During an assessment of a client who had surgery this mornin…
During an assessment of a client who had surgery this morning, the nurse notes the following: Respirations 20/min, shallow Pulse 110 bpm Blood pressure 88/60 Skin cool and clammy Client reports feeling “lightheaded” Which assessment should the nurse perform next?
Read DetailsClient: Henry Lewis, 64, admitted with pneumonia and receivi…
Client: Henry Lewis, 64, admitted with pneumonia and receiving oxygen at 2 L/min via nasal cannula. During a respiratory assessment, the nurse notes: RR 22/min, shallow SpO₂ 92% on 2 L Crackles heard in both lower lobes Skin warm and dry Reports mild shortness of breath when walking to the bathroom While the nurse is listening to lung sounds, Henry begins coughing forcefully, becomes pale, and his SpO₂ drops to 84%. He states, “I can’t catch my breath.” Question: What should the nurse do first?
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