A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal?
A. 11-year-old male: 90 BPM, 22 RPM, 100/70 mmHg
B. 13-year-old female: 105 BPM, 22 RPM, 105/50 mmHg
C. 5-year-old male: 102 BPM, 24 RPM, 90/65 mmHg
D. 6-year-old female: 100 BPM, 26 RPM, 90/70 mmHg
Correct Answer: B. 13-year-old female: 105 BPM, 22 RPM, 105/50 mmHg
The normal range of vital signs for 11 to 14-year-olds: Heart rate: 60-105 BPM; Respiratory rate: 12-20 CPM; Blood pressure: Systolic-85-120, diastolic- 55-80 mmHg; Body temperature: 98.0 degrees Fahrenheit (36.6 degrees Celsius) to 98.6 degrees Fahrenheit (37 degrees Celsius). The client’s diastolic pressure is lower than the normal range. Both her respiratory rate and heart rate are slightly increased.
Option A: Client’s heart rate and BP are within the normal range, respiratory rate slightly increased.
Option C: Normal range of vital signs for 3-5-year-olds: Heart rate: 80-120 BPM; Respiratory rate: 20-30 CPM; Blood pressure: 80-110 (systolic), 50-80 (diastolic). All vital signs are within the normal range.
Option D: Normal range of vital signs for 6-10-year-olds: Heart rate: 70-110 BPM; Respiratory rate: 15-30 CPM; Blood pressure: 85-120 (systolic), 55-80 (diastolic). All vital signs are within the normal range.