The nurse is assessing a client after assisting them to a st…
The nurse is assessing a client after assisting them to a standing position to prepare for ambulation. Determine whether the current data is concerning or not concerning. Indicate which category by selecting the boxes that are “concerning.” Sitting at bedside Standing Beside Bed Respiratory Rate 18 Respiratory Rate 20 Blood Pressure 144/78 Blood Pressure 128/66 Heart Rate 62 Heart Rate 66 Pulse Ox 96% RA Pulse Ox 95% RA