8. A nurse is assessing the vital signs of several clients. Which client responses require the nurse to perform a further nursing assessment? Select all that apply 1)Pulse rate of 68 and regular

Question

2) Rectal temperature of 99.8 F
3) Pain level of 5 on a to 10 scale
4) Blood pressure measurement of 118/78 5) Respiratory rate of 28 breaths per minute

Answer 1

The responses that require the nurse to perform a further nursing assessment are:

3) Pain level of 5 on a 0 to 10 scale
5) Respiratory rate of 28 breaths per minute