A 14-year-old boy is brought to the Emergency Department by

The nurse enters jesse’s room, performs hand hygiene, and introduces themselves to Jesse’s motherJesse’s mother asks, Are babies supposed to be this fussy? He cries all the time and won’t sleep unless hold him with this pacifier in his mouth” The nurse assesses the newbornMild tremors of extremities and high-pitched cry noted when disturbed. Vital signs are temperature 37.7C (99.9F), heart rate 158/min, respiratory rate 66/minBilateral lung sounds are clear. Respirations rapid and shallow but unlabored. No grunting, nasal flaringor retractions notedAbdomen soft with active bowel sounds. Cord stump dryingMucus membranes are pink and moistSmall emesis of undigested formula observed. Anterior fontanel level and soft. Large caput succedaneum and bruising on the posterior scalpGeneralized increased muscle tone and hyperactive Moro reflex noted. Babinski reflex present. Voided and passed large amount of loose watery green Which of the following concerns should the nurse address while providing client care? Select all that apply. Physiological: Inflammation Physiological : Sensory Physiological: Nutrition Physiological: Elimination Physiological: Clotting Physiological: Comfort

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