The nurse is caring for an 85-year-old patient who has been on bed rest for a fractured hip.The nurse finds that the patient is flushed,has a temperature of 100° F,a pulse of 100,and respiratory rate of 24.What assessment should the nurse perform next?

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Quizplus · Accepted Answer

The initial assessments are the cardinal signs of pneumonia.The breath sounds should be assessed next to determine the presence of any adventitious breath sounds.BP will also need to be assessed,but the breath sounds are more important with the signs and symptoms present.Abdominal distention is indicative of a gastrointestinal problem.Amount of urinary output is important to an ongoing assessment but not a priority in the present circumstances.

The Nurse Is Caring for an 85-Year-Old Patient Who Has