For which client would the nurse not call the rapid response team?
1. Asthmatic client with a respiratory rate greater than 30 breaths per minute, oxygen saturation of 84%, and a heart rate of 142 beats per minute
2. A client with no history of seizures who has a sudden change in mentation and has a seizure
3. A client who suddenly begins to talk with difficulty and is not able to move the left arm and leg
4. The client with a history of angina who has a PRN order for nitroglycerin who reports crushing chest pain
Correct Answer: 4
The client with a history of angina with a PRN order for nitroglycerin should be administered the medication, and the rapid response team would be called only if the drug were not effective in resolving the pain. The other situations would be appropriate scenarios for calling the rapid response team.
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