A nurse is caring for a client who was just
A nurse is caring for a client who was just admitted Drag words from the choices below to fill in each blank from the emergency department (ED). in the following sentence . . . o Exhibit 1 Exhibit 2 The client is most likely experiencing Target 1 Nurses’ Notes and Target 2 0945: Client is experiencing a sickle cell crisis. Client Word Choices states that they began experiencing pain in the fluid volume over lower extremities 3 days ago and is now load experiencing pain in the chest, rating it as 4 on scale of 0 to 10. pneumothorax Oxygen at 3 L/min via nasal cannula in place. acute chest syn- Oral mucosa pink, no cyanosis. drome Pulses palpable in all four extremities, no pneumonia peripheral edema noted. Respirations even and slightly labored; lung right-sided heart sounds with slight wheezing in left upper lobe. failure Abdomen soft and nontender, bowel sounds active in all four quadrants. 0.45% sodium chloride IV at 200 mL/hr infusing to left hand with no reports of pain or swelling at the site. 1200: Client is sitting up in high-Fowler’s position and appears anxious. Client reports shortness of breath and severe chest pain as 9 on a scale of 0 to 10. Client states that they have started coughing and are expectorating pink-tinged mucus. Lung sounds with increased wheezing in left lung and clear on the right side. Equal chest expansion noted. Neck veins flat. No peripheral 2 edema observed.
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