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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Perception. Perception occurs when the brain processes and interprets the pain signal, which happens after the stimulus has been converted and transmitted.
B. Transduction. Transduction is the process where a painful stimulus, such as touching a hot stove, causes cellular damage, leading to the release of chemical mediators that convert the stimulus into a pain impulse.
C. Modulation. Modulation involves the body's response to pain, including the release of endorphins to inhibit pain signals and reduce pain sensation.
D. Transmission. Transmission refers to the movement of the pain impulse from the site of injury to the spinal cord and brain, occurring after transduction has taken place.
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.
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