Which set of vital signs, taken on an adult, is cause for concern and requires further evaluation?
Temperature 96.9°F; pulse 100 bpm; respirations 20 breaths/minute; blood pressure 120/80 mmHg.
Temperature 97.0°F; pulse 54 bpm; respirations 14 breaths/minute; blood pressure 196/114 mmHg.
Temperature 98.6°F; pulse 60 bpm; respirations 14 breaths/minute; blood pressure 110/66 mmHg.
Temperature 99°F; pulse 72 bpm; respirations 16 breaths/minute; blood pressure 100/60 mmHg.
The Correct Answer is B
Temperature 97.0°F; pulse 54 bpm; respirations 14 breaths/minute; blood pressure 196/114 mmHg.
This set of vital signs is cause for concern because the blood pressure is significantly elevated.
A blood pressure reading of 196/114 mmHg is considered a hypertensive crisis and requires immediate medical attention.
Choice A) Temperature 96.9°F; pulse 100 bpm; respirations 20 breaths/minute; blood pressure 120/80 mmHg is within normal limits for an adult.
Choice C) Temperature 98.6°F; pulse 60 bpm; respirations 14 breaths/minute; blood pressure 110/66 mmHg is also within normal limits for an adult.
Choice D) Temperature 99°F; pulse 72 bpm; respirations 16 breaths/minute; blood pressure 100/60 mmHg is slightly elevated but not cause for immediate concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Folk medicine is not a standard practice in the North American Healthcare system.
Standard practices in the North American Healthcare system include private health insurance, federal government health insurance programs such as Medicare and Medicaid, and a focus on improving health and preventing disease1.
Choice A is not correct because punctuality is considered a standard practice in many professional settings, including healthcare.
Choice C is not correct because handwashing is a standard practice in healthcare to prevent the spread of infection.
Choice D is not correct because annual exams are a standard practice in healthcare for preventative care and early detection of health issues.
Correct Answer is C
Explanation
The primary purpose of an incident report is to identify opportunities for improvement.
Incident reports are used to document and analyze events that have occurred in order to identify areas for improvement and prevent similar incidents from happening in the future.
Choice A is not an answer because incident reports are not typically used as a tool for disciplinary action.
Choice B is not an answer because while incident reports can help identify and address errors, their primary purpose is not to eliminate unforeseen errors.
Choice D is not an answer because the primary purpose of incident reports is not to hold persons accountable for their errors, but rather to identify opportunities for improvement.
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