QUESTION IMAGE
Question
what assessment data would indicate that jared griffins clinical status is worsening? (select all that apply.)
blood pressure of 130/88 mmhg
capillary refill <2 seconds
jugular venous distention noted at 45 degrees
heart rate of 118 beats per minute and irregular
pain rating of 2/10
normal breath sounds
Normal breath sounds are a sign of healthy respiratory function and not an indicator of worsening clinical status. A pain rating of 2/10 is relatively low and does not suggest a worsening condition. Capillary refill < 2 seconds is normal. A blood - pressure of 130/88 mmHg is within a near - normal range. However, a heart rate of 118 beats per minute and irregular is abnormal as a normal resting heart rate is 60 - 100 beats per minute and should be regular. Jugular venous distention at 45 degrees is also abnormal and can be a sign of heart or circulatory problems.
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Heart rate of 118 beats per minute and irregular, Jugular venous distention noted at 45 degrees