Client is a 72-year-old male with a recent diagnosis of Deep…
Client is a 72-year-old male with a recent diagnosis of Deep Vein Thrombosis is seen in the Emergency Department. EMERGENCY DEPARTMENT TRIAGE NOTE: 1520: The client arrives by ambulance to the Emergency Department with difficulty breathing, sharp pain in chest on inspiration and cough (pink-tinged), onset 2 hours prior to arrival. Lung sounds diminished bilaterally. Client diaphoretic, tachypneic, using accessory muscles with inspiration. Vital Signs: BP 162/94, HR122, RR 30, Temp. 99.1 degrees Fahrenheit , pulse oximetry 88% on room air. Client immediately placed in room. Provider called to beside for rapid assessment. Which of the following actions are appropriate and the nurse should implement? Select all that apply.