Question

A nurse is caring for a client in the emergency department (ED). Select the 4 findings that require follow-up by the nurse.

A) Heart rate of 90 bpm.
B) Blood pressure of 140/90 mmHg.
C) Respiratory rate of 20 breaths per minute.
D) Oxygen saturation of 99%.

Answer 1

Four findings that require follow-up by the nurse in the emergency department (ED) are a high blood pressure, normal oxygen saturation, normal heart rate, and normal respiratory rate.

Step-by-step explanation:

Four findings that require follow-up by the nurse in caring for a client in the emergency department (ED) are:

1. Blood pressure of 140/90 mmHg: A blood pressure reading of 140/90 mmHg is considered high and may indicate hypertension or other cardiovascular issues. The nurse should further assess the client's medical history, symptoms, and potential risk factors.
2. Oxygen saturation of 99%: An oxygen saturation level of 99% is within the normal range. It does not require immediate follow-up unless there are accompanying symptoms or other concerning factors.
3. Heart rate of 90 bpm: A heart rate of 90 bpm is within the normal range (60-100 bpm). It does not require immediate follow-up unless there are other abnormal symptoms or medical history.
4. Respiratory rate of 20 breaths per minute: A respiratory rate of 20 breaths per minute is within the normal range (12-18 breaths per minute). It does not require immediate follow-up unless there are other abnormal symptoms or medical history.