Homework Answers
1. Answer: Prehypertension ( option a)
Prehypertension : Blood pressure readings between 120 to 139 ( systolic) and 80 to89 ( diastolic) mm of Hg is considered as prehypertenson. 128/ 88 can considered as ptehypertension.
Other options:
b)hypertensive : Hypertension is the condition of abnormally high blood pressure ( 140/ 90 m of Hg)
c) hypotensive : Abnormally low BP . 90/ 60 is considered as hypotension.
d) Normal: Normal Blood pressure is 120/ 80mm of Hg
2. Age, Environmental temperature, stress , Exercises .
These Options a, c,d and e is correct. Body temperature can be affected by :
age: Children can have increased metabolism, so the temperature may slightly higher than adults.
Environmental temperature can affect body temperature. It increases as the environmental temperature increases. High environmental temperature is dangerous for the human body as it may cause heat stroke.
Exercise may increase the body temperature, as the metabolism increases during exercise.
Stress also increases body temperature due to various hormones actions.
b) Weght : still researches are going on to prove the role of weight on body temperature. But not yet proved.
3. Sim's position (Option a)
Sims position is used for recal examination, procedures and enema etc. It is the most appropriate position for obtaining rectal temperature. Patient lie on left lateral side , left hip and leg is straight and right hip and knee bent.
Other options:
lateral( side lying ), Fowlers ( semi siting), supine ( lie on the back) positions are not appropriate for taking rectal temperature in adults.
4. Pulling the ear backwards and placing the thermometer towards the tympanic membrane.( option d)
Other options: a) pulling the pinna perpendicular( right angle ) to the head, pulling downward or ear out and upward will not help to get direct acess to tympanic membrane fully.
5. Pulse oximetry ( option c)
Non invasive device to obtain patient's atterial blood oxygen.
Pulse pressure: difference between systolic and diastolic pressure.
core temperature : core body temperature is 98.6 degree Fahrenheit.
Pulse deficit : difference between number of beats of heart and rate of pulse in one minute.
6. pain rating 5 on 1 to 10 scale and heart rate of 100.( option c)
Nurse should give priority for the pain control. Pai affect the post operative management and healing. it restrict the cient from moving resulting in thrombosis, pneumonia etc.
Other Options are the body's normal response to surgery, slight increase in temperature, decreased blood pressure due to blood loss during surgery etc.
7. wait for 30 minutes and take the oral temperature ( option d)
Popsicle is frozen item so having grape popsicle affect the temperature of the mouth, may result in error in oral temperature. so nurse can wait for 30 minutes and then she can take the oral temperature.
9. a) dehydration
b) Certain medications
Orthostatic hypotension may cause due to underlying diseases such as dehydration or it may be a side effect of certain drugs.
10. a, b, d, e
Add Answer to:
1. An adult blood pressure reading of 128/88 mm Hg is: a) Prehypertension b) Hypertensive c)...
a) Stress can cause a B ILL b) Body temperature increases just before ovulatsil. e) Body...
a) Stress can cause a B ILL b) Body temperature increases just before ovulatsil. e) Body temperature increases when the client has an infection. d) Body temperature is usually higher in the afternoon than in the morning e) Body temperature may be lower than the true temperature iſ the temperature in the client's room is cool 21. The nurse is caring for a client who has undergone surgery. The client is anxious and complains of incision pain. The nurse conduets...
19. The blood is drawn from Jonathan's radial artery, and the laboratory calls the ED to...
19. The blood is drawn from Jonathan's radial artery, and the laboratory calls the ED to report the results of the ABG analysis: pH 7.30, PCO: 50 mm Hg, HCO-29 mEa/L and PO: 70 mmHg. Which condition does the nurse conclude that Jonathan is experiencing? a) Metabolic acidosis b) Metabolic alkalosis e) Respiratorry acidosis d) Respiratory alkalosis 20. The nurse interprets a client's temperature reading, knowing that certain factors can affect body temperature. Which statements regarding body temperature are accurate?...
c. 162/92 d. 96/58 10. In assessing a tympanic temperature of an adult patient, which of...
c. 162/92 d. 96/58 10. In assessing a tympanic temperature of an adult patient, which of the following could result in the least accurate reading? a. A plastic probe covers the tip of the thermometer b. The plastic probe cover is twisted and tightly placed within the ear canal c. The pinna is pulled backwards and up d. The lens and the probe of the device are clean and intact 11. In a short essay, identify the normal ranges for...
13. The nurse should include what information when educating a client prescribed insulin regarding the characteristics...
13. The nurse should include what information when educating a client prescribed insulin regarding the characteristics of hypoglycemia? Select all that apply. a. the onset of symptoms/signs is sudden b. characterized by feeling slugginess c. affected by increased emotion d. triggered by missing a regular meal e. associated with a lack of insulin 14. The nurse who has admitted a client with diabetic ketoacidosis should look for what assessment findings that are consistent with this diagnosis? (Select all that apply.)...
13. The nurse should include what information when educating a client prescribed insulin regarding the characteristics...
13. The nurse should include what information when educating a client prescribed insulin regarding the characteristics of hypoglycemia? Select all that apply. a. the onset of symptoms/signs is sudden b. characterized by feeling slugginess c. affected by increased emotion d. triggered by missing a regular meal e. associated with a lack of insulin 14. The nurse who has admitted a client with diabetic ketoacidosis should look for what assessment findings that are consistent with this diagnosis? (Select all that apply.)...
NCLEX-STYLE REVIEW QUESTIONS Prep 1. The nurse admits an older adult client to the emergency :R88;...
NCLEX-STYLE REVIEW QUESTIONS Prep 1. The nurse admits an older adult client to the emergency :R88; R, 32; ri ; H department. Vital signs are T, 38.9 C; P, 88; R, 32 and BP 160/86. Upon physical examination, the client is having difficulty breathing. Which of the following would be most appropriate for the nurse to do next? 1. Apply a pulse oximeter to the client's finger. 2. Help the client perform postural drainage 3. Instruct the client to take...
ABG results show: Pa02 68 mm Hg, PaC02 32 mm Hg, HCO3-21 mEa/L, and pH 7.53...
ABG results show: Pa02 68 mm Hg, PaC02 32 mm Hg, HCO3-21 mEa/L, and pH 7.53 What do these values suggest? 1. 2· The patient temporarily responds to the high-flow oxygen therapy, but later the nurse notes that the patient demonstrates hyperpnea, grunting respiration, cyanosis, pallor, and intercostal and substernal retractions, with a change in mental status. The nurse suspects ARDS and calls the physician to obtain an order for which primary laboratory study used to establish this diagnosis? a...
1. A diuretic that is also used for treatment in head injuries and certain types of...
1. A diuretic that is also used for treatment in head injuries and certain types of glaucoma: A. Triamterene (yrenium) C. Amileride hydrochloride (Midanerl D. Mannitol (9smitel 2. The client complains of frequent urination at night since starting diuretic therapy. The nurse advises the client to: A Decrease fluid intake B. Not worry: this is an expected effect C. Increase sodium intake D. Take the medication earlier in the day 3. The nurse has administered 20 mg of furosemide (Lasix)...
Vital Signs: Blood Pressure a. What is blood pressure? What is the purpose of assessing blood...
Vital Signs: Blood Pressure a. What is blood pressure? What is the purpose of assessing blood pressure? b. What is the standard unit for measuring blood pressure? What is the difference between systolic blood pressure and diastolic blood pressure? c. Various factors can affect blood pressure. Some of these are listed below. Discuss the differences with each of these factors. i) age example: BP is lower in children than in adults. ii) gender iii) race iv) diurnal rhythm v) weight...
Needing help on # 2 and # 3. b. client of leg pain. The complains Blood...
Needing help on # 2 and # 3.
b. client of leg pain. The complains Blood pressure is 128/86 mm Hg. n sites are red but without drainage. e. The client tells the nurse that he feels warm. According to HIPAA, in which situations could a client's PHI be used or disclosed? Select all that apply. 2. a. For treatment purposes b. For any type of research c. For health care payment purposes d. To administer health care benefits e....
a) Stress can cause a B ILL b) Body temperature increases just before ovulatsil. e) Body temperature increases when the client has an infection. d) Body temperature is usually higher in the afternoon than in the morning e) Body temperature may be lower than the true temperature iſ the temperature in the client's room is cool 21. The nurse is caring for a client who has undergone surgery. The client is anxious and complains of incision pain. The nurse conduets...
19. The blood is drawn from Jonathan's radial artery, and the laboratory calls the ED to report the results of the ABG analysis: pH 7.30, PCO: 50 mm Hg, HCO-29 mEa/L and PO: 70 mmHg. Which condition does the nurse conclude that Jonathan is experiencing? a) Metabolic acidosis b) Metabolic alkalosis e) Respiratorry acidosis d) Respiratory alkalosis 20. The nurse interprets a client's temperature reading, knowing that certain factors can affect body temperature. Which statements regarding body temperature are accurate?...
c. 162/92 d. 96/58 10. In assessing a tympanic temperature of an adult patient, which of the following could result in the least accurate reading? a. A plastic probe covers the tip of the thermometer b. The plastic probe cover is twisted and tightly placed within the ear canal c. The pinna is pulled backwards and up d. The lens and the probe of the device are clean and intact 11. In a short essay, identify the normal ranges for...
13. The nurse should include what information when educating a client prescribed insulin regarding the characteristics of hypoglycemia? Select all that apply. a. the onset of symptoms/signs is sudden b. characterized by feeling slugginess c. affected by increased emotion d. triggered by missing a regular meal e. associated with a lack of insulin 14. The nurse who has admitted a client with diabetic ketoacidosis should look for what assessment findings that are consistent with this diagnosis? (Select all that apply.)...
13. The nurse should include what information when educating a client prescribed insulin regarding the characteristics of hypoglycemia? Select all that apply. a. the onset of symptoms/signs is sudden b. characterized by feeling slugginess c. affected by increased emotion d. triggered by missing a regular meal e. associated with a lack of insulin 14. The nurse who has admitted a client with diabetic ketoacidosis should look for what assessment findings that are consistent with this diagnosis? (Select all that apply.)...
NCLEX-STYLE REVIEW QUESTIONS Prep 1. The nurse admits an older adult client to the emergency :R88; R, 32; ri ; H department. Vital signs are T, 38.9 C; P, 88; R, 32 and BP 160/86. Upon physical examination, the client is having difficulty breathing. Which of the following would be most appropriate for the nurse to do next? 1. Apply a pulse oximeter to the client's finger. 2. Help the client perform postural drainage 3. Instruct the client to take...
ABG results show: Pa02 68 mm Hg, PaC02 32 mm Hg, HCO3-21 mEa/L, and pH 7.53 What do these values suggest? 1. 2· The patient temporarily responds to the high-flow oxygen therapy, but later the nurse notes that the patient demonstrates hyperpnea, grunting respiration, cyanosis, pallor, and intercostal and substernal retractions, with a change in mental status. The nurse suspects ARDS and calls the physician to obtain an order for which primary laboratory study used to establish this diagnosis? a...
1. A diuretic that is also used for treatment in head injuries and certain types of glaucoma: A. Triamterene (yrenium) C. Amileride hydrochloride (Midanerl D. Mannitol (9smitel 2. The client complains of frequent urination at night since starting diuretic therapy. The nurse advises the client to: A Decrease fluid intake B. Not worry: this is an expected effect C. Increase sodium intake D. Take the medication earlier in the day 3. The nurse has administered 20 mg of furosemide (Lasix)...
Needing help on # 2 and # 3.
b. client of leg pain. The complains Blood pressure is 128/86 mm Hg. n sites are red but without drainage. e. The client tells the nurse that he feels warm. According to HIPAA, in which situations could a client's PHI be used or disclosed? Select all that apply. 2. a. For treatment purposes b. For any type of research c. For health care payment purposes d. To administer health care benefits e....
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