A medical assistant is instructed to gather vitals from a patient who has pyrexia. The assistant should expect which of the following vital signs to be outside the expected reference range?
Heart rate
Temperature
Respiratory rate
Blood pressure
The Correct Answer is B
A. Heart rate: Pyrexia (fever) often leads to an increased heart rate as the body attempts to regulate its temperature. Therefore, heart rate may be higher than normal.
B. Temperature: Pyrexia indicates an elevated temperature, so the temperature would be outside the expected reference range due to the fever.
C. Respiratory rate: While fever can sometimes affect the respiratory rate, it is not as directly impacted as heart rate or temperature. Respiratory rate may be slightly elevated but is less consistently affected compared to heart rate and temperature.
D. Blood pressure: Fever does not typically cause significant changes in blood pressure. It is less likely to be outside the expected reference range compared to heart rate and temperature.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Abandonment: Abandonment involves the discontinuation of care without proper transition, not failure to document.
B. Assault: Assault involves causing apprehension of imminent harm, which is not related to documentation.
C. Battery: Battery refers to physical harm or unauthorized touching, not documentation issues.
D. Negligence: Negligence involves a failure to provide adequate care or follow procedures, such as not documenting adverse reactions properly.
Correct Answer is A
Explanation
A. Offer the patient their elbow for guidance: Offering the elbow is a common and safe method of guiding patients with visual impairments, including presbyopia, because it allows the patient to follow the assistant's movements more easily.
B. Take the patient's hand. Taking the patient's hand might make the patient feel less secure and can lead to an imbalance. It is less effective than offering the elbow.
C. Lead the patient by their arm: Leading the patient by their arm can be uncomfortable and does not provide the same level of control as offering the elbow.
D. Guide the patient by holding their waist: Holding the waist is inappropriate as it invades personal space and might make the patient uncomfortable.
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