Which situation requires a CNA to report to a nurse immediately?

A noticeable change in a patient’s vital signs is a critical situation that requires immediate reporting to a nurse. Vital signs, which include blood pressure, heart rate, respiratory rate, and temperature, are essential indicators of a patient's current health status. Any significant alteration in these values can signal potential complications or health crises, necessitating prompt medical evaluation and intervention.

For instance, a sudden drop in blood pressure could indicate shock, while a significant increase in heart rate might suggest pain, anxiety, or other distressing conditions. Timely communication about these changes ensures that patients receive the necessary care to address their needs effectively, potentially preventing further health deterioration.

In contrast, situations like a patient asking for a glass of water, expressing boredom, or needing help with personal grooming do not represent urgent medical concerns and can be managed without immediate reference to nursing staff. These situations are considered part of routine care and communication that CNAs can address within their scope of practice.