SOLVED878

The nurse enters the client’s room and introduces themself. The nurse asks the client how they are feeling and the client states, “This room is really hot, and I have heartburn. Can you do something for that?” The nurse adjusts the temperature in the room and tells the client they will notify the provider of their heartburn once they complete their assessment. The client’s vital signs are: temperature 37.5Ëš C (99.5Ëš F), pulse 105, respirations 20/min, BP 144/98 mm Hg, and SpO2 88% on room air. On assessment, lungs with fine crackles on auscultation, respirations are unlabored and equal, S1 and S2 heard with irregular rhythm, edema 2+ in bilateral extremities, pulses +1 in lower extremities, pulses +2 in upper extremities, capillary refill 3 seconds in lower extremities, and capillary refill 2 seconds in upper extremities. Abdomen is soft, non-tender, non-distended, and bowel sounds are normoactive. Color is appropriate to ethnicity. Skin is cool to the touch and diaphoretic. Based on the assessment findings, which of the following conditions should the nurse be concerned the client is most likely experiencing? (Select all that apply.)
SCIENCE
HEALTH SCIENCE
NURSING

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