A 35-year-old is brought to the emergency department  becaus…

A 35-year-old is brought to the emergency department  because of worsening shortness of breath and cough. The client has a history of asthma, which has been further exacerbated since he started to have a runny nose, cough, and fever 2 days ago. The physical examination reveals a sick-looking client whose vitals are temperature 100.2 °F (37.9 °C), blood pressure 135/80 mm Hg, heart rate 130 bpm, and respiratory rate 30 breaths/min. He has difficulty talking. His chest exam reveals intercostal retraction and generalized wheezing. What is the clinical sign that indicates the most significant respiratory emergency?

Part 3 of 3 A nurse is caring for a client who has pneumonia…

Part 3 of 3 A nurse is caring for a client who has pneumonia on a medical-surgical unit. Nurse’s Notes Client admitted to the unit 12 hr ago with pneumonia, over the last 1 hr the client has exhibited dyspnea and restlessness. Respiratory rate is currently 32/min with deep breaths, BP 198/78 mm Hg. Oxygen has been increased from 2 L nasal cannula to 50% face mask with little improvement of oxygen saturation. Current oxygen saturation is 91% on 50% facemask. Arterial blood gases drawn and sent to lab. Diagnostic Results ABGs: pH 7.25 (7.35 to 7.45) pCO2 62 mm Hg (35 to 45 mm Hg) HCO3- 22 mEq/L (22 to 26 mEq/L) Which TWO parameters are most important to monitor for this patient?