35. After reviewing the information shown in the accompanyin…
35. After reviewing the information shown in the accompanying chart for a patient with pneumonia and sepsis, which information is most important for the nurse to report to the health care provider? Physical Assessment Laboratory Data Vital Signs • No redness or swelling at central line IV site• Petechiae noted on chest and legs• Crackles heard bilaterally in lung bases • Hematocrit 30%• Platelets 50,000/μL• Blood urea nitrogen (BUN) 34 mg/Dl • Temperature 100°F (37.8°C)• Pulse 102/min• Respirations 26/min• BP 110/60 mm Hg• O2 saturation 93% on 2 L O2 via nasal cannula