Fred presents to the emergency department with fatigue, a hacking non-productive…

Fred presents to the emergency department with fatigue, a hacking non-productive cough, and shortness of breath that have progressively worsened over the past 3 days. He has a past medical history of a myocardial infarction 8 months ago and osteoarthritis in the left hip. He quit smoking tobacco 6 months ago and denies alcohol use. His current medications include aspirin 81 mg daily, atorvastatin 40 mg daily, lisinopril 10 mg daily, metoprolol 12.5 mg daily, and ibuprofen 600 mg prn for hip pain.Assessment FindingsThe nurse documents the following assessment findings:Heart Rate72 bpmRespiratory22Blood Pressure134/88 mmHg, R arm, sittingPain1/10 pain on a 0–10 pain scaleSummary of Additional FindingsApical pulse palpated at the L mid-clavicular line, 6th intercostal spaceReports 8 lb. weight gain over past 7 days, current weight 202 lbs.Fine crackles auscultated in the bilateral lower lobesSpO2 90% on Room AirReports increased difficulty breathing when lying flat in the bedReports he recently completed treatment for conjunctivitis. Thirty minutes later, the provider orders compression stockings, a 2 g low-sodium diet, 2 L fluid restriction, intravenous (IV) access, oxygen via nasal cannula at 6 L/min., and blood work to further evaluate the client’s condition. Nurse Notes While placing the IV, the nurse notices the client sitting forward in the tripod position with a respiratory rate of 24 and an SpO2 89% on room air. The client is now having difficulty speaking in complete sentences and pauses frequently when communicating with the nurse. He reports he is hungry because he skipped breakfast this morning to come to the hospital and is also requesting something for pain, the arthritis in his left hip is becoming uncomfortable on the hospital mattress. He rates his pain as 4/10 on a 0–10 pain scale. Question 3 (1 point) Listen Select the appropriate priority for each nursing action with consideration to the client’s current presentation. 1—Critical 2—Urgent 3—Normal Question 3 options: 123 Order meal tray. 123 Initiate oxygen therapy. 123 Apply compression stockings. 123 Educate patient on fluid restriction. 123 Alert provider of change in respiratory status. 123 Address pain.