The nursing assistant 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,the nurse should do which of the following?

Question

Quizplus · Accepted Answer

The vital signs indicate some abnormalities, such as high blood pressure and high respiratory rate, but they do not necessarily require immediate intervention. The nurse should continue to monitor the client and assess for any signs of distress or changes in condition, and report any concerns to the healthcare provider. Rechecking the temperature may not be necessary, as it falls within the normal range. Ordering medications or oxygen therapy without further assessment and evaluation would be premature and potentially harmful.

The Nursing Assistant Brings the Nurse the Following Vital Signs