While caring for your patient in clinical, you take his vital signs with an automatic vital sign machine at 0800 and get T-98F, P-64, BP-126/74, and SpO2-98% on room air. Manually, you assess the respiratory rate at 19 breaths per minute. When asked about pain, your patient says he is having abdominal incision pain at a 2 on a scale of 0 to 10. Your patient has a good morning and is sitting up in the chair reading when you take his vital signs with the same machine at noon. The readings are T-96F, P-51, BP-94/96 and SpO2-70% on room air. When you repeat vital signs with the machine you get similar readings. The respiratory rate is 17 and pain assessment response is a 3.