You are assessing a client who has the following vital signs: blood pressure 120/68, pulse 84, respirations 18. You should:

have another nurse recheck your findings for accuracy.

record the vital signs and compare them with previously charted vital signs.

report them to the charge nurse and call the doctor for orders.

instruct the client on diet and exercise for high blood pressure.

Answer and Explanation

The Correct Answer is B

A. Have another nurse recheck your findings for accuracy. The vital signs are within normal limits, so there is no immediate need for validation by another nurse.
B. Record the vital signs and compare them with previously charted vital signs. The patient's blood pressure (120/68 mmHg), pulse (84 bpm), and respirations (18 breaths/min) are within normal ranges. The best action is to document the findings and compare them to previous values to identify any trends or changes.
C. Report them to the charge nurse and call the doctor for orders. Since the vital signs are normal, there is no need for immediate reporting or new medical orders.
D. Instruct the client on diet and exercise for high blood pressure. The blood pressure 120/68 mmHg is not high, so there is no need for immediate education on hypertension management.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["50.9"]

Explanation

Calculation:

To convert pounds to kilograms, use the formula:

Kg = lb/2.2

Substituting the given value:

Kg = 112.2/2.2

= 50.9kg

Thus, 112.2 lb = 50.9 kg.

A. 104.4°F B. 99.2 F C. 100.8°F D. 102.2 F

Correct Answer is A

Explanation

A. 104.4°F. This temperature is consistent with heatstroke, a life-threatening condition characterized by hot, dry skin, confusion, and tachycardia. Heatstroke occurs when the body fails to regulate temperature, often exceeding 104°F (40°C).
B. 99.2°F. A temperature of 99.2°F is only slightly elevated and does not match the severe hyperthermia expected in heatstroke.
C. 100.8°F. While this temperature is above normal, it is not high enough to indicate heatstroke, which typically involves temperatures above 104°F.
D. 102.2°F. This temperature suggests heat exhaustion, a milder form of heat-related illness, but heatstroke involves higher temperatures exceeding 104°F.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

You are assessing a client who has the following vital signs: blood pressure 120/68, pulse 84, respirations 18. You should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

112.2 lb. = _____kg

Correct Answer is ["50.9"]

Explanation

The nurse is caring for a patient who collapsed after working outside on a hot day. The patient is disoriented with hot, dry skin and a heart rate of 140 beats/minute. Which temperature will the nurse expect the patient to have?

Correct Answer is A

Explanation

A postoperative patient is using patient-controlled analgesia (PCA) pump. You will evaluate the effectiveness of the medication when

The nurse must take a patient's rectal temperature. Which should the nurse do?

When a smiling and cooperative patient complains of discomfort, nurses caring for this patient often harbor misconceptions about the patient's pain. Which of the following is true?

The client has been hospitalized after a severe head injury. The nurse recognizes that the client's difficulty in maintaining a normal body temperature when there is no infection present can be the result of which of these?

After noting that a client has a pulse deficit, what action should the nurse take next?

The physician orders acyclovir 400 mg po three times a day for herpes. The medication is supplied in 800-mg tablets. How many tablets will the nurse administer?

The nurse is caring for a hypotensive patient whose peripheral pulses are very weak. Which grade will the nurse use to document this finding?

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