A 67-year-old client with a history of infective endocarditi…
A 67-year-old client with a history of infective endocarditis is admitted with worsening shortness of breath and fatigue.Assessment findings:Temp: 38.9°C (102°F)HR: 118/minRR: 32/minBP: 90/56 mm HgSpO₂: 86% on 2 L nasal cannulaCrackles auscultated bilaterallyNew onset confusionLaboratory results:WBC: 19,000/mm³ (normal: 5,000–10,000/mm³)Hgb: 9.0 g/dL (normal: 12–16 g/dL)Platelets: 105,000/mm³ (normal: 150,000–400,000/mm³)Sodium: 124 mEq/LPotassium: 3.7 mEq/LABG:pH: 7.28PaCO₂: 55 mm HgHCO₃⁻: 24 mEq/LWhich of the following findings should the nurse recognize as priority concerns? Select three.
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