The nursing student is obtaining the patient's vital signs (VS). The patient has gone to the clinic seeking help because she is having chest pain. Which of the following vital signs are most important to obtain?
Temperature, pulse, respirations, BP
Temperature, pulse, respirations, BP, pain
BP. respirations, temperature, pulse
Temperature, pulse, respirations, blood pressure, O2 sat, pain
The Correct Answer is D
A. Temperature, pulse, respirations, BP. While these are standard vital signs, they do not include oxygen saturation or pain level, both of which are critical in a patient with chest pain.
B. Temperature, pulse, respirations, BP, pain. Pain is an essential assessment, especially for chest pain, but oxygen saturation should also be measured to assess for hypoxia, which can contribute to cardiac symptoms.
C. BP, respirations, temperature, pulse. This option omits both oxygen saturation and pain level, which are essential in evaluating cardiac and respiratory function in a patient presenting with chest pain.
D. Temperature, pulse, respirations, blood pressure, O2 sat, pain. This option includes all critical assessments for a patient with chest pain. Oxygen saturation helps assess respiratory and circulatory efficiency, and pain assessment is vital in determining the severity and possible cause of the chest pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["39.2"]
Explanation
Calculation:
The formula to convert Fahrenheit (°F) to Celsius (°C) is:
°C = (°F - 32) × 5/9
= (102.5 - 32) × 5/9
= (70.5) × 5/9
= 39.1666...
Rounding to the nearest tenth: 39.2 °C.
Therefore, 102.5 °F is equal to 39.2 °C.
Correct Answer is ["15"]
Explanation
Calculation:
To determine the volume to administer, use the formula:
Volume = (Dose ordered/ Dose available)× mL per dose
Given:
- Ordered dose = 37.5 mg
- Available concentration = 12.5 mg/5 mL
Volume = (37.5/12.5)× 5mL
= 3× 5mL
= 15mL
Thus, the nurse will administer 15 mL.
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