Author Question: The nursing assistive person is taking vital signs and reports that a patient's blood pressure is ... (Read 64 times)

penguins · **on:** Jul 23, 2018

The nursing assistive person is taking vital signs and reports that a patient's blood pressure is abnormally low. The nurse should

a. Have the nursing assistive person retake the blood pressure.
b. Ignore the report and have it rechecked at the next scheduled time.
c. Retake the blood pressure herself and assess the patient's condition.
d. Have the nursing assistive person assess the patient's other vital signs.

Question 2

Of the following sites, which are used for obtaining a core temperature? (Select all that apply.)

a. Oral
b. Rectal
c. Tympanic
d. Axillary
e. Pulmonary artery

reelove4eva · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
The nursing assistive person should report abnormalities to the nurse, who should further assess the patient. The nursing assistive person should not retake the blood pressure or other vital signs because the nurse needs to assess the patient. The report cannot be ignored. Assessment must be done by the nurse.

Answer to Question 2

ANS: C, E
Intensive care units use the core temperatures of the pulmonary artery, esophagus, and urinary bladder. Because the tympanic membrane shares the same arterial blood supply as the hypothalamus, the tympanic temperature is a core temperature. Oral, rectal, axillary, and skin temperature sites rely on effective blood circulation at the measurement site.