The unlicensed assistive personnel (UAP) brings the nurse the following vital signs for an older adult client: Temperature 97.4ºF (oral), BP 165/70, pulse rate 84/min., and respirations 28. After reviewing the vital signs, which action by the nurse is the most appropriate?

Question

Quizplus · Accepted Answer

The client's temperature is within normal range and although the blood pressure is elevated, the nurse will need to obtain additional information and assess the client further before implementing any interventions. The client's respiratory rate is high, so continued monitoring is necessary to determine if there is any potential respiratory distress. There is no indication for the nurse to recheck the temperature, nor is there a need to obtain an order for antihypertensive or oxygen therapy at this time.

The Unlicensed Assistive Personnel (UAP) Brings the Nurse the Following