NCLEX-RN

Category - Reduction of Risk

Start a Study Session Sign up for Question of the Day

The nurse is making the last round for her shift, and she takes the vital signs of the client admitted because of gastroenteritis. The client’s vital signs are: BP 130/89 mmHg, PR 96, RR 28, Temp 36.2°C. What is the nurse’s next action?

Document the vital signs.
Review the client’s previous vital signs.
Report the increased pulse rate and respiratory rate.
Recheck the vital signs after 15 minutes.

Explanation

Answer: D - The nurse must recheck the vital signs after 15 minutes. If the temperature is unchanged, the nurse must employ interventions to increase the temperature. All other parameters are within normal range and should be documented accordingly.

Was this helpful? Upvote!

Start a Study Session Sign up for Question of the Day

Most popular on PracticeQuiz

223 votes

You are attempting to gather information from a patient, but they are having a hard time trying to communicate since they were hit in the throat by a baseball bat. What is the function of the vocal cords? NREMT Advanced EMT
210 votes

An 8-year-old boy named Albert has a 10-year-old brother named Benny. Benny joins the service at 20 leaving Albert feeling bitter that he no longer has a brother to look up to. After 7 years, Albert is finally ready to make up with Benny who has been out of the service for 5 years. How old is Albert now? GED Exam Prep: Math
202 votes

Using motivation from ‘within’ is called ______________. CPCE Exam Prep
188 votes

The lymphatic system contains four organs: Medical Coding Exam Prep
130 votes

“A set of specialized organizational capabilities for providing value to customers in the form of services” is the official definition of: IT Service Management Foundation Practice Test

NCLEX-RN

Top questions

Related questions

Most popular on PracticeQuiz

Ad-Blocker not supported

NCLEX-RN

Top questions

Related questions

Most popular on PracticeQuiz