A nurse is reviewing prescriptions for a client who has acut…

A nurse is reviewing prescriptions for a client who has acute dyspnea and diaphoresis.  The client states she is anxious and is unable to get enough air.  Vital signs are heart rate /min, respirations of 30/min, temperature 38.4° C, and blood pressure 100/54 mmHg.  Which of the following nursing actions is the priority?

A nurse is collecting data on a client who has been brought…

A nurse is collecting data on a client who has been brought into the emergency department after a car accident.  Report from EMS states that the client wasn’t wearing a seat belt and is suspected of having blunt chest trauma from hitting the steering wheel.  Chest x-ray demonstrates multiple contiguous rib fractures on the right side.  Which of the following findings should the nurse expect?  Select all that apply.