The nursing student is obtaining the patient's vital signs. The patient has gone to the clinic seeking help because she is having chest pain. Which of the following vital signs are most im-portant to obtain?

a. Temperature, pulse, respirations
b. Temperature, pulse, respirations, oxygen saturation
c. Temperature, pulse, respirations, blood pressure, oxygen saturation
d. Temperature, pulse, respirations, blood pressure, oxygen saturation, pain


D
The cardinal vital signs are temperature, pulse, respiration, blood pressure, and oxygen saturation. A sixth vital sign, assessment of pain, is a standard of care in health care settings. Frequently pain and discomfort are the signs that lead a patient to seek health care. Therefore assessing a patient's pain helps a nurse understand the patient's clinical status and progress.

Nursing

You might also like to view...

A nurse executive is assigned to a task force working on a surge system for the hospital in case of a disaster

This group should write strategies to cover which procedures? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Post-incident follow-up 2. Supplies 3. Physical space 4. Management infrastructure 5. Personnel

Nursing

The client overdosed on amitriptyline (Elavil). The nurse would expect to see which of the following symptoms? Select all that apply

A) Seizures B) Increased coronary blood flow C) Arrhythmia D) Hallucinations E) Agitation

Nursing

A woman who gave birth 2 hours ago has a temperature of 37.9°C. Select all of the immediate nursing actions

a. Have patient drink two glasses of fluid over the next hour. b. Explain to the patient that she needs to rest and assist her into a comfortable position. c. Medicate the patient with 500 mg of acetaminophen as per orders. d. Call the patient's physician or midwife to report the elevated temperature.

Nursing

Which of the following information provided by the patient's bed partner is most associated with sleep apnea?

a. Restlessness b. Talking during sleep c. Sleepwalking d. Excessive snoring

Nursing