Textbook of Basic Nursing (Lippincott's Practical Nursing) Tenth Edition by Caroline Bunker Rosdahl, Mary T. Kowalski
Textbook of Basic Nursing (Lippincott's Practical Nursing) Tenth Edition by Caroline Bunker Rosdahl, Mary T. Kowalski
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Chapter 46- Vital Signs
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse takes vital signs of the client as ordered or may use judgment to determine whether a client requires more frequent assessment of vital signs. The nurse educator asks a student nurse to identify the measurements that constitute vital signs. Which response by the student nurse best identifies vital signs? | |
| A) | Respirations and blood pressure | |
| B) | Temperature, blood pressure, respirations | |
| C) | Temperature, pulse, respirations | |
| D) | Blood pressure, temperature, pulse, respirations | |
| 2. | Which precaution should a nurse take when assessing the body temperature of a client when using the oral measurement? | |
| A) | Wait if the client has had cold water before measurement. | |
| B) | Ensure that the client is resting during the measurement. | |
| C) | Ensure that the client is not wearing any constrictive clothing. | |
| D) | Record the temperature to the even six-tenths of a degree. | |
| 3. | The licensed nurse is getting a report from an unlicensed assistive person in relation to the morning vital signs. Which statement would indicate that the rectal temperature needs to be taken via a different route? | |
| A) | “The client was on oxygen when I took the reading.” | |
| B) | “I was unable to read the temperature because there was a small amount of stool on the thermometer.” | |
| C) | “Because the client was confused, I took the temperature rectally.” | |
| D) | “The client has had diarrhea three times this morning.” | |
| 4. | The nurse is reviewing with a group of student nurses that the normal adult body temperature has an average normal range in different body areas. What is the range of normal temperatures by the axillary route? | |
| A) | 35.5°C–37.5°C (95.9°F–99.5°F) | |
| B) | 36.6°C–38°C (97.9°F–100.4°F) | |
| C) | 34.7°C–37.3°C (94.5°F–99.1°F) | |
| D) | 35.8°C–38°C (96.4°F–100.4°F) | |
| 5. | The nurse is reviewing with a group of student nurses that the normal adult body temperature has an average normal range in different body areas. What is the range of normal temperatures by the rectal route? | |
| A) | 35.5°C–37.5°C (95.9°F–99.5°F) | |
| B) | 36.6°C–38°C (97.9°F–100.4°F) | |
| C) | 34.7°C–37.3°C (94.5°F–99.1°F) | |
| D) | 35.8°C–38°C (96.4°F–100.4°F) | |
Answer Key
| 1. | D |
| 2. | A |
| 3. | D |
| 4. | C |
| 5. | B |
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