A 68-year-old patient is admitted with the following finding…

A 68-year-old patient is admitted with the following findings: blood pressure 88/54 mmHg, heart rate 128 beats/min, respiratory rate 28 breaths/min, temperature 100.8°F (38.2°C), and oxygen saturation 89% on room air. Based on priority assessment principles, which action should the nurse perform first?

During the general survey portion of a physical assessment,…

During the general survey portion of a physical assessment, the nurse notes that the patient is sitting with a slouched posture, has unkempt hair and clothing, and is frequently wringing their hands while avoiding eye contact. How should these findings be classified?

A 68-year-old patient with a history of heart failure is tak…

A 68-year-old patient with a history of heart failure is taking furosemide 40 mg PO daily. The nurse reviews the patient’s latest lab results: potassium 2.9 mEq/L (normal 3.5–5.0 mEq/L). Which assessment finding is most likely associated with this lab value?