A nurse is teaching a newly licensed nurse about vital signs. Which of the following documentations made by the newly licensed nurse indicates an understanding of the teaching?

SpO2 95%

Right radial pulse regular 68/min

Temp 36°C (96.8°F)

BP 148/72 mm Hg

Answer and Explanation

The Correct Answer is B

The correct answer is b.

Choice A: SpO2 95%

The normal range for SpO2, or peripheral capillary oxygen saturation, is typically between 95% and 100%. While a SpO2 of 95% is within the normal range, it doesn't necessarily indicate an understanding of vital signs as it's on the lower end of the normal range.

Choice B: Right radial pulse regular 68/min

The normal resting heart rate for adults ranges from 60 to 100 beats per minute. Therefore, a right radial pulse of 68 beats per minute falls within the normal range and indicates an understanding of vital signs.

Choice C: Temp 36°C (96.8°F)

The normal body temperature for a healthy adult can range from 97.8°F (36.5°C) to 99.1°F (37.3°C). Therefore, a body temperature of 36°C (96.8°F) is slightly below the normal range.

Choice D: BP 148/72 mm Hg

The normal range for blood pressure in adults is between 90/60 mmHg and 120/80 mmHg. A blood pressure reading of 148/72 mm Hg is above the normal range for systolic pressure (the top number), indicating high blood pressure (hypertension).

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Correct Answer is D

Explanation

Professional athletes often have a lower resting heart rate, known as bradycardia, due to their high level of physical fitness.

A. Decreased peripheral pulses B. Respiratory rate 10/min C. Heart rate 108/min D. Dilated pupils

Correct Answer is C

Explanation

The nurse should expect to find an increased heart rate in a client with a fever. An elevated body temperature can cause an increase in metabolic rate, which can lead to an increase in heart rate. This is a normal physiological response to fever and helps the body to generate heat and fight oﬀ infection.

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A nurse is teaching a newly licensed nurse about vital signs. Which of the following documentations made by the newly licensed nurse indicates an understanding of the teaching?

Nursing Test Bank

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