The nurse is caring for a patient with the following vital signs:
Temperature: 98.9° F
Pulse: 94
Respirations: 20
Blood pressure: 144/94
Pulse oximetry: 94%
What is the priority action of the nurse?

Question

The nurse is caring for a patient with the following vital signs: 
Temperature: 98.9° F
Pulse: 94
Respirations: 20 
Blood pressure: 144/94
Pulse oximetry: 94% 
What is the priority action of the nurse?

Quizplus · Accepted Answer

The nurse must know the patient's usual range of vital signs in order to make appropriate judgments for care.A patient's usual values sometimes differ from the standard range for that age or physical state.Use the patient's usual values as a baseline for comparison with findings taken later.A single measurement does not adequately reflect a patient's blood pressure.Blood pressure trends,not individual measurements,guide nursing interventions.

The Nurse Is Caring for a Patient with the Following