Asked by Carina Darosa on May 10, 2024

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After obtaining a full set of vital signs,the nurse assesses the client's fifth vital sign as a 7 on a scale of 1 to 10 (or 7/10) .Which action by the nurse is most appropriate?

A) Document the pulse pressure as normal and continue the client's assessment.
B) Review the client's records to determine the last time he received pain medication.
C) Assess the client's pulse on the opposite side for comparison.
D) Wait 2 minutes and retake the client's blood pressure.

Fifth Vital Sign

Refers to pain as an additional vital sign that healthcare providers assess along with temperature, pulse, respiration, and blood pressure.

Pain Medication

Drugs used to relieve pain, ranging from over-the-counter analgesics to prescription opioids, tailored to the type and severity of pain experienced.

Pulse Pressure

The difference between the systolic and diastolic blood pressures, reflecting the force that the heart generates each time it contracts.

  • Understand the importance and interpretation of pain as the fifth vital sign.
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Verified Answer

AN
Angela NistorMay 16, 2024
Final Answer :
B
Explanation :
Pain is considered to be the "fifth vital sign." A pain rating of 7 out of 10 means the patient is experiencing a significant amount of pain.This can lead to an increase in blood pressure and pulse rate.The nurse's initial focus is on addressing the patient's pain.