A patient is awaiting surgery. The nurse's best rationale for assessing vital signs is to:
A. assess the patient's anxiety level.
B. determine the patient's basal temperature.
C. establish a baseline for vital signs comparisons.
D. assess for any changes in the blood pressure and pulse.
C
Factors to assess include respiration, circulation, infection control, GI function, and comfort. Baseline vital signs give a basis for comparison.
You might also like to view...
A health care provider writes these new prescriptions for a skilled nursing facility resident: 2 G sodium diet Restraint as needed Limit fluids to 1800 mL daily Continue antihypertensive medication Milk of magnesia 30 mL PO once if no bowel
movement for 3 days The nurse should: a. question the fluid restriction. b. question the order for restraint. c. transcribe the prescriptions as written. d. assess the resident's bowel elimination.
The nurse receives shift change report on infants born within the last 4 hours. Which newborn should the nurse assess first?
A) Newborn born at 37 weeks gestation. Respiratory rate of 45 breaths per minute. B) Term newborn, 2 hours old, who has not passed a meconium stool. C) Term newborn born yesterday. Heart rate is 150 beats per minute. D) Term newborn born 1 hour ago who is exhibiting grunting respirations.
A client's family member asks a nurse what is the significance of being a certified nurse. He has noticed that some of the nurses caring for the client in a long-term care facility are certified gerontological nurses and others are registered nurses
Certification in gerontological nursing means that A) the nurse must have a master's degree in nursing. B) the nurse works in administration at the nursing home. C) the nurse has completed a process of formal validation of clinical competence in gerontological nursing. D) the nurse has worked full time at least 2 years in gerontological nursing.
Presbyopia occurs in older individuals because
a. the macula degenerates. c. of the development of glaucoma. b. the lens becomes more dense. d. it is associated with cataract development.