Exam 10: General Survey, Measurement, Vital Signs

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

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B

What is the pulse pressure for a patient whose blood pressure is 158/96 mm Hg and pulse rate is 72 beats per minute?

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The pulse pressure is the difference between the systolic and diastolic pressures and reflects the stroke volume.The pulse rate is not necessary for pulse pressure calculations.

The nurse is preparing to measure the length, weight, chest, and head circumference of a 6-month-old infant.Which measurement technique is correct?

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C

A student is late for his appointment and has rushed across campus to the health clinic.The nurse should:

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A patient is seen in the clinic for complaints of "fainting episodes that started last week." How should the nurse proceed with the examination?

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

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When auscultating the blood pressure of a 25-year-old patient, the nurse notices that phase I Korotkoff's sounds begin at 200 mm Hg.At 100 mm Hg, Korotkoff's sounds are muffled.At 92 mm Hg, Korotkoff's sounds disappear.How should the nurse record this patient's blood pressure?

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A nurse is helping at a health fair at the local mall.When taking blood pressures on a variety of people, the nurse keeps in mind that:

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While measuring a patient's blood pressure, the nurse recalls that certain factors, such as _________________, help determine blood pressure.

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The nurse has collected the following information on a patient: palpated blood pressure-180 mm Hg; auscultated blood pressure-170/100 mm Hg; apical pulse-60 beats per minute; radial pulse-70 beats per minute.What is the patient's pulse pressure?

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What type of blood pressure measurement error is most likely to occur if the nurse does not check for the presence of an auscultatory gap?

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When assessing the radial pulse of a patient, the nurse will count the pulse for:

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

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Which of these actions illustrates the correct technique the nurse should use when assessing oral temperature with a mercury thermometer?

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The nurse should measure rectal temperatures in which of these patients?

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When considering the concepts related to blood pressure, the nurse knows that the concept of mean arterial pressure (MAP) is best described by which statement?

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While examining a 7-year-old patient, the nurse uses physical growth as the best index of the child's:

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The nurse is preparing to measure the vital signs of a 6-month-old infant.Which action by the nurse is correct?

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A patient takes weekly home blood pressure readings, with average reading being 126/82 mm Hg.The nurse recognizes that the patient:

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The nurse is counting an infant's respirations.Which technique is correct?

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