The nurse is admitting a client who plays professional football. ...

[Starlight]

The nurse is admitting a client who plays professional football. The nurse assesses vital signs and records the following measurements: 98.6 F; 48; 10; 88/54. The client says he feels fine and denies any symptoms. Which action by the nurse is
 
  1. Notify the health care provider.
  2. Encourage fluids.
  3. Document the client's vital signs and continue the admission history.
  4. Place client in the Trendelenburg position.

Question 2

Which factors could influence respiratory rate measurement? Select all that apply.
 
  1. Age
  2. Exercise
  3. Fever
  4. Medications
  5. Rapid heart rate

[Brummell1998]

Answer to Question 1

Correct Answer: 3

Clients in excellent physical condition will often run a lower heart rate and respiratory rate because the cardiac muscle is strong and requires fewer contractions to maintain an adequate cardiac output. There would be no need to intervene for this client.

Answer to Question 2

Correct Answer: 1,2,3,4

As age increases, respiratory rate gradually decreases. Respirations increase in rate and depth with exercise to supply oxygen to the working muscles. Fever will increase a client's respiratory rate as the body attempts to lower the temperature by releasing heat. Many medications impact respiratory rate. Narcotics and central nervous system depressants reduce respiratory rate, whereas stimulants can increase respiratory rate. A rapid heart rate usually will not impact respiratory rate, but a slowing heart rate could cause apnea.

[Starlight]

Excellent

[okolip]

Gracias!