The nurse asks you to obtain a complete set of vital signs for one of the persons to whom you are assigned. The measurements are as follows: temperature 101.5 F, heart rate 104 beats/min, respiratory rate 22 breaths/min, and blood pressure 90/60 mm Hg. Which of these vital signs are of concern? What subjective data could be stated? What is your first action after collecting these vital signs?
What will be an ideal response?
All of these vital sign measurements are abnormal. Ask the person about pain or any other unusual feelings. Report the vital signs and any other abnormal subjective data (e.g., feeling of dizziness or sweatiness) to the nurse immediately.
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The nurse is listening to the client's concerns, sitting near the client in a chair, patting the client's hand, and making eye contact. This nurse is demonstrating which of the following?
1. Respectful communication 2. Attentive listening 3. Gentle communication 4. Barriers to communication
Nurses in a hospital are working to establish a union. Which finding will these nurses be interested in seeing?
1. Thirty percent of eligible hospital nurses have signed a card indicating interest. 2. Seventy percent of hospital employees have said they are interested. 3. Fifty percent of staff nurses and management nurses must vote. 4. Thirty percent of all nurses working for the agency must vote.
The nurse is teaching an athletic father how to stimulate his 5-year-old son who has a "slow-to-warm-up" temperament. Which guidance will be most successful?
A) Telling him to read stories to the child about famous athletes B) Suggesting he take the child to watch him play softball C) Urging him to sign the child up for little league football D) Proposing wrestling with the child and letting him win
Which of the following should the nurse observe whenever there is a risk of exposure to the blood and body fluids of an infected client?
A) Avoid any physical contact with the client. B) Avoid cleaning the client's urine or stools. C) Wear barrier garments for as long as possible after leaving a client's room. D) Transport the specimens of body fluids in leakproof containers.