54. What is an abnormal sign that SHOULD be reported to the nurse in charge?
Answer: C
Rapid respiration is an abnormal sign that SHOULD be reported to the nurse in charge.
Rapid respiration indicates a potential respiratory issue or distress and should be promptly communicated to the nursing staff for further assessment and intervention.
A) A good appetite.
A good appetite is generally a positive sign of health and recovery, indicating that a patient is likely receiving adequate nutrition and is stable. This does not warrant reporting to the nurse as it does not indicate any abnormality.
B) Soft, brown stool.
Soft, brown stool is typically considered normal and suggests healthy digestive function. There is no indication of any abnormality that necessitates reporting to the nurse.
C) Rapid respiration.
Rapid respiration is a concerning sign that may indicate various medical issues, such as anxiety, lung disease, or metabolic problems. It is crucial to report this to the nurse for immediate evaluation and potential intervention.
D) Pink color of the lips.
A pink color of the lips is generally a sign of adequate oxygenation and is not abnormal. This finding is typically reassuring and does not require notification of the nursing staff.
Conclusion
Rapid respiration is a significant indicator of potential health issues that require immediate attention, making it the only option that should be reported to the nurse in charge. Options A, B, and D reflect normal or positive signs, while C highlights a critical abnormality that necessitates further evaluation.