Question

The nurse is assessing a client's vital signs and obtains the following results:

1. Blood pressure: 156/94 mmHg
2. Temperature: 99.8°F orally
3. Apical pulse: 104 beats/minute
4. Respirations: 25 breaths/minute

Answer 1

The assessment reveals elevated blood pressure, slight fever, elevated heart rate, and increased respiration rate, which may indicate an underlying condition requiring further medical evaluation.

Step-by-step explanation:

The nurse's assessment of the client's vital signs shows a blood pressure reading of 156/94 mmHg, which is elevated, indicating hypertension. The normal range for blood pressure is between 90/60 and 120/80 mm Hg. The temperature of 99.8°F taken orally is slightly higher than the normal body temperature of 98.6°F and may suggest a fever. The apical pulse is 104 beats/minute, which is above the normal range of 60-100 beats per minute, and the respiration rate is 25 breaths/minute, higher than the normal rate of 12-18 breaths per minute. These signs could be indicative of an underlying disease or condition, and further evaluation by a healthcare professional is warranted.