A 64-year-old male client has arrived for an appointment at…
A 64-year-old male client has arrived for an appointment at the outpatient clinic because of difficulty breathing and a rash. History: Hypertension Hypothyroidism Depression Erectile dysfunction Chronic back pain Hyperlipidemia Anterior wall myocardial infarction (MI) at age 44.Up until the MI, he smoked two packs of cigarettes per day for 25 years. After the MI, he completed a cardiac rehabilitation program. His only current physical activity is walking around at work. He reports sleeping on two pillows and waking at night one to two times per week, gasping with difficulty breathing and having to get up during the night to urinate. He has noticed increased irritability and anxiety. Client reports joint and back pain in the evenings. He has increasing shortness of breath when he walks more than 30 feet and is concerned about a red scaly rash on his left lower leg. Current vital signs: Temperature: 99.3° F (37.3° C) Heart rate: (HR) 118 beats/min Blood pressure (BP): 142/90 mm Hg Respiratory rate (RR): 30 breaths/min Oxygen saturation: 92% on room air The nurse is analyzing client assessment data to determine a particular client problem or condition. Based on the information provided, answer the following assessment item. Which findings indicates that this client has impaired perfusion? Select all that apply.
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