which of these Assessment Findings this morning

which of these Assessment Findings this morning suggest delirum, and why is it important to know for nursing? Increased fatigue over the past 3 days Alert and oriented X 2-disoriented to place this morning Anxious and distressed Dyspnea and SOB Accessory muscle use Breath sounds diminished to bases bilaterally Productive cough with green blood-tinges sputum—difficulty expectorating Expiratory wheeze bilaterally Barrel chest Skin is pale, hot and dry Strong peripheral pulses Urine is clear and concentrated with U/O 100 cc overnight Intermittent chills Fingernails are yellow with clubbing present SCIENCE HEALTH SCIENCE NURSING NURSING PNP300

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