The patient arrives and you complete the following, brief as…
The patient arrives and you complete the following, brief assessment; T 98F P 120, rapid, thready RR 30 BP 80/60 SPO2 93% Skin- cool, pale, moist, with dependent edema Pupils – reactive to light, 3mm-2mm Pulses – bilateral radial palpable +1, Right pedal palpable +1, Left pedal doppler +1 Which of the following assessment findings require immediate follow-up by the nurse?