A nurse is monitoring the vital signs of a client who has received epinephrine. The nurse would report which of the following assessment findings?
A) Systolic blood pressure below 100 mm Hg
B) Temperatures reading of 97.6 °F
C) Pulse rate of 60 beats/min
D) A diastolic blood pressure of 75 mm Hg
Ans: A
Feedback:
The nurse must immediately report a fall in systolic blood pressure below 100 mm Hg. Epinephrine should raise the blood pressure, so a continued low systolic pressure indicates the medication has not been effective. A diastolic blood pressure of 75 mm Hg, a pulse rate of 60 beats/min, and a temperature reading of 97.6 °F are normal and need not be reported immediately.
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