The Nurse Is Performing an Assessment on an Adolescent Client

question 13

Multiple Choice

The nurse is performing an assessment on an adolescent client. Which finding would be unexpected?

• A) Apical heart rate of 110 beats per minute.
• B) Respiratory rate of 14 breaths per minute.
• C) Blood pressure of 98/58 mmHg.
• D) Temperature of 98.8°F.

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Definitions:

Decision-making Model

Structured approaches that individuals or groups follow to analyze situations and select among alternative courses of action.

Identify And Weigh

The process of recognizing various factors or options in a decision-making scenario and assessing their importance or impact to inform a choice.

Decision Criteria

The standards or benchmarks that guide the selection of alternatives in the process of making a decision.

Programmed Decisions

Decisions that are made in routine, structured situations by following established policies or rules.