After obtaining a full set of vital signs, the nurse assesses the client's fifth vital sign as a 7 on a scale of 1 to 10 (or 7/10). Which action by the nurse is most appropriate?
a. Document the pulse pressure as normal and continue the client's assessment.
b. Review the client's records to determine the last time he received pain medication.
c. Assess the client's pulse on the opposite side for comparison.
d. Wait 2 minutes and retake the client's blood pressure.
Question 2
A client who has been hospitalized for an infection states, The nursing assistant told me my vital signs are all within normal limits; that means I'm cured. The nurse's best response would be which of the following?
a. Your vital signs confirm that your infection is resolved; how do you feel?
b. I'll let your healthcare provider know so you can be discharged.
c. Your vital signs are stable, but there are other things to assess.
d. We still need to keep monitoring your temperature for a while.
Range of Motion of the Hip Joint, Position of the Leg for Full External Rotation
A nurse shows empathy to a client.
Moving the hip through its full range of motion.
Using small, circular strokes, exfoliate the client’s neck and back.
Approaching the client for the ophthalmoscopic exam