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Which data would be of greatest concern to the nurse when completing the nursing assessment of a 68-year-old woman hospitalized due to Pneumonia?

A. Oriented to date, time and place
B. Clear breath sounds
C. Capillary refill greater than 3 seconds and buccal cyanosis
D. Hemoglobin of 13 g/dl

User Shshnk
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1 Answer

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Final answer:

The greatest concern for the nurse when assessing a 68-year-old woman with pneumonia would be capillary refill greater than 3 seconds and buccal cyanosis, as these suggest significant oxygenation issues.

Step-by-step explanation:

Which Data Would Be of Greatest Concern to the Nurse:

When completing the nursing assessment of a 68-year-old woman hospitalized due to pneumonia, the data that would be of greatest concern is option C: Capillary refill greater than 3 seconds and buccal cyanosis. This indicates potential hypoxemia and poor peripheral perfusion which could signify serious oxygenation issues needing immediate treatment. Choice A indicates mental orientation and is not of immediate concern unless alterations are present.

Choice B clear breath sounds, would be unusual for a pneumonia case and therefore not the greatest concern. Choice D a hemoglobin level of 13 g/dl, is within normal limits and would not be of immediate concern.

User Hunterjrj
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