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Author Question: The nurse is assessing the vital signs of a 3-year-old patient who appears to have an irregular ... (Read 118 times)

maegan_martin

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The nurse is assessing the vital signs of a 3-year-old patient who appears to have an irregular respiratory pattern. How should the nurse assess this child's respirations?
 
  a. Respirations should be counted for 1 full minute, noticing rate and rhythm.
  b. Child's pulse and respirations should be simultaneously checked for 30 seconds.
  c. Child's respirations should be checked for a minimum of 5 minutes to identify any variations in his or her respiratory pattern.
  d. Patient's respirations should be counted for 15 seconds and then multiplied by 4 to obtain the number of respirations per minute.

Question 2

The nurse is assessing the vital signs of a 20-year-old male marathon runner and documents the following vital signs: temperature-36  C; pulse-48 beats per minute; respirations-14 breaths per minute; blood pressure-104/68 mm Hg.
 
  Which statement is true concerning these results?
  a.
  The patient is experiencing tachycardia.
  b.
  These are normal vital signs for a healthy, athletic adult.
  c.
  The patient's pulse rate is not normalhis physician should be notified.
  d.
  On the basis of these readings, the patient should return to the clinic in 1 week.



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TDubDCFL

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Answer to Question 1

ANS: A
Respirations are counted for 1 full minute if an abnormality is suspected. The other responses are not correct actions.

Answer to Question 2

ANS: B
In the adult, a heart rate less than 50 beats per minute is called bradycardia, which normally occurs in the well-trained athlete whose heart muscle develops along with the skeletal muscles.




TDubDCFL

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