The nursing assistant reports vital signs from a 43-year-old client to the nurse, who reports the abnormal measurements to the physician. The following measurements are normal for the 43-year-old client: Standard Text: Select all that apply
1. Temperature of 96.8°F oral
2. Pulse rate of 104
3. Temperature of 37°C oral
4. Blood pressure of 108/50
5. Respirations of 17/minute
3,4,5
Rationale: The normal temperature for a 43-year-old is 98.6°F.
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a. Poverty. b. Limited health insurance. c. Being an older adult. d. Heavy sedation.
The nurse uses family-centered care to care for children in a pediatric office. Upon what concept is family-centered care based?
A) The family is the constant in the child's life and the primary source of strength. B) The care provider is the constant in the child's life and the primary source of strength. C) The child must be prepared to be his or her own source of strength during times of crisis. D) The wishes of the family should direct the nursing care plan for the child.
A nurse is caring for a patient with left-sided hemiparesis who has developed bronchitis and has a heart rate of 105 beats/min, blood pressure of 156/90 mm Hg, and respiration rate of 30 breaths/min. Which nursing diagnosis is a priority?
a. Risk for skin breakdown b. Impaired gas exchange c. Activity intolerance d. Risk for infection
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