Author Question: The night nurse is reviewing the vital signs of a client in an extended care facility. The nurse ... (Read 205 times)

BrownTown3 · **on:** Jun 25, 2018

The night nurse is reviewing the vital signs of a client in an extended care facility. The nurse notes the client's oral temperature at 6 a.m. was 98.0 F, but that evening, the client's oral temperature was 99.2 F. What is this variation indicative of?

1. The client's temperature has been improperly assessed either in the morning or evening; the nurse can't be sure which.
2. The client is developing an infection.
3. The client is experiencing stress.
4. The client's temperature is demonstrating diurnal variations.

Question 2

A nurse has been asked to present a program on blood pressure for a group of adults at a community center. Which statement is appropriate for the nurse to include in the program?

1. Females tend to have higher blood pressure readings than males of the same age.
2. Stress can result in an increase in blood pressure.
3. Blood pressure readings tend to be lowest in the evening.
4. During physical activity, blood pressure decreases.

tranoy · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 4

There is nothing to suggest that this client is under a great deal of stress, which might elevate body temperature. The difference in body temperature is evidence of diurnal variation. Core body temperature is lowest during the early morning and becomes higher during the course of the day. There is no evidence to suggest the temperatures were incorrectly assessed and the same routes were used for both assessments. There is no evidence to suggest that the client is developing an infection other than the higher evening body temperature.

Answer to Question 2

Correct Answer: 2