Patients on the Unit Have Their Vital Signs Taken Routinely

question 9

Multiple Choice

Patients on the unit have their vital signs taken routinely at 0800,1200,1600,and 2000 hours.At 1000,a patient complains of feeling "light-headed." The nurse takes the patient's vital signs and finds blood pressure to be lower than usual.Within 15 minutes,the patient says that he feels better.The nurse rechecks the blood pressure and finds that it is now back to normal.How should the nurse handle documentation for this episode?

• A) Document the 1000 vital signs in the graphic record only.
• B) Not report the incident because it was a transient episode.
• C) Document the vital signs in the graphic and progress record.
• D) Document the vital signs as 12 o'clock signs.

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Definitions:

Left Ribs

Refers specifically to the ribs on the left side of the body, which protect the thoracic cavity and support the respiratory system.

Coronoid Process

The coronoid process is a triangular structure on the upper anterior part of the ulna bone in the forearm that serves as a point of attachment for muscle.

Mandible

The lower jawbone, which is the largest and strongest bone of the face, involved in chewing movements.

Temporal

Related to the temples of the head or to time.