FLAG A nurse is caring for a client. The nurse

FLAG A nurse is caring for a client. The nurse is reviewing the client’s medical record. Exhibit 1 Exhibit 2 Exhibit 3 Click to highlight the findings below that indicate tha the client has a potential problem. To deselect a Nurses’ Notes finding, click on the finding again. Day 1 1000: Nurses’ Notes Client is short of breath and has a productive cough with Client is short of breath and has a productive yellow mucus. cough with yellow mucus. Client reports feeling “I could barely breathe when I got up this morning and I sick for the last few days and states, “I could had a throbbing headache.” barely breathe when I got up this morning and I Capillary refill less than 2 seconds. had a throbbing headache.” Client is diaphoretic. Crackles heard in posterior lungs. Client is alert and oriented to person, place, Pedal pulses +2 bilaterally. and time. Capillary refill less than 2 seconds. Client is diaphoretic. Crackles heard in posterior lungs. Pedal pulses +2 bilaterally. Client reports decreased appetite for the past 2 days.

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