The patient exclaims, "I am sorry I am late for my appointment, but I ran into so much traffic on the way here." She is out of breath and her face is red. Her vital signs are: P 100, R 30, BP 150/90, and T 98°F
What is the most appropriate action?
A) Document vital signs.
B) Disregard vital signs and retake in 5 minutes.
C) Retake vital signs in 5 minutes.
D) Document vital signs and retake in 5 minutes.
D
You might also like to view...
The nurse uses the two-step palpatory blood pressure measurement to ensure accurate results. The steps are as follows: Place the steps in the appropriate order Standard Text: Click and drag the options below to move them up or down
1. The blood pressure cuff is inflated until the brachial or radial pulse is occluded 2. The nurse notes the reading, deflates the cuff 3. The nurse waits 30-60 seconds 4. Cuff is inflated 20-30 mmHg higher than number noted
Following a motor vehicle accident, the wife of the victim requests that life support be continued in the absence of any brain function and that the client be allowed to go home on life support
The health care team believes that life support should be discontinued immediately and the client's organs be donated. Which ethical principle applies to this situation? A) Autonomy B) Fidelity C) Justice D) Veracity
Many clients with dual diagnoses have concomitant Axis III disorders. Which of the following is considered a disorder that would be classified in Axis III of the DSM-IV-TR?
A) Profound mental retardation B) Antisocial personality disorder C) Depression D) Cirrhosis
A group has four members. Sue guides the group activities, Tom holds the group together, Mary attempts to reconcile conflict, and John accepts authority. Which is the maintenance specialist?
a. Sue b. Tom c. Mary d. John