Care Manager Certification Practice Exam

Which vital sign suggests a critical condition in a dying client?

1. Afebrile temperature

2. Heart rate of 70/min

3. Blood pressure of 120/80 mm Hg

4. Blood pressure of 62/ mm Hg palpated

The correct answer is: Blood pressure of 62/ mm Hg palpated

The choice of a blood pressure of 62 mm Hg palpated indicates a critical condition in a dying client due to its significant deviation from normal values. In healthy adults, a typical blood pressure reading is around 120/80 mm Hg. A blood pressure as low as 62 mm Hg reflects severe hypotension, which can occur in the context of shock, significant blood loss, or other life-threatening conditions. In a dying client, such a low blood pressure may point to compromised organ perfusion and a failing circulatory system, which are critical signs that the body is no longer able to maintain adequate function. In contrast, an afebrile temperature indicates that there is no fever present, which isn't necessarily a sign of critical condition. A heart rate of 70 beats per minute falls within the normal resting heart rate range, suggesting that the cardiac function might still be stable. Similarly, a blood pressure of 120/80 mm Hg is indicative of normal blood pressure and does not warrant concern in terms of the client’s critical condition. Therefore, the blood pressure reading of 62 mm Hg palpated stands out as a critical sign that necessitates immediate attention.