While taking an adult patients pulse, a nurse finds the rate to be 140 beats/min. What should the nurse do next?

Correct Answer: D

Rationale: A pulse rate of 140 beats/min in an adult is tachycardic (normal range: 60-100 beats/min), indicating a potential emergency requiring prompt action. Waiting 2 hours delays intervention for an abnormal finding that could signal distress, such as pain or arrhythmia. Checking blood pressure is useful but secondary to reporting, as it doesnt address the immediate need for oversight. Recording the information is part of documentation but insufficient alone for an abnormal rate. Reporting to the primary care provider is the best next step, ensuring timely evaluation and management of the underlying cause, such as dehydration, fever, or cardiac issues. This aligns with nursing protocols to escalate significant deviations from normal vital signs, prioritizing patient safety and interdisciplinary collaboration.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: D

Rationale: Body temperature varies with exercise increasing it via metabolism, gender with slight differences (e.g., women post-ovulation), and cold fluids potentially lowering oral readings. All are factors. Choice D is correct, as nursing recognizes these influencesexercise raises heat production, gender affects baseline, and fluids alter local readingsrequiring context in temperature assessment to ensure accurate interpretation and care planning.

Correct Answer: D

Rationale: Tachycardia (pulse >100 at rest) can signal infection increasing metabolic demand, dehydration reducing volume, fever elevating heart rate, or all . Each is a physiological stressor. Choice D is correct, as nursing recognizes these common causes, requiring further assessment to pinpoint and address the underlying condition driving the elevated pulse.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.