to take the adult client's rectal temperature using a glass thermometer. Which action indicates the nursing assistant requires further instruction?

What is meant by the term pulse rhythm?

The nursing assistant (NA) is obtaining the rectal temperature of an adult client. Which action indicates that the NA requires further instruction?

When a blood pressure measurement needs to be repeated to assure an accurate measurement, the nursing assistant will:

The nursing assistant prepares to use a glass thermometer to take the client's temperature. Which action should the nursing assistant take?

The nursing assistant prepares to collect the temperature of an unconscious client who frequently has seizures. What action should the nursing assistant take?

The nursing assistant is caring for an ambulatory older adult client who has a history of hypertension and who has begun taking several medications to control blood pressure. What action should the nursing assistant take?

What effect does hypertension have on the human body?

The nursing assistant collects a client's vital signs and the client has a "thready pulse" with a rate of 45. What is the first action for the nursing assistant to take?

When taking a person's blood pressure, the nursing assistant inflates the cuff:

The primary reason(s) a nursing assistant regularly weighs a resident is that: (Select all that apply)

Which scale will be used to measure the weight of a client who cannot stand independently but can get out of bed?

Which statement about the relationship between the accurate measurement of blood pressure and the size of the cuff used is true?

The nursing assistant is caring for a client after a right mastectomy and prepares to take their blood pressure (BP). What action should the nursing assistant take?

The nursing assistant prepares to weigh the resident in a rehab center. What is the best action for the nursing assistant to take?

A newer model of glass thermometer is likely to be safer than an older model because it:

The nursing assistant collects a resident's vital signs (VS). The blood pressure, pulse, and respirations are elevated from the resident's baseline. What action(s) should the nursing assistant take? Select all that apply.