Exam 6: General Survey and Assessing Vital Signs

You are assessing the radial pulse and determine that it is 92 and irregular. You auscultate the apical pulse at 104 and irregular. What is the pulse deficit? ___________

A patient arrives for a physical assessment and is complaining of not feeling well. The nurse begins with a general survey and assessing vital signs. The nurse is concerned that the patient has orthostatic hypotension due to the patient complaining of

A nurse is performing a general survey on a patient in preparation for performing a physical examination. The nurse understands it is important to take cultural considerations into account for each individual patient because:

You are performing a respiratory assessment on a male patient who has smoked for the past 30 years. You are having difficulty counting his respirations. Which of the following actions would be most appropriate?

You are performing the general survey as part of the physical assessment. Which of the following observations are considered part of the general survey? Select all that apply.

The ____________________ pulse is the most reliable and accurate location to assess the heart rate.

You are assessing a 78-year-old hospice patient who has end stage lung cancer. Which of the following findings would indicate an acute decline in the patient's health status?

Mary Jane is getting a physical examination prior to starting her new job. You take her vital signs: temperature (97.8°F), radial pulse 92 reg, + 2 amplitude, respiratory rate (20), and blood pressure 150/96. What is the category of Mary's blood pressure?

Hypertension is blood pressure reading greater than _________ or the diastolic reading greater than ________.

A female patient, age 48, comes to the clinic with complaints of dizziness and a frontal headache. She tells you she is under a lot of stress because her husband was recently laid off. She is 5'4" and weighs 150 lb. You take her blood pressure and it is 178/100. When you tell her the blood pressure reading she says, "This cannot be right! I usually run 100/60." What should be your next action?

An 88-year-old patient had a warm sponge bath 10 minutes ago and a cup of hot tea 5 minutes ago. The nurse needs to assess her body temperature. Which temperature method should the nurse use to assess her temperature?

A nurse is preparing to auscultate an apical heart rate on a patient as part of a vital sign assessment. The nurse knows the proper order to assess the apical heart rate is which of the following?

A nurse is preparing a patient for a vital sign assessment. Which of the following questions should the nurse ask prior to taking the vital signs?

A patient arrives at the clinic complaining of a severe headache and nausea. The nurse begins with the general survey and assesses the vital signs. The nurse understands that the patient is in hypertensive crisis, which is a medical emergency, because his blood pressure is within which of the following parameters?

You are caring for a patient with traumatic brain injury. The health-care provider has ordered rectal temperatures daily. How far should you insert the rectal probe into the anal canal?

A nurse is assessing whether a patient is alert and oriented as part of assessing the patient's level of consciousness (LOC). The nurse knows that all of the following are checked to see if a patient is alert and oriented as part of the LOC assessment EXCEPT

A 23-year-old client is being seen at the university health clinic for chest pain. The nurse has gathered the following assessment data: temperature 99.2°F (tympanic), pulse 90 (apical), regular respirations 28, blood pressure 144/84 (left arm). Which assessment data should be of greatest concern to the nurse?

High blood pressure is a modifiable risk factor for heart disease and stroke. Nurses are responsible for educating patients about lifestyle modifications for high blood pressure, which include which of the following? Select all that apply.

Hypertension is a growing health problem in the United States. The main factors that contribute to the increase in the number of patients with hypertension include which of the following? Select all that apply.

You are assessing a 60-year-old patient's blood pressure. You hear the systolic reading at 164. The Korotkoff sounds fade out at 130 and resume at 108. You hear the last Korotkoff sound at 82. This fading of sounds is called a[n] ________________ ________________.