Question

Which assessment data warrants immediate intervention by the Emergency Department Registered Nurse?

A) Ryan's complaint of a loss of sensation below his shoulders, along with flushed and warm skin in the extremities.
B) Ryan's blood pressure of 80/45 and pulse rate of 48.
C) Ryan's appearance of bladder distention.
D) Ryan's report of experiencing muscle weakness in his lower limbs.

Answer 1

Ryan's blood pressure of 80/45 and pulse rate of 48 warrants immediate intervention by the Emergency Department Registered Nurse.

Step-by-step explanation:

The assessment data that warrants immediate intervention by the Emergency Department Registered Nurse is option B) Ryan's blood pressure of 80/45 and pulse rate of 48.

A blood pressure of 80/45 is considered extremely low and indicates hypotension, which can be life-threatening. Combined with a pulse rate of 48, it suggests poor perfusion and compromised cardiac output. This requires immediate medical attention to stabilize the patient's condition.