A nurse assesses an oral temperature for an adult patient and records that the patient is afebrile. What would be the nurses best response to this finding?

Correct Answer: D

Rationale: Afebrile means the patient has no fever, indicating a temperature within the normal range for an adult (typically 36.6°C to 38°C or 97.9°F to 100.4°F). When a nurse records a patient as afebrile, it suggests the absence of an elevated temperature that would require intervention. Choice A (checking for antipyretics) is unnecessary unless theres evidence of recent fever management, which isnt indicated here. Choice B (reporting to the provider) is not warranted for a normal finding unless other symptoms suggest a need for escalation. Choice C (using a different method) is redundant since the oral method is reliable and the result is normal. Choice D is correct because no further action is needed for a temperature within normal limits. This reflects standard nursing practice where routine findings dont prompt additional steps unless contextual factors suggest otherwise.

Correct Answer: C

Rationale: Post-cardiac arrest, tympanic provides a quick, non-invasive core temperature estimate, critical for monitoring hypothermia or hyperthermia in resuscitation. Oral risks inaccuracy post-arrest. Rectal is invasive and slow. Temporal is less reliable in emergencies. Choice C is correct, aligning with ACLS emphasis on rapid, safe temperature assessment.

Correct Answer: A

Rationale: Vital signs measure essential physiological functionstemperature, pulse, respiration, blood pressure, and oxygen saturationreflecting the body's basic operations . Urination frequency isn't a vital sign, though it's monitored in specific contexts. Weight and height are anthropometric, not vital signs. BMI is a calculated health indicator, not a direct measurement. Choice A is correct, aligning with nursing fundamentals defining vital signs as core indicators of life-sustaining processes, routinely assessed to evaluate health status and detect deviations requiring intervention.

Correct Answer: C

Rationale: BP readings show systolic (top, ventricular contraction) and diastolic (bottom, relaxation) pressures , in mmHg. Oxygen saturation and pulse are separate. Diastolic over systolic reverses order. Millimeters and mercury is the unit, not the terms. Choice C is correct, per standard BP notation (e.g., 120/80 mmHg), a foundational nursing concept for documenting cardiac workload.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.