Patients on the Unit Have Their Vital Signs Taken Routinely

question 30

Multiple Choice

Patients on the unit have their vital signs taken routinely at 0800,1200,1600,and 2000.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.The nurse should:

• A) Document the 1000 vital signs in the graphic record only
• B) Not report the incident since 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:

Advertising Message

The core idea or theme conveyed through an advertising campaign to influence the perception or behavior of the target audience.

Internalization

The integration of knowledge, attitudes, and values from another culture or system into one's own culture or way of thinking.

Rubbernecking

The act of slowing down and looking at something of interest, typically an accident on the roadside, often causing traffic delays.

Transference

In psychotherapy, the process by which patients project feelings and attitudes from past relationships onto the therapist.