RN ATI Fundamentals of Nursing | Nurselytic

Questions 67

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Question 1 of 5

An assistive personnel (AP) reports a client's vital signs as tympanic temperature 37.1°C (98.8°F),pulse 92/min,respiratory rate 18/min,and BP 98/58 mm Hg. Which of the following vital signs should the nurse re-measure?

Correct Answer: B

Rationale: The correct answer is B: BP. The nurse should re-measure the blood pressure because it is outside the normal range (98/58 mm Hg). This reading indicates hypotension, which could be a cause for concern and requires verification. The other vital signs fall within normal ranges: tympanic temperature (37.1°
C), pulse rate (92/min), and respiratory rate (18/min). Re-measuring the blood pressure will ensure accuracy and guide appropriate interventions if needed. It is important to address abnormal vital signs promptly to prevent potential complications.
Therefore, focusing on re-measuring the blood pressure is crucial in this scenario.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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