Which vital sign reported by the unlicensed assistive personnel (UAP) does the nurse investigate first?

Respiratory rate of 26 in the patient with epiglottitis. The patient with epiglottitis is at risk for an unstable airway. An increased respiratory rate in this patient must be assessed immediately to ensure a patent airway. The patient with a UTI who is hypotensive would be assessed next. The patient with influenza is expected to be febrile but should be assessed for hydration status. The patient with tachycardia following a knee replacement is likely in pain; this is not an airway emergency and can wait until after the patient with epiglottitis is assessed.

Which vital sign reported by the unlicensed assistive personnel (...

Category: Management of Care
Difficulty: 7

Topics: Delegation, Prioritization and Leadership Respiratory

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