A client's vital signs are T 98.8, P 88, R 20, BP 160/100. The abnormal vital sign is

Rationale

Blood pressure is the abnormal vital sign.

The client's blood pressure reading of 160/100 mmHg is elevated, indicating hypertension, while the other vital signs are within normal ranges. This abnormality is significant as it can lead to various health complications if not addressed.

A (temperature) YOUR ANSWER

The temperature reading of 98.8°F falls within the normal range for adults, which is typically between 97°F and 100.4°F. Therefore, this vital sign does not indicate any abnormality.

B (pulse) YOUR ANSWER

A pulse rate of 88 beats per minute is considered normal for adults, which typically ranges from 60 to 100 beats per minute. This reading does not suggest any health issues and is not abnormal.

C (respirations) YOUR ANSWER

The respiratory rate of 20 breaths per minute is at the upper limit of the normal range for adults, which is usually 12 to 20 breaths per minute. Although it is slightly elevated, it is still considered within acceptable limits and does not reflect an abnormality.

D (blood pressure) CORRECT

A blood pressure of 160/100 mmHg is classified as stage 2 hypertension according to clinical guidelines. This elevated reading indicates a significant health concern that requires monitoring and potential intervention to prevent cardiovascular complications.

Conclusion

In this assessment of vital signs, the only abnormal reading is the blood pressure, which indicates hypertension. The other vital signs—temperature, pulse, and respirations—are all within normal ranges. Recognizing hypertension is crucial, as it can lead to severe health issues if not managed properly. Monitoring and addressing elevated blood pressure is essential for maintaining overall health.

A client's vital signs are T 98.8, P 88, R 20, BP 160/100. The abnormal vital sign is

Blood pressure is the abnormal vital sign.

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