Question

The nurse is assessing the client. Which of the following assessment findings should the nurse report to the provider?

a) Dysuria
b) Frequency
c) Oxygen saturation
d) Edema
e) Urgency
f) Blood pressure

Answer 1

A nurse should report critical assessment findings such as edema and significant deviations in blood pressure to a provider. Blood pressure extremes can indicate possible shock or cardiovascular problems, while edema can signal heart, liver, or kidney issues. Symptoms like dysuria, frequency, and urgency are typically less immediately serious.

Step-by-step explanation:

When assessing a client, a nurse should report findings that indicate a potential for serious or immediate health issues. Among the assessment findings provided, edema and blood pressure are the most critical to report to a provider, especially if they deviate significantly from normal ranges or present a change from the patient’s baseline. Blood pressure that is too high or too low can suggest serious cardiovascular problems or shock, while edema may indicate heart, liver, or kidney failure. Symptoms like dysuria (painful urination), frequency, and urgency are often related to urinary tract infections or other urological conditions, which while important, may not be as immediately life-threatening as severe alterations in blood pressure or significant edema.

For example, a patient arriving in the emergency department with a blood pressure of 70/45, who is confused and complaining of thirst, could be experiencing shock. This is a critical state and could be due to severe dehydration, heart problems, severe infection (septic shock), or anaphylaxis. Immediate medical intervention is required to address the underlying cause and prevent further deterioration of the patient's condition.