Difficulty: Medium
Average Score: 81%
Simulated
Passage / Scenario
Vital SignsNurses' Notes
Provider's Prescriptions
Laboratory Results
ÔÇó Temperature: 37.9┬░C (100.2┬░F)
ÔÇó Heart rate: 97/min
ÔÇó Respiratory rate: 24/min
ÔÇó Blood pressure: 135/73 mmHg
ÔÇó Oxygen saturation: 88% on room air
ÔÇó Pain: 6 on a 0 to 10 scale
A nurse is caring for a 60-year-old male client in a provider's clinic. Click to select all the findings that require immediate follow-up.
Correct answer
A,C,E
Rationale
[0, 0, 1]
The correct answer is . A temperature of 37.9┬░C (100.2┬░F) is slightly elevated, indicating possible infection. A respiratory rate of 24/min is above normal, suggesting respiratory distress. An oxygen saturation of 88% on room air is below normal and indicates hypoxemia. These findings require immediate follow-up to assess the client's condition and provide appropriate interventions. The other choices - heart rate, blood pressure, and pain level - do not indicate immediate critical issues that require urgent attention.
The correct answer is . A temperature of 37.9┬░C (100.2┬░F) is slightly elevated, indicating possible infection. A respiratory rate of 24/min is above normal, suggesting respiratory distress. An oxygen saturation of 88% on room air is below normal and indicates hypoxemia. These findings require immediate follow-up to assess the client's condition and provide appropriate interventions. The other choices - heart rate, blood pressure, and pain level - do not indicate immediate critical issues that require urgent attention.