ATI Nur 307 Pediatrics Final Exam | Nurselytic

Correct Answer: A

Rationale: The correct answer is A: A client's blood pressure changes from 112/60 mm Hg to 90/54 mm Hg when standing. This finding should be reported to the provider immediately because it indicates orthostatic hypotension, a significant drop in blood pressure upon standing. Orthostatic hypotension can lead to dizziness, fainting, and falls, especially in older adults. Prompt reporting allows for timely intervention to prevent complications.


Choices B, C, and D are not emergencies that require immediate reporting.
Choice B may indicate pain and emotional distress but does not pose an immediate threat to the client's life.
Choice C reflects an expected increase in pain for a client with a fracture and can be managed with appropriate pain relief.
Choice D, a slightly elevated temperature in a postoperative client, may indicate a mild infection but does not necessitate immediate provider notification unless accompanied by other concerning symptoms.

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