Difficulty: Medium
Average Score: 74%
Simulated
Passage / Scenario
Vital Signs Day 1: Temperature 37.5┬░ C (99.5┬░ F), Heart rate 98/min, Respiratory rate 20/min, Blood pressure 180/86 mm Hg, Oxygen saturation 95% on room air, Weight 90 kg (198 lb); 2 months later: Temperature 37.5┬░ C (99.5┬░ F), Heart rate 48/min, Respiratory rate 20/min, Blood pressure 140/76 mm Hg, Oxygen saturation 97% on room air, Weight 91 kg (200 lb)The nurse is evaluating the client's response to the medication. The client's ___________ and ____________ indicate the client's condition is improving.
Correct answer
B, E
Rationale
The correct answer is B, Heart rate and E, Blood Pressure. Monitoring heart rate and blood pressure are vital signs that reflect the overall cardiovascular function and response to medication. An improvement in heart rate and blood pressure indicates better circulation and cardiac output, suggesting the client's condition is improving. The other choices (A, C, D) do not directly reflect the client's cardiovascular status and are not appropriate indicators of medication response. Weight (D) can fluctuate for various reasons, and HDL level (A) and Potassium level (C) are important but specific to different aspects of health. Thus, heart rate and blood pressure are the most relevant indicators in this context.