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What times should the nurse measure vital signs? Select all that apply

 

A.

1500.

B.

1600.

C.

1800.

D.

1000.

E.

1200.

F.

0800.

G.

1400.

Question Solution

Correct Answer : A,B,C,D,E,F,G

Choice A rationale

 

1500 is a valid time for measuring vital signs as part of routine monitoring.

 

Choice B rationale

 

1600 is a valid time for measuring vital signs as part of routine monitoring.

 

Choice C rationale

 

1800 is a valid time for measuring vital signs as part of routine monitoring.

 

Choice D rationale

 

1000 is a valid time for measuring vital signs as part of routine monitoring.

 

Choice E rationale

 

1200 is a valid time for measuring vital signs as part of routine monitoring.

 

Choice F rationale

 

0800 is a valid time for measuring vital signs as part of routine monitoring.

 

Choice G rationale

 

1400 is a valid time for measuring vital signs as part of routine monitoring.


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Correct Answer is C

Explanation

Choice A rationale

Providing client-focused information is important, but it does not confirm that the client has understood the critical information. The nurse needs to ensure that the client has comprehended the instructions.

Choice B rationale

Observing the client’s body language can provide some insight into their understanding, but it is not a reliable method to confirm comprehension. The nurse needs to use a more direct approach to ensure understanding.

Choice C rationale

Asking the client for learning feedback is the most important strategy to confirm that the client is learning the critical information. This method allows the nurse to assess the client’s understanding and clarify any misconceptions. It ensures that the client has comprehended the instructions and can apply the information correctly.

Choice D rationale

Reinforcing key points with the client is important, but it does not confirm that the client has understood the critical information. The nurse needs to ensure that the client has comprehended the instructions.

Correct Answer is D

Explanation

Choice A rationale

Stating that the healthcare provider will share the information does not address the legal status of the emancipated minor and may delay the communication of important information.

Choice B rationale

Telling the parents that their child’s medical information is none of their business is not respectful and does not provide a clear explanation of the legal situation.

Choice C rationale

Offering to give the results to the parents as soon as they are available does not respect the legal autonomy of the emancipated minor.

Choice D rationale

Explaining that medical information can only be given to the client because they are legally an adult is the best response. It respects the legal status of the emancipated minor and their right to make their own healthcare decisions

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