A postoperative patient reports new crushing chest pain rated 7 out of 10. The blood pressure is 88/54 mmHg, pulse 124 beats per minute, and skin is cool and clammy. Which finding requires immediate reporting?
Correct answer: C. Blood pressure of 88/54 mmHg with shock signs
- A. Pain score of 7 out of 10
- B. Pulse rate of 124 beats per minute
- C. Blood pressure of 88/54 mmHg with shock signs
- D. Cool skin after the patient received analgesia
Explanation
Hypotension combined with tachycardia, cool clammy skin, and chest pain suggests impaired circulation and possible shock or acute cardiac compromise. Circulation problems require immediate assessment and reporting, while pain and pulse are also important but are interpreted within this more urgent clinical picture.
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About Vital Signs and Monitoring
Vital signs include temperature, pulse, respiration, blood pressure, oxygen saturation and pain assessment. Coverage includes correct measurement sites and techniques, normal adult ranges, factors that alter readings, trends in patient observations, and the difference between an abnormal finding that needs reassessment and one requiring immediate reporting.
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