The nurse is assessing a client prior to the administration of a diuretic. The nurse knows it is essential to assess which vital signs at this time?
Standard Text: Select all that apply.
1. Temperature
2. Pulse
3. Respirations
4. Blood pressure
5. Pain
Correct Answer: 2,4
Rationale 1: It is not necessary to assess temperature prior to administering a diuretic.
Rationale 2: The nurse must assess the client's pulse prior to administering a diuretic.
Rationale 3: It is not necessary to assess respirations prior to administering a diuretic.
Rationale 4: The nurse must assess the client's blood pressure prior to administering a diuretic.
Rationale 5: It is not necessary to assess the client's pain prior to administering a diuretic.
Global Rationale: The nurse must assess the client's pulse and blood pressure prior to administering a diuretic. It is not necessary to assess temperature, respirations, or level of pain prior to administering a diuretic.
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