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A patient is experiencing pyrexia. Which piece of equipment will the nurse obtain to monitor this condition?
- A. Stethoscope
- B. Thermometer
- C. Blood pressure cuff
- D. Sphygmomanometer
Correct Answer: B
Rationale: Pyrexia (fever) requires temperature monitoring, making a thermometer (B) essential. A stethoscope (A) assesses heart/lung sounds, not temperature. A blood pressure cuff (C) or sphygmomanometer (D) measures pressure, not fever. Choice B is correct as thermometers directly track temperature changes, a fundamental tool in nursing to manage and document febrile states accurately.
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The nurse needs to obtain a radial pulse from a patient. What must the nurse do to obtain a correct measurement?
- A. Place the tips of the first two fingers over the groove along the thumb side of the patient's wrist.
- B. Place the tips of the first two fingers over the groove along the little finger side of the patient's wrist.
- C. Place the thumb over the groove along the little finger side of the patient's wrist.
- D. Place the thumb over the groove along the thumb side of the patient's wrist.
Correct Answer: A
Rationale: Radial pulse is palpated with the first two fingers along the thumb side groove (A), ensuring accuracy without thumb pressure interference. Little finger side (B, C) is incorrect anatomically. Thumb use (C, D) distorts readings. Choice A is correct, per nursing technique standards, for reliable radial pulse measurement.
The patient has a temperature of 105.2?°F. The nurse is attempting to lower temperature by providing tepid sponge baths and placing cool compresses in strategic body locations. Which technique is the nurse using to lower the patient's temperature?
- A. Radiation
- B. Conduction
- C. Convection
- D. Evaporation
Correct Answer: B
Rationale: Tepid sponge baths and cool compresses lower temperature via conduction (B), transferring heat from the skin to the cooler objects through direct contact. Radiation (A) involves heat loss to the environment without contact, not the primary method here. Convection (C) requires air movement (e.g., fans), not used. Evaporation (D) occurs with moisture vaporizing, a minor effect with tepid water but not dominant. Choice B is correct as conduction is the main mechanism, aligning with nursing interventions to reduce fever by physically drawing heat away from the body.
The nurse is providing a blood pressure clinic for the community. Which group will the nurse most likely address?
- A. Non-Hispanic Caucasians
- B. European Americans
- C. African Americans
- D. Asian Americans
Correct Answer: C
Rationale: African Americans (C) have higher hypertension prevalence (e.g., AHA data), making them a priority for BP clinics. Other groups (A, B, D) have lower rates. Choice C is correct, reflecting public health focus on at-risk populations for cardiovascular screening.
The nurse is caring for a patient whose condition is deteriorating and needs a pulse assessment. Which site should the nurse use?
- A. Radial
- B. Brachial
- C. Carotid
- D. Popliteal
Correct Answer: C
Rationale: In deteriorating patients, carotid (C) provides a strong, accessible pulse, reliable even in low perfusion, unlike radial (A) or brachial (B). Popliteal (D) is impractical. Choice C is correct, per emergency nursing standards (e.g., AHA), for critical pulse checks.
When taking the pulse of an infant, the nurse notices that the rate is 145 beats/min and the rhythm is regular. How should the nurse interpret this finding?
- A. This is normal for an infant.
- B. This is too fast for an infant.
- C. This is too slow for an infant.
- D. This is not a rate for an infant but for a toddler
Correct Answer: A
Rationale: Infant pulse ranges from 120-160 beats/min; 145 (A) is normal with regular rhythm. Too fast (B) or slow (C) misaligns with norms. Toddler rates (D) are lower (80-130). Choice A is correct, per pediatric vital sign standards.