The nurse recognizes which client as having the most concern…
The nurse recognizes which client as having the most concerning assessment fndings? Client Assessment Findings Client 1 Neuro: GCS 15, RASS 0 Cardiac: S1, S2 78bpm Respiratory: symmetrical movement 14bpm, diminished lung sounds GI: Bowel Sounds A/Ax4 Client 2 Neuro: RASS 2 Cardiac: S1, S2, 116bpm Respiratory: dyspnea, accessory muscle use, 26bpm Peripheral vascular: unilateral swelling, redness, tenderness left calf Client 3 Neuro: RASS -1 Cardiac: S1, S2, S3, 80bpm Respiratory: shallow breaths, 12bpm GI: Bowel Sounds hypoactive Client 4 Chest: Poor skin turgor GI: Decreased appetite, weight loss Integumentary: non-blanchable redness of coccyx
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