A nurse in caring for a client in the emergency department (ED)

Which of the following client findings should the nurse report to the provider immediately?

Vital Signs

Vital Signs

1700:

Temperature 35.3°C(96.5円

Blood pressure 88/66 mm Hg

Heart rate 76/min

Respiratory rate 10/min

Pulse oximetry 90% on room air

(Select all that apply.)

Tampacature

pressu

CORRECT

My Answer

Blood pressure is correct. The greatest risk to the dient is from alcohol soucity which can result in decreased body temperature, blood pressure, and respiratory rate. The client's current blood pressure in below the expected reference range, indicating hypotension

Living conditions is incorrect. The murse should address the issue that the client may be hommeless, but other assessments are a higher priority at th time.

Blood alcohol level is correct. The greatest risk to the client is from alcohol toxicity which can result in decreased body temperature, blood pressure, and respiratory rate, A blood alcohol level of 310 mg/dl is a critical value Nutritional status is incorrect. The rune should address the car's

numtienal status, but other assessments are a higher priority at this time. Respiratory assessment is correct. The greatest risk to the client is from alcohol toocity which can result in decreased body temperature, blood pressure, and respiratory rate. The client's current respinatory rate in below the expected reference range

Temperature is correct. The greatest risk to the client is from alcohol toxicity which can result in decreased body temperature, blood pressure, and respiratory rate. The client's current temperature is below the expected reference range, indicating hypothermia