Save As Full screen 6. The patient's blood pressure is $$ 200 / 90 $$, the pulse is 110 , the respiratory rate is 24 , the oxygen saturation is $$ 89 \% $$ and the pain level is 2 out of 10 . What is the normal range for each of these readings? The doctor orders oxygen 3 L via nasal cannula because the oxygen saturation is $$ 89 \% $$. Can the CNA place the patient/resident on oxygen? Why or why not?

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To address your questions, let's first outline the normal ranges for the vital signs you've provided:

1. **Blood Pressure**: Normal blood pressure is typically around $$ 120/80 $$ mmHg. A reading of $$ 200/90 $$ mmHg indicates hypertension (high blood pressure).

2. **Pulse (Heart Rate)**: A normal resting heart rate for adults is usually between $$ 60 $$ and $$ 100 $$ beats per minute. A pulse of $$ 110 $$ bpm is considered tachycardic (elevated heart rate).

3. **Respiratory Rate**: The normal respiratory rate for adults is generally between $$ 12 $$ and $$ 20 $$ breaths per minute. A rate of $$ 24 $$ breaths per minute is considered tachypneic (elevated respiratory rate).

4. **Oxygen Saturation**: Normal oxygen saturation levels are typically between $$ 95\% $$ and $$ 100\% $$. An oxygen saturation of $$ 89\% $$ is low and indicates hypoxemia (low blood oxygen levels).

5. **Pain Level**: Pain levels are subjective, but a pain level of $$ 0 $$ to $$ 2 $$ out of $$ 10 $$ is generally considered to be within a normal or acceptable range, indicating minimal pain.

### Can the CNA place the patient/resident on oxygen?

In most healthcare settings, a Certified Nursing Assistant (CNA) is not authorized to initiate oxygen therapy independently. The administration of oxygen typically requires a physician's order or a standing protocol, and it is usually carried out by a registered nurse (RN) or a licensed practical nurse (LPN).

In this scenario, since the doctor has already ordered oxygen at $$ 3 $$ L via nasal cannula due to the low oxygen saturation of $$ 89\% $$, the CNA can assist in the process by preparing the equipment and ensuring the patient is comfortable, but the actual initiation of oxygen therapy should be performed by a licensed nurse.

Always follow the specific protocols and guidelines of your healthcare facility regarding the roles and responsibilities of CNAs and the administration of oxygen therapy.
The normal ranges are: Blood Pressure $$ 120/80 $$ mmHg, Pulse $$ 60-100 $$ bpm, Respiratory Rate $$ 12-20 $$ breaths/min, Oxygen Saturation $$ 95-100\% $$, Pain Level $$ 0-2 $$ out of $$ 10 $$. CNAs can assist with oxygen therapy but cannot initiate it; a licensed nurse should perform it.

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