A Nurse Is Documenting Patient Data in the Electronic Health

question 31

Multiple Choice

A nurse is documenting patient data in the electronic health record. Which data should be processed as abnormal?

• A) Temperature of 99.5°F
• B) Blood pressure of 160/110
• C) Audible heart murmur
• D) All of these are correct.

---

Definitions:

Flight of Ideas

A rapid flow of thought, often manifesting as a symptom in conditions like bipolar disorder, characterized by rapid topic changes.

Echolalia

The repetition of words or phrases spoken by others, a speech pattern often found in people with autism and certain other conditions.

Clanging

A pattern of speech where the choice of words is governed by sound rather than meaning, typically noticed in psychiatric conditions.

Word Salad

A speech disorder characterized by the random juxtaposition of words that lack meaningful connection, typically seen in severe psychiatric conditions such as schizophrenia.