Question

A nurse at a provider's office is caring for a client who is 28 years of age. Select the 3 findings that require immediate follow-up.

a) Blood pressure of 110/70 mmHg
b) Blood glucose level of 180 mg/dL
c) Severe headache
d) Respiratory rate of 16 breaths per minute

Answer 1

The three findings that require immediate follow-up are the severe headache, blood glucose level of 180 mg/dL, and blood pressure of 110/70 mmHg.

Step-by-step explanation:

From the given options, the three findings that require immediate follow-up are:

1. Severe headache: A severe headache can be a symptom of a serious underlying condition, such as a brain hemorrhage or meningitis. It is important to assess the severity and duration of the headache and perform further evaluation.
2. Blood glucose level of 180 mg/dL: This blood glucose level is higher than the normal range, indicating hyperglycemia. It requires immediate follow-up to assess for diabetes or other underlying conditions.
3. Blood pressure of 110/70 mmHg: While this blood pressure is within the normal range, it may be lower than the client's baseline. It is important to monitor for any symptoms of hypotension.