Answer :
Based on the given vital signs, let's review each one to decide which should be immediately reported to your charge nurse.
1. T-98.6, P-70, R-14, BP-120/60
- Temperature (T): 98.6°F, which is within the normal range (97.0 - 99.0°F).
- Pulse (P): 70 beats per minute, which is within the normal range (60 - 100 bpm).
- Respiratory Rate (R): 14 breaths per minute, which is within the normal range (12 - 20 breaths per minute).
- Blood Pressure (BP): 120/60, which is generally within the normal range for systolic (90 - 120 mmHg) and diastolic (60 - 80 mmHg).
2. T-95.4, P-40, R-10, BP-80/40
- Temperature (T): 95.4°F, which is below the normal range.
- Pulse (P): 40 beats per minute, which is below the normal range (bradycardia).
- Respiratory Rate (R): 10 breaths per minute, which is below the normal range.
- Blood Pressure (BP): 80/40, which is below the normal range for both systolic and diastolic pressure.
- This set of vital signs is abnormal and should be reported immediately.
3. T-98.8, P-60, R-20, BP-132/70
- Temperature (T): 98.8°F, which is within the normal range.
- Pulse (P): 60 beats per minute, which is at the low end of the normal range.
- Respiratory Rate (R): 20 breaths per minute, at the upper limit of the normal range.
- Blood Pressure (BP): 132/70, where systolic pressure is slightly above the normal range (120 mmHg is considered a high-normal upper limit).
- Although the blood pressure is slightly elevated, these vital signs are generally acceptable, but it's a good practice to keep monitoring them.
4. T-97.6, P-78, R-16, BP-110/60
- Temperature (T): 97.6°F, which is within the normal range.
- Pulse (P): 78 beats per minute, which is within the normal range.
- Respiratory Rate (R): 16 breaths per minute, which is within the normal range.
- Blood Pressure (BP): 110/60, which is within the normal range.
Summary: The set of vital signs from the second scenario (T-95.4, P-40, R-10, BP-80/40) should be immediately reported as they indicate significant deviations from normal ranges. The vital signs from the third scenario deserve attention due to elevated blood pressure.
1. T-98.6, P-70, R-14, BP-120/60
- Temperature (T): 98.6°F, which is within the normal range (97.0 - 99.0°F).
- Pulse (P): 70 beats per minute, which is within the normal range (60 - 100 bpm).
- Respiratory Rate (R): 14 breaths per minute, which is within the normal range (12 - 20 breaths per minute).
- Blood Pressure (BP): 120/60, which is generally within the normal range for systolic (90 - 120 mmHg) and diastolic (60 - 80 mmHg).
2. T-95.4, P-40, R-10, BP-80/40
- Temperature (T): 95.4°F, which is below the normal range.
- Pulse (P): 40 beats per minute, which is below the normal range (bradycardia).
- Respiratory Rate (R): 10 breaths per minute, which is below the normal range.
- Blood Pressure (BP): 80/40, which is below the normal range for both systolic and diastolic pressure.
- This set of vital signs is abnormal and should be reported immediately.
3. T-98.8, P-60, R-20, BP-132/70
- Temperature (T): 98.8°F, which is within the normal range.
- Pulse (P): 60 beats per minute, which is at the low end of the normal range.
- Respiratory Rate (R): 20 breaths per minute, at the upper limit of the normal range.
- Blood Pressure (BP): 132/70, where systolic pressure is slightly above the normal range (120 mmHg is considered a high-normal upper limit).
- Although the blood pressure is slightly elevated, these vital signs are generally acceptable, but it's a good practice to keep monitoring them.
4. T-97.6, P-78, R-16, BP-110/60
- Temperature (T): 97.6°F, which is within the normal range.
- Pulse (P): 78 beats per minute, which is within the normal range.
- Respiratory Rate (R): 16 breaths per minute, which is within the normal range.
- Blood Pressure (BP): 110/60, which is within the normal range.
Summary: The set of vital signs from the second scenario (T-95.4, P-40, R-10, BP-80/40) should be immediately reported as they indicate significant deviations from normal ranges. The vital signs from the third scenario deserve attention due to elevated blood pressure.