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    Ati Rn 54 Paediatrics Unit 5 ( Fresno City College) Proctored Exam

    Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again. Select all that apply. Heart rate 75/min Pulse oximetry 98% on room air Blood Pressure 148/88 mm Hg Height 154.9 cm (61 inches) Weight 44.5 kg (98 lb)

    Explanation & Rationale

    Rationale: Blood Pressure 148/88 mm Hg: This reading is elevated for a pediatric/adolescent client and indicates stage 2 hypertension based on pediatric BP percentiles. Persistent elevated BP can increase the risk for cardiovascular complications, end-organ damage, and warrants prompt evaluation and intervention. Heart rate 75/min: This is within normal limits for an adolescent (60–100/min), indicating no acute concern. Pulse oximetry 98% on room air: Oxygen saturation is within the normal range (95–100%), so no immediate follow-up is needed. Height 154.9 cm (61 inches): Growth appears consistent with previous measurements; no acute concern is present. Weight 44.5 kg (98 lb): Weight increase is gradual over time and not outside expected growth patterns, requiring routine monitoring rather than urgent follow-up.

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