The nurse is caring for a 4-year-old child who comes to the pediatrician's office with cold symptoms and appears pale. Vital signs are obtained and the child's blood pressure is 68/42 mmHg, a pulse of 98, and respirations of 20
The nurse is aware that: 1. The vital signs are normal in a child this age with cold symptoms.
2. The respiratory rate is elevated and should be communicated to the physician immediately.
3. The systolic blood pressure is too low and should be communicated to the physician.
4. The pulse is too rapid and should be communicated to the physician.
3
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1. The blood pressure is too low.
2. The respiratory rate is consistent with a 4 year old with cold symptoms.
3. The systolic blood pressure is 70 mmHg + (two times the age in years) or 78 mmHg.
4. The pulse is normal for a 4-year-old child.
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