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A nurse is preparing to assess a client's vital signs. In which order should the nurse assess them?
a. Blood pressure, temperature, pulse, and respirations
b. Respirations, blood pressure, pulse, and temperature
c. Temperature, pulse, respirations, and blood pressure
d. Pulse, temperature, respirations, and blood pressure
A client's blood pressure is affected by
a. cardiac intake,
elasticity of the arteries, blood flow, blood cells, and blood thickness.
b. cardiac intake, elasticity of the veins, blood flow, blood cells, and blood thickness.
c. cardiac output, distensibility of the veins, blood volume, blood velocity and viscosity.
d. cardiac output, distensibility of the arteries, blood volume, blood velocity and viscosity.
lacking adequate finances.
Explanation:
When you meet the client for the first time, observe any significant abnormalities in the client's skin color, dress, hygiene, posture and gait, physical development, body build, apparent age, and gender. If you observe abnormalities, you may need to perform an in-depth assessment of the body area that appears to be affected.
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A weight of 95 lbs in a woman who is 5 feet, 8 inches tall and appears to be of normal weight
Not every piece of data you collect must be verified. For example, you would not need to verify or repeat the client's pulse, temperature, or blood pressure unless certain conditions exist. The blood pressure reading, pulse rate, and temperature listed in the answer choices are all within the normal range given the contexts provided. A weight of 95 lbs in a woman who is 5 feet, 8 inches tall and who appears to be of normal weight, however, would be cause for validation, as there is a significant gap between the finding of the client's weight and the client's appearance.
A nurse is preparing to assess a client's vital signs. In which order should the nurse assess them?
a) Temperature, pulse, respirations, and blood pressure
b) Respirations, blood pressure, pulse, and temperature
c) Pulse, temperature, respirations, and blood pressure
d) Blood pressure, temperature, pulse, and respirations
When assessing a client's pulse, the nurse should be alert to which of the following characteristics?
a) Tenderness, moistness, contour, elasticity, pressure
b) Rate, rhythm, amplitude and contour, and elasticity
c) Pain, temperature, amplitude and contour, and elasticity
d) Rate rhythm, temperature, rigidity, color, and elasticity