Question

The nurse is assessing a client who has just given birth and notes her prelabor vital signs reveal a temperature 98.8of (37.1oc), blood pressure 120/70 mm hg, hr 80, and rr 20. which current vital sign assessment should the nurse prioritize

Answer 1

The nurse should prioritize the respiratory rate

Step-by-step explanation:

The normal respiratory rate is between 12 and 20 breaths per minute, in this case the woman is taking 22 breath per minute which means that her rate is elevated. The temperature should be between 97.8 °F and 99.1 °F which it is. The systolic blood pressure normal rates are 120-80 mm Hg and the diastolic blood pressure rates are 60 mm Hg, the woman has her pressure in the normal levels and finally the heart rate is also normal, her rate is of 80 beats per minute and the normal range is 60 to 100 beats per minute.

Answer 2

The nurse should prioritise the vital sign Heart Rate which is the only one that's off limits for a postpartum assessment. Any temperature that's not higher than 100.4 ºF is accepted as normal. Also, a blood pressure that's no higher than 160mm/Hg or lower than 90mm/Hg for the systole, or higher than 90mm/Hg for the diastole is also considered normal. A respiratory rate no higher than 20 is also normal. When it comes to the pulse or heart rate, the normal expected values for a postpartum assessment are between 60 and 70bpm, fewer than usual - in the case presented the pulse is at 80bpm. A more rapid pulse may be a sign of haemorrhage.