Answered: The nurse asks you to obtain a complete… | bartleby

3-2-1 Code It

6th Edition

ISBN:9781337660549

Author:GREEN

Publisher:GREEN

Chapter10: Cpt Anesthesia

Section: Chapter Questions

Problem 13MC

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Question

The nurse asks you to obtain a complete set of vital signs for
one of the persons to whom you are assigned. Upon measurement,
you determine the following: temperature 38.6°C (101.5°F), heart
rate 104 beats/min, respiratory rate 22 breaths/min, and blood
pressure 90/60 mm Hg. Which of these vital signs are of concern?
What subjective data could be stated by the client? What is your
first action after collecting these vital signs?

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The nurse asks you to obtain a complete set of vital signs for one of the persons to whom you are assigned. Upon measurement, you determine the following: temperature 38.6°C (101.5°F), heart rate 104 beats/min, respiratory rate 22 breaths/min, and blood pressure 90/60 mm Hg. Which of these vital signs are of concern? What subjective data could be stated by the client? What is your first action after collecting these vital signs?
Which laboratory result for a patient with multifocal premature ventricular contractions (PVCs) is most important for the nurse to communicate to the health care provider? 1. Serum chloride 92 mEq/L 2. Serum sodium 134 mEq/L 3. Serum potassium 2.7 mEq/L 4. Blood glucose 243 mg/dL
A nurse is documenting a blood pressure of 120/80 mm Hg.The nurse interprets the 120 to represent:a. The rhythmic distention of the arterial walls as a result ofincreased pressure due to surges of blood with ventricularcontractionb. The lowest pressure present on arterial walls while theventricles relaxc. The highest pressure present on arterial walls while theventricles contractd. The difference between the pressure on arterial walls withventricular contraction and relaxation
A client with pre-eclampsia has given birth to a healthy baby boy. Six hours post-partum, her vitals are as follows: BP 130/80, HR 70, RR 14, 37.2°C. The attending physician would like to keep this client for observation for the next 72 hours. Which of the following findings would the nurse consider the priority when monitoring this client for eclampsia? Question 30 options: a) Systolic BP < 140 mmHg b) Disseminated intravascular coagulation c) Post-partum hemorrhage d) Change in reflexes and onset of headache
The HCP tells the nurse that the patient'»heart rate is 114. Based on yourknowledge regarding assessing a pulse,which of the following terms isappropriate? This is the pulse deficit This is the pulse volume The patient is Bradycardic. The patient is Tachycardic.
When you conclude an EKG, what are the different components that you need to observe and confirm before you disconnect the patient? Can you explain the difference between normal, abnormal, and artifacts? What is a Holter monitor? Under what circumstances would one be ordered for a patient? How do you use a Holter monitor? Educate a patient: What you will do before, during, and after an electrocardiogram or using a Holter monitor? List 5 medical cardiac conditions or diseases that you can diagnose with an electrocardiogram or Holter monitor.
The RN has administered the following medications to the client with heart failure; metoprolol, lisinopril, spironolactone. What data collection and assessment parameters should the nurse perform prior to the administration of these medications?
The nurse is concerned that there have been significant variations in the documented blood pressure of a number of patients. The nurse feels it is appropriate to review the blood pressure monitoring techniques used by the new staff member who was responsible for taking the blood pressures.How can the nurse best evaluate the nurse’s monitoring technique?
During the routine assessment of a 50-year-old client, the nurse observes that the client has high systolic blood pressure. a. What reasons would the nurse give for the rise in systolic blood pressure in this client? b. What client teaching should a nurse provide to prevent the development of cardiovascular disease in this client?
Mrs. Reyes, 71 yearsold, while doing household chores has fallen her front steps. She had a large bruise on her right temple and her right face and is brought to the emergency. Upon assessment her vital signs are HR 125; BP 110/76; RR 16; T 37.6C ; pain 4/10 Question: document a brief NEUROLOGIC exam on the patient
BW, 45-year-old vendor is diagnosed with hypertension, and her attending physician prescribes clonidine to be given sublingual as necessary for BP 160/90 mm Hg and above. The patient is concerned about this drug on how it is given as instructed above. She states, “How will this medication help control my blood pressure?” 1. How should you (as a nurse) respond to the question of Ms. BW? 2. What information would you (as a nurse) need to include when doing health education about this drug?

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