A patient recovering from a total hip replacement has vital signs assessed by unlicensed assistive personnel. Which vital sign value should cause the most concern for the nurse?
1. blood pressure 110/76
2. heart rate 82
3. respiratory rate 18
4. temperature 102° F
Correct Answer: 4
The elevated temperature may indicate an infectious process, such as a surgical site infection, and would need rapid intervention. The other vital signs are within normal limits.
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