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Respiratory rate measures the number of breaths per minute, not heartbeats.

Blood pressure is the force of blood against the walls of arteries and is measured in mmHg, not heartbeats per minute.

Oxygen saturation measures the percentage of hemoglobin that is saturated with oxygen, not heartbeats per minute.

Rechecking the blood pressure with a different cuff size may be appropriate if the initial reading was inaccurate, but it does not address the elevated blood pressure result.

Documenting the finding is important, but further action is required for elevated blood pressure.

Administering antihypertensive medication without consulting the provider is not appropriate; medication decisions should be made by the healthcare provider.

The oral route is commonly used and provides a convenient method for temperature measurement but may not be as accurate as the rectal route.

The axillary route is less invasive but tends to be less accurate than the rectal route.

The tympanic route provides a quick measurement but may not be as accurate as the rectal route, especially in young children

The Numeric Rating Scale (NRS) and Visual Analog Scale (VAS) require verbal or numerical expression of pain intensity, which may not be possible for young children.

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Faces Pain Scale - Revised (FPS-R) Explanation: The Faces Pain Scale - Revised (FPS-R) is commonly used for children who are too young to verbalize their pain intensity. It consists of a series of faces depicting different levels of pain intensity.

Oxygen saturation levels of 95% are within the normal range and do not require immediate intervention.

Oxygen saturation levels of 92% are relatively low but may not require immediate intervention depending on the client's clinical condition.

Oxygen saturation levels of 89% indicate significant hypoxemia and require intervention, but immediate intervention is required at a level of 86%.

Rechecking the blood pressure with a different cuff size may be appropriate if the initial readings were inaccurate, but it does not address the significant difference between the arms.

Documenting the finding is important, but further action is required to investigate the cause of the discrepancy.

Performing a Doppler ultrasound may be done as part of the diagnostic process to assess blood flow, but the healthcare provider should be notified first for appropriate evaluation.

Inserting the thermometer into the rectum is not the appropriate method for using a temporal artery thermometer.

Placing the thermometer in the axilla is appropriate for axillary temperature measurement but not for temporal artery thermometers.

Holding the thermometer under the tongue is appropriate for oral temperature measurement but not for temporal artery thermometers.

An irregular waveform is not a normal variation and should be investigated further.

.Assessing the client for signs of respiratory distress is important but may not directly address the irregular waveform.

Notifying the healthcare provider may be necessary if the issue persists after reapplying the pulse oximeter.

Inflating the cuff to 20 mmHg above the estimated systolic pressure may be appropriate for initial inflation, but the cuff should be inflated further until the radial pulse disappears, and then slowly deflated to obtain accurate readings.

Deflating the cuff at a rate of 2-3 mmHg per second is recommended to obtain accurate blood pressure readings.

Palpating the radial artery while auscultating for Korotkoff sounds is not necessary for accurate blood pressure measurement and may interfere with accurate assessment.