Difficulty: Medium
Average Score: 68%
Simulated
Passage / Scenario
Findings upon admission:Vital Signs
Blood pressure 106/64 mm Hg
Heart rate 95/min
Respiratory rate 20/min
Temperature 37.8┬░ C (100┬░ F)
Oxygen saturation 95% on O, at 3 L/min via nasal cannula
A nurse is caring for an older adult client who was admitted with a urinary tract infection. The nurse is assessing the client 12 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.
Rationale
Disorientation and low BP worsen UTI; improved O2 is a sign of improvement; Hct is normal; rash is unrelated.