Final answer:
A client with altered vital signs, such as elevated pulse and respiratory rates and cold, clammy skin, may be in a state of acute distress potentially due to hypoxemia, and medical intervention should follow established clinical protocols.
Step-by-step explanation:
A client presenting with a blood pressure of 112/84, pulse rate of 116 beats per minute, and respirations of 30 breaths per minute, along with cold and clammy skin, may be experiencing symptoms of shock or another acute medical condition.
The elevated pulse and respiratory rates indicate the body's attempt to compensate for a stressor, such as low blood oxygen levels or hypoxemia, which is detected by the peripheral chemoreceptors and leads to increased respiratory activity.
In the clinical context, the initial action a nurse might take includes administering oxygen, contacting the admitting physician, reassessing the vital signs, or calling the Rapid Response Team, depending on the specific hospital's protocols and the severity of the patient's state.