Solutions - Chapter 29 - Kozier Erb's Fundamentals Nursing - 10 Ed

 10TYK. In Figure, which number indicates the client’s oxygen saturation as measured by pulse oximetry?__________

Figure Vital signs monitor
Get Solution


1TYK. The client’s temperature at 8:00 am using an oral electronic ' thermometer is 36.1 °C (97.2°F). If the respiration, pulse, and blood pressure were within normal range, what would the nurse do next?
2. Wait 15 minutes and retake it.
3.  Check what the client’s temperature was the last time it was taken.
4.  Retake it using a different thermometer.
5.  Chart the temperature: it is normal.
Get Solution


2CTC. After much exploration, the client agrees to let you take the blood pressure. After pumping up the cuff, you are unable to hear any sounds during release of the valve. What would you say to her?
Get Solution


3CTC. Once you are able to measure the blood pressure, your reading is 180/110 mmHg. Before taking any action on this blood pressure, what do you need to know?
Get Solution


4TYK. For a client with a previous blood pressure of 138/74 mmHg and pulse of 64 beats/min, approximately how long should the nurse take to release the blood pressure cuff in order to obtain an accurate reading?
1.  10-20 seconds
2.  30-45 seconds
3.  1-1.5 minutes
4.  3-3.5 minutes
Get Solution


5TYK. It would be appropriate to delegate the taking of vital signs of which client to unlicensed assistive personnel?
1.  A client being prepared for elective facial surgery with a history of stable hypertension
2.  A client receiving a blood transfusion with a history of transfusion reactions
3.  A client recently started on a new antiarrhythmic agent
4.  A client who is admitted frequently with asthma attacks
Get Solution


6TYK. An 85-year-old client has had a stroke resulting in right-sided facial drooping, difficulty swallowing, and the inability to move self or maintain position unaided. The nurse determines that which sites are most appropriate for taking the temperature? Select all that apply.
1.  Oral
2.  Rectal
3.  Axillary
4.  Tympanic
5.  Temporal artery
Get Solution


8TYK. An 85-year-old client has had a stroke resulting in right-sided facial drooping, difficulty swallowing, and the inability to move self or maintain position unaided. The nurse determines that which sites are most appropriate for taking the temperature? Select all that apply.
1.  Oral
2.  Rectal
3.  Axillary
4.  Tympanic
5.  Temporal artery
Get Solution