Author Question: The nurse has just taken vital signs for the 30-year-old client. Based on the results, the nurse ... (Read 42 times)

lunatika · **on:** Jul 22, 2018

The nurse has just taken vital signs for the 30-year-old client. Based on the results, the nurse will report which of the following findings that is out of the expected range for a client of this age?

a. T, 37.4C
b. P, 110
c. R, 20
d. BP, 120/76

Question 2

The parents of a 3-month-old ask the nurse what behaviour they should expect. The nurse informs the parents that the child will be able to do which one of the following?

a. Saying Da-da
b. Smiling responsively
c. Differentiating between a stranger and a familiar person
d. Playing peek-a-boo games

mcabuhat · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
The expected pulse range for an adult is 60 to 100 beats per minute. This client's pulse is elevated at 110 beats per minute.
This client's temperature is within the normal range of 36C to 38C for an adult.
This client's respiratory rate is within the normal range of 12 to 20 breaths per minute for an adult.
This client's blood pressure reading is within the normal range of less than or equal to 120/80 mm Hg for an adult.

Answer to Question 2

B
Between 2 and 3 months of age, infants begin to smile responsively rather than reflexively.
By age 1 year, infants have two- or three-word vocabularies, such as Da-da.
By 8 months of age, most infants can differentiate a stranger from a familiar person.
By 9 months of age, infants play simple social games such as patty-cake and peek-a-boo.