Answer :
Final answer:
The vital signs that should be reported to the nurse immediately are found in option C. Although all temperature, breathing rate, and blood pressure measurements are within normal ranges, the heart rate in this example significantly exceeds the typical 60-100 beats per minute, providing cause for immediate concern.
Explanation:
Looking at the provided options, it is important to understand what each number and letter symbolize. The first number in each option represents the body temperature in Celsius. Normal body temperature is around 37 °C, so all options are within normal range. The second number represents heart rate. A normal heart rate is typically between 60-100 beats per minute, so option A, B, and D represent normal heart rates, while option C is alarmingly high at 158 beats per minute. The third number symbolizes the breathing rate (respiratory rate), where the normal range is 12-18 breaths per minute, hence all options are within normal range here as well. The last set of numbers represent blood pressure, typically between 90/60 and 120/80 mm Hg. All of the options are within acceptable range as well.
Considering all these factors, you should report option C immediately as the heart rate of 158 beats per minute is significantly higher than the normal range, indicating potential risk or danger to the patient's health condition.
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