Get Answer: After Reviewing Assessment Question Guide

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Structure your response with introduction, analysis, and conclusion.

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Original Question

After reviewing the assessment findings below, which of the following actions should the nurse take? (There are 4 actions) Nurses’ Notes​1700: A client with a suspected diagnosis of pneumonia arrived on the medical-surgical unit. Oxygen via nasal canula at 3 L/min administered. Blood cultures to be drawn. Antibiotics to be started after blood cultures. 22 gauge IV inserted in right hand. Client sent for chest x-ray. Physical Examination: General: alert and responding appropriately to questions Respiratory: tachypnea, decreased breath sounds in right lower lobe Cardiovascular: S1, S2, no murmur noted Skin: warm, dry Pain: client reporting no pain 2000: The client states, “I feel terrible. Something isn’t right.” Head of bed elevated. Provider contacted. Physical Examination: General: anxious Respiratory: tachypnea, dyspneic, decreased breath sounds in right lower lobes Cardiovascular: S1, S2, tachycardia, regular rhythm Skin: pale, diaphoretic Initiate large bore IV access. Continue IV antibiotics. Prepare the client for transfer to the ICU. Prepare to infuse 2 units of packed red blood cells. Prepare to transfer the client to the cardiac catheterization lab. Prepare to administer IV metoprolol. Place an indwelling urinary catheter.

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