1. Which client is experiencing an abnormal change in vital signs? A client who

ID: 137888 • Letter: 1

Question

1. Which client is experiencing an abnormal change in vital signs? A client who is: Select all that apply.

a. Blood pressure was 132/80 mmHg sitting and 120/60 mmHg upon standing

b. Rectal temperature is 97.9 F in the morning and 99.2 F in the evening

c. Heart rate was 76 bpm before eating and is 60 bpm after eating

d. Respiratory rate was 14 when standing and is 22 after walking

e. Oxygen saturation was 94% before walking and is 88% after walking

2. The best nursing intervention when attempting to clear the lungs is:

a. Cough and deep breathe once each 4 hours

b. Incentive spirometer 10 times per hour

c. Sit in the chair 2 times per day

c.Increase fluid intake

Q. No. 1 correct options are A & C

as When BP is132/80 mm Hg on sitting and is 120/60 mm Hg upon standing its the sign of abnormality

Also when heart rate is 76 before eating and is 60 after eating it the sign of abnormality.

Q. No. 2 correct options is B

As if a patient take at least 10 deep, effective breaths per hour using an incentive spirometer it will clear the lungs in the best way

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