A client presents to the emergency department following a mo…

A client presents to the emergency department following a motor vehicle accident, reporting a head-on collision with airbag deployment. The nurse observes tachypnea, dyspnea, and asymmetric chest rise. Vital signs are: Temperature 97.8°F, Pulse 118 bpm, Respiratory Rate 26 bpm, Blood Pressure 102/68 mmHg, and Pulse Oximetry 95% on room air. Based on this assessment data, what condition does the nurse suspect is most likely occurring? What are the two priority actions to take? What are the two priority parameters to monitor?

The nurse receives a phone call from a clinic client who exp…

The nurse receives a phone call from a clinic client who experienced fever of 103.4F and a slight dyspnea for a short period of time after receiving pneumococcus vaccine one day earlier. Symptoms have subsided and no further symptoms noted. What is the nurses’ responsibility and most appropriate action?