Question

ALPHASLICE NURSING Case study Scenrio 1 Q1- The nurse assesses the client on admission. Which findings require immediate follow-up. (Select all that apply.)

Shortness of Breath
Chest Tightness
Blood Pressure
Respiratory Rate
Dry Cough
Audible and Respiratory wheezes
Speaks only few words between breaths Tenderness of Chest wall
Tripod Position ​

Answer 1

Shortness of Breath

Chest Tightness

Blood Pressure

Respiratory Rate

Audible and Respiratory wheezes

Step-by-step explanation:

These findings may indicate respiratory distress, which could be due to a number of reasons such as asthma, chronic obstructive pulmonary disease (COPD), or pneumonia. Immediate follow-up is needed to ensure that the client receives prompt and appropriate treatment to alleviate the symptoms and prevent further complications.

While Tenderness of Chest wall and Tripod Position could also be signs of respiratory distress, they may not necessarily require immediate follow-up as they may be caused by other conditions. Dry Cough may also be a symptom of respiratory distress, but it may not be as urgent as the other findings listed above.