The nurse has just taken vital signs for a 30-year-old client. Based on the results, the nurse will report the following finding that is out of the expected range for a client of this age:
1. T = 37.4° C
2. P = 110 beats/min
3. R = 20 breaths/min
4. BP = 120/76 mm Hg
ANSWER
ANS: 2
The expected pulse range for an adult is 60-100 beats/min. This client’s pulse is elevated at 110 beats/min. This client’s temperature is within the normal range of 36° to 38° C for an adult. This client’s respiratory rate is within the normal range of 12-20 breaths/min for an adult. This client’s blood pressure reading is within the normal range of 120/80 mm Hg for an adult.
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