Question

charles grant, lvn, is given mr. grovers chart and asked to take the bp and p stat. charles reviews the notes and sees that mr. grover has hypertension and tachycardia and that the physician has ordered the patient to be npo. the chart also states that he has polyuria, rhinorrhea, eupnea, and a history of cholelithiasis. when charles greets mr. grover and informs him that he is going to take his bp and p, mr. grover requests a drink of water first, as he is feeling quite thirsty. 1. what are bp and p? is there any urgency in doing these? 2. noting that mr. grover has hypertension and tachycardia, do you expect the readings to be too high, normal, or too low? explain. 3. what do polyuria, rhinorrhea, eupnea, and cholelithiasis mean? 4. is it appropriate to give mr. grover a glass of water? why or why not? thinking it through: charles grant

Explanation:

1. BP stands for blood - pressure and P for pulse. Taking them is urgent as Mr. Grover has hypertension and tachycardia, and monitoring is crucial for his condition.
2. With hypertension, we expect blood - pressure readings to be too high. Tachycardia implies a high heart rate (pulse), so pulse readings are expected to be too high as well.
3. Polyuria is excessive urination. Rhinorrhea is a runny nose. Eupnea is normal, unlabored breathing. Cholelithiasis is the presence of gallstones.
4. It is not appropriate to give Mr. Grover water as the physician has ordered him to be NPO (nothing by mouth), which means no food or drink.

Answer:

1. BP is blood - pressure, P is pulse. There is urgency due to his condition.
2. Expect BP and P readings to be too high because of hypertension and tachycardia.
3. Polyuria: excessive urination; Rhinorrhea: runny nose; Eupnea: normal breathing; Cholelithiasis: gallstones.
4. No, because the physician has ordered NPO.