1. Which action demonstrates that the nurse understands the purpose of the Rapid Response Team?
a. Monitoring the client for changes in postoperative status such as wound
infection
b. Documenting all changes observed in the client and maintaining a
postoperative flow sheet
c. Notifying the physician of the client’s change in blood pressure from
140 to 88 mm Hg systolic
d. Notifying the physician of the client’s increase in restlessness after
medication change
ANS: C
The Rapid Response Team (RRT) saves lives and decreases the risk for harm by providing care to
clients before a respiratory or cardiac arrest occurs. Although the RRT does not replace the Code
Team, which responds to client arrests, it intervenes rapidly for those who are beginning to decline
clinically. It would be appropriate for the RRT to intervene when the client has experienced a 52-
point drop in blood pressure. Monitoring the client’s postoperative status, maintaining a
postoperative flow sheet, and notifying the physician of a change in the client’s status after a
medication change would not be considered activities of the Rapid Response Team.
DIF: Cognitive Level: Comprehension/Understanding REF: pp. 2-3
TOP: Client Needs Category: Safe and Effective Care Environment (Management of Care—Collaboration with
Interdisciplinary Team)
MSC: Integrated Process: Nursing Process (Assessment)
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