Which would be the appropriate client criteria for activating a rapid response team at the hospital? Select all that apply.

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Quizplus · Accepted Answer

The rapid response team is activated to marshal additional experienced and specialized resources for an acute need to try to prevent a client from deterioration into a code/arrest situation. The team has critical care expertise to provide immediate attention to unstableclients in noncritical care units and usually consists of a respiratory therapist, a critical care nurse, and a physician or advanced practice registered nurse. Recommended criteria to consider according to the Institute for Healthcare Improvement include the following: Any provider worried about the client's condition ORAn acute change in any of the following:Heart rate <40 or >130/minSystolic blood pressure <90 mm HgRespiratory rate <8 or >28/min (Option D)Oxygen saturation <90 despite oxygenUrine output <50 mL/4 hrLevel of consciousness (Option E) Any provider worried about the client's condition OR An acute change in any of the following:Heart rate <40 or >130/minSystolic blood pressure <90 mm HgRespiratory rate <8 or >28/min (Option D)Oxygen saturation <90 despite oxygenUrine output <50 mL/4 hrLevel of consciousness (Option E) Heart rate <40 or >130/minSystolic blood pressure <90 mm HgRespiratory rate <8 or >28/min (Option D)Oxygen saturation <90 despite oxygenUrine output <50 mL/4 hrLevel of consciousness (Option E) Heart rate <40 or >130/min Systolic blood pressure <90 mm Hg Respiratory rate <8 or >28/min (Option D) Oxygen saturation <90 despite oxygen Urine output <50 mL/4 hr Level of consciousness (Option E) (Option A) The GCS is abnormal but is stable in the abnormality. A rapid response would be used for a significant deteriorating trend. (Option B) Many clients routinely run a slowed pulse rate (athletes). There is no indication that this is a new change for the client. It would be concerning if there was an effect on perfusion, accompanied by chest pain, or if the heart rate was <40/min. (Option C) Unrelieved pain is concerning, but the nurse can handle this through assessing the etiology, calling the health care provider, or adjusting the analgesia. Pain in and of itself is not an indication of client instability. Educational objective: Rapid response criteria for unstable clients in a nonacute care setting usually include sudden, significant changes that do not respond to treatment.

Which Would Be the Appropriate Client Criteria for Activating a Rapid