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For which of the following adult clients should the nurse make follow-up observations and monitor the vital signs closely?

a) Client with a blood pressure of 120/80 mmHg, heart rate of 70 bpm, and respiratory rate of 18 breaths per minute
b) Client with a blood pressure of 160/95 mmHg, heart rate of 82 bpm, and respiratory rate of 20 breaths per minute
c) Client with a blood pressure of 140/90 mmHg, heart rate of 75 bpm, and respiratory rate of 16 breaths per minute
d) Client with a blood pressure of 130/70 mmHg, heart rate of 65 bpm, and respiratory rate of 14 breaths per minute

User Slycreator
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1 Answer

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Final answer:

The nurse should monitor the client with a blood pressure of 160/95 mmHg closely, as it indicates potential hypertension and is above the normal range, necessitating further assessment and possible intervention.

Step-by-step explanation:

Among the listed options, the adult client the nurse should monitor closely and make follow-up observations for is b) Client with a blood pressure of 160/95 mmHg, heart rate of 82 bpm, and respiratory rate of 20 breaths per minute. This client's blood pressure is above the normal range, which is typically between 90/60 mmHg and 120/80 mmHg, and could indicate hypertension. The heart rate and respiratory rate, although not extremely elevated, also warrant close monitoring in conjunction with the high blood pressure reading.

Normal vital signs for an adult include: a heart rate of 60-100 bpm, respiratory rate of 12-18 breaths per minute, and blood pressure between 90/60 mmHg and 120/80 mmHg. The client's blood pressure is significantly above the normal range, which is a cause for concern and necessitates further medical assessment to determine the underlying cause and appropriate intervention.

User The Senator
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