Question: 1 of 6
History & Physical
Vital Signs
Laboratory Diagnostic Results
A 68-year-old woman is admitted with difficulty breathing. The client's vital signs are as follows: temperature (T) 98.6°F (37°C), blood pressure (BP) 162/94 mm Hg, heart rate (HR) 92 beats/minute, and respiratory rate (RR) 26 breaths/minute. Oxygen saturation (SaO2) is 90% on room air. Client states she has been sleeping in a recliner chair for the past three nights due to her labored breathing. She also states she has "5" out of 10 pain in her lower back.
Upon assessment, the client states, "I can't catch my breath when I walk a few feet." Client is oriented to person, place, and time. She has a productive cough. Crackles and wheezing heard upon auscultation and diminished breath sounds at bases. The client's capillary refill is 4 seconds with evidence of clubbing to her fingers. Ankles and feet show 1+ pitting edema. The client is allergic to penicillin. Medical history includes hypertension, hyperlipidemia, type 2 diabetes mellitus, and chronic obstructive pulmonary disease (COPD).
Which of the following findings require follow-up? Select all that apply.
(Select All that Apply.)
[] Wheezing
[] Respiratory rate 26/min
[] Capillary refill < 3 seconds
[] Temperature 98.6°F (37°C)
[] Oxygen saturation 90%
[] Blood glucose 253 mg/dL
