After taking the patient's temperature, the nurse documents the value and the route used to obtain the reading. What is the reason for the nurse's action?

Questions 65

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Vital Signs Assessment Questions

Question 1 of 5

After taking the patient's temperature, the nurse documents the value and the route used to obtain the reading. What is the reason for the nurse's action?

Correct Answer: A

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

Question 2 of 5

A patient presents in the clinic with dizziness and fatigue. The nursing assistant reports a very slow radial pulse of 44. What is your priority intervention?

Correct Answer: C

Rationale: Bradycardia (pulse 44) with dizziness/fatigue requires apical pulse assessment to confirm rate and check for deficit, indicating cardiac output issues. Repeating radial delays RN evaluation. Stat ECG is secondary. Meds are premature. Choice C is correct, per nursing priority to verify and assess symptomatic bradycardia directly.

Question 3 of 5

While the nurse is assessing the patient's respirations, it is important for the patient to

Correct Answer: B

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

Question 4 of 5

A nurse is assessing a client's respiratory rate using a pulse oximeter. Where should the nurse place the pulse oximeter sensor to accurately measure the respiratory rate?

Correct Answer: A

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

Question 5 of 5

A nurse is assessing a client's oxygen saturation level using a pulse oximeter. Which oxygen saturation level indicates the need for immediate intervention?

Correct Answer: D

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

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