Which client assessment finding(s) require immediate follow-up by the nurse at this time? Select all that apply. Group of answer choicesSOB & wet coughSpo2: 93% on Room air.edemaPulse: 115lung soundsRespiratory rate: 28
Question
Which client assessment finding(s) require immediate follow-up by the nurse at this time? Select all that apply. Group of answer choicesSOB & wet coughSpo2: 93% on Room air.edemaPulse: 115lung soundsRespiratory rate: 28
Solution
The following client assessment findings require immediate follow-up by the nurse:
-
SOB (Shortness of Breath) & wet cough: This could indicate a respiratory infection or other serious conditions like heart failure.
-
Pulse: 115: A normal resting heart rate for adults ranges from 60 to 100 beats per minute. A pulse rate of 115 may indicate tachycardia, which can be due to stress, anxiety, or more serious health conditions like heart disease or hyperthyroidism.
-
Respiratory rate: 28: The normal range for an adult respiratory rate is 12 to 20 breaths per minute. A respiratory rate of 28 is high (tachypnea) and could indicate a problem with the lungs or heart, or a response to anemia, fever, or anxiety.
The other findings (Spo2: 93% on Room air, edema, lung sounds) may also be important depending on the context, but the above three are the most critical and require immediate attention.
Similar Questions
Which client assessment finding(s) require immediate follow-up by the nurse at this time? Select all that apply. Group of answer choicesSOB & wet coughSpo2: 93% on Room air.edemaPulse: 115lung soundsRespiratory rate: 28
The nurse on the medical-surgical unit has received two new client admissions simultaneously. Which assessment is essential to determine which client the nurse should see first?A. Vital signsB. Number of prescribed medicationsC. Medical historyD. Code status
The nurse is performing an assessment on a client admitted to the hospital with a diagnosis of dehydration. Which assessment finding would the nurse expect to note?
In the course of an initial assessment, a psychologist asks their adult client about some of their childhood experiences. Which of the following options is most likely to be directly informed by the client's answer?Group of answer choicesTreatment planPrognosisDiagnosisCase formulation
After performing a self-administered assessment, when should the client be asked to report results?Select one:a.Each evening prior to bedb.At the client's earliest conveniencec.The next time the client and fitness professional meetd.Immediately after performing the assessment
Upgrade your grade with Knowee
Get personalized homework help. Review tough concepts in more detail, or go deeper into your topic by exploring other relevant questions.