A nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider?
Explanation & Rationale
A. An adolescent who has a BP of 132/82 mm Hg: While on the higher end of normal for adolescents, it might not necessarily require immediate reporting unless there are other symptoms or a history of hypertension.B. A 3-month-old infant who has a respiratory rate of 30/min: A respiratory rate of 30/min is within the normal range for a 3-month-old infant. Normal respiratory rates for infants typically range from 30 to 60 breaths per minuteC. A school-age child who has a rectal body temperature of 37.3° C (99.1° F): This is a low-grade fever and might not be a major concern in an otherwise healthy school-age child.D. An 18-month-old toddler who has a heart rate of 68/min: A heart rate of 68/min is lower than the normal range for an 18-month-old toddler. Typically, the normal heart rate for toddlers ranges from about 80 to 130 beats per minute. A heart rate of 68/min could indicate bradycardia, which requires further assessment by a provider.