The nurse obtains the following vital signs on an adult patient: T.100.6°F BP 100/60,HR 110,respirations 36.What is the first action by the nurse?

A) Offer oral fluids.
B) Begin an IV infusion.
C) Obtain a pulse oximetry reading.
D) Administer oxygen.

Question

Sughana Karunakaran · Accepted Answer

Final Answer : C , Explanation :  In this item,all vital signs values are slightly abnormal; however,the most significant abnormality is the respiratory rate of 36 breaths/min.Respiratory rate is a measure of the patient's general condition,but rate alone is not a good indicator of the adequacy of respirations or oxygenation.The nurse must also assess other characteristics of the respirations.If oxygenation must be carefully monitored or there is a concern regarding oxygenation,use a pulse oximeter to measure the patient's oxygenation saturation.The nurse may need to administer oxygen to this patient,given the respiratory rate of 36 breaths/min; however,the first action is to obtain a pulse oximeter reading.There is no evidence that the patient needs either oral or IV fluids.

The nurse obtains the following vital signs on an adult patient: T.100.6°F BP 100/60,HR 110,respirations 36.What is the first action by the nurse?

A) Offer oral fluids.
B) Begin an IV infusion.
C) Obtain a pulse oximetry reading.
D) Administer oxygen.

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Learning Objectives

Learning Objectives

Related questions

The nurse obtains the following vital signs on an adult patient: T.100.6°F BP 100/60,HR 110,respirations 36.What is the first action by the nurse?A) Offer oral fluids.B) Begin an IV infusion.C) Obtain a pulse oximetry reading.D) Administer oxygen.

Definitions

Learning Objectives

Learning Objectives

Related questions

The nurse obtains the following vital signs on an adult patient: T.100.6°F BP 100/60,HR 110,respirations 36.What is the first action by the nurse?

A) Offer oral fluids.
B) Begin an IV infusion.
C) Obtain a pulse oximetry reading.
D) Administer oxygen.