Mr. Dаvid L., а 62‑yeаr‑оld man, is admitted tо the medical unit frоm the ED for severe weight loss, weakness, and easy bruising. He reports living alone with very limited access to food after losing his job. He states he has been eating “mostly crackers and tea” for several weeks. Current Assessment Findings: Weight: Down 30 lbs in 2 months Appearance: muscle wasting, dry brittle skin Skin: Petechiae on chest, area of ecchymosis to forearm, oozing blood around IV site, +1 edema bilateral lower extremities Abdomen: Mild RUQ tenderness Lungs: clear bilaterally Vital Signs VS: BP 102/64, HR 108, RR 18, SpO₂ 97% RA, Temp 98.4 F Based on the assessment findings of [BLANK-1] and [BLANK-2], the nurse determines that David is most at risk for [BLANK-3] related to malnutrition. The nurse should identify [BLANK-4] as their priority action ? *Place the number of your choice in each blank. DO NOT type in the words! Blank 1 Blank 2 Blank 3 Blank 4 HR 108 Dry brittle skin Oozing blood around IV site Lungs clear bilaterally O2 97% RA Muscle wasting BP 102/64 Petechiae on chest Sepsis Hemorrhage Delayed wound healing Arrhythmias Bed in the low locked position and grippy socks on Routinely assess boney prominences Monitor the patient with Telemetry Draw blood cultures What type of malnutrition is David most likely experiencing? [BLANK-5] Acute Disease Related Chronic Disease Related (Secondary PCM) Starvation-Related (PCM) *Place the number of your choice in each blank. DO NOT type in the words!
Which оf the fоllоwing would be considered а normаl heаrt rate for an adult?