The nurse is assessing a 6 year-old

The nurse is assessing a 6 year-old male client with a history of asthma who was brought to the emergency department (ED) and reports shortness of breath during a soccer game. The nurse completes a triage assessment with the following data: Temperature 99.2oF Heart rate 96 beats/min Respirations 32 breaths/min Blood pressure 97/66 mm Hg (sitting) Oxygen saturation 89% (room air) Health History Born at 30 weeks gestation History of asthma Multiple environmental allergens Allergic to penicillin Immunizations are current Indicate which assessment findings are Expected or Requires Follow-Up by the nurse. Group of answer choices Child reports no pain [ Choose ] Expected Requires Follow-up Child is restless and refuses to lie down in bed [ Choose ] Expected Requires Follow-up Wheezing in both lungs [ Choose ] Expected Requires Follow-up Minimal air movement noted in lower lobes bilaterally [ Choose ] Expected Requires Follow-up Child only nods head “yes” or “no” to questions [ Choose ] Expected Requires Follow-up Parents are at the bedside and providing comfort [ Choose ] Expected Requires Follow-up Peak flow meter results are <50% of child's baseline [ Choose ] Expected Requires Follow-up Moderate intercostal retractions [ Choose ] Expected Requires Follow-up

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