Before answering this question, review the client’s health information in the EHR. Identify the following findings that require monitoring for change, but no action at this time.Select to highlight the four (4) correct answers.Vital Signs: Temp. 98.4 deg F (36.8 deg C); HR 102; RR 22; BP 140/92(108); SpO2 92% on RA; Pain with deep inspiration.Nursing Assessment: Cooperative with moderate distress Skin warm/dry, without lesions. PERRLA, Lungs with bilatera crackles, heart rate and rhythm regular with an occasional abnormal beat. No murmurs present, no S3, and S4, JVD present. Peripheral pulses 2/4, DP and PT pulse 1/4; 3+ bilateral pedal edema. Abdomen soft, active bowel sounds x 4; last BM 3 days ago.Before answering this question, review the client’s health information in the EHR. Identify the following findings that require monitoring for change, but no action at this time.Select to highlight the four (4) correct answers.Vital Signs: Temp. 98.4 deg F (36.8 deg C); HR 102; RR 22; BP 140/92(108); SpO2 92% on RA; Pain with deep inspiration.Nursing Assessment: Cooperative with moderate distress Skin warm/dry, without lesions. PERRLA, Lungs with bilatera crackles, heart rate and rhythm regular with an occasional abnormal beat. No murmurs present, no S3, and S4, JVD present. Peripheral pulses 2/4, DP and PT pulse 1/4; 3+ bilateral pedal edema. Abdomen soft, active bowel sounds x 4; last BM 3 days ago.Continue
[Solved]: Before answering this question, review the client’s…
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