Medical-Surgical Nursing:Assessment and Managementof Clinical Problems 9th Edition by Sharon Lewis,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher

Exercise 11

During the day, while being admitted to the nursing unit from the emergency department, a patient tells the nurse that she is short of breath and has pain in her chest when she breathes.Her respiratory rate is 28 and she is coughing up yellow sputum.Her skin is hot and moist, and her temperature is 102.2°F (39°C).The laboratory results show white blood cell count elevation and the sputum result is pending.The patient says that coughing makes her head hurt and she aches all over.Identify the subjective and objective assessment findings for this patient.