On initial assessment, the client is anxious and visibly usi…
On initial assessment, the client is anxious and visibly using accessory muscles to breathe. Vital signs: Temperature 98.6°F (37.0°C), heart rate 130 beats/min (irregular), blood pressure 155/92 mmHg, respiratory rate 30 breaths/min, O2 Sat 88% on room air. Auscultation of the client’s lungs reveals bilateral crackles extending up to the mid-scapula. A 3+ pitting edema is noted in the bilateral lower extremities.Which focused physical assessments will the nurse assess for, to provide objective data related to the client’s right-sided heart failure? (Select all that apply)
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