A nurse in a community clinic is reviewing the laboratory result of four client s. the nurse should identify that which of the following sexually transmitted infections is nationally notifiable.
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Choice A rationale

A rectal body temperature of 37.3 C (99.1 F) in a school-age child is within the normal range, so it does not need to be reported.

Choice B rationale

A heart rate of 68/min in an 18-month-old toddler is below the normal range (80-130 beats per minute). This could indicate a serious condition such as heart block or hypothermia and should be reported to the provider.

Choice C rationale

A blood pressure of 132/82 mm Hg in an adolescent is slightly elevated but within acceptable limits for a teenager, especially if the teenager was nervous or anxious during the measurement.

Choice D rationale

A respiratory rate of 36/min in a 3-month-old infant is within the normal range (30-60 breaths per minute), so it does not need to be reported.

The correct answer is choiceB.

Choice A rationale:

Dark brown blood in emesis is typically old blood and may not require immediate intervention.However, it should still be monitored and reported to the healthcare provider.

Choice B rationale:

Frequent swallowing can indicate active bleeding from the surgical site, which requires immediate intervention.This is a sign that the child may be swallowing blood, which can lead to significant blood loss.

Choice C rationale:

An axillary temperature of 38°C (100°F) is a mild fever and not uncommon postoperatively.It should be monitored, but it does not require immediate intervention.

Choice D rationale:

A pain level of 5 on the FACES scale indicates moderate pain, which is expected after a tonsillectomy.Pain management should be addressed, but it does not require immediate intervention.