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A 43-year-old client presented to the clinic with complaints of shortness of breath, chills, cough, sputum production, fatigue, decreased appetite, and inability to concentrate. He recently went through a divorce and is living alone. He has taken the past two days off of work due to this illness but is nervous about taking more. Hx: Asthma treated with Albuterol MDI 2 puffs QID PRN) Smokes ½ ppd Excessive alcohol use Vital signs: HR 95 Regular RR 30 labored Temp 102.3° Bp 132/84 SaO288% on RA Lung Sounds Absent in the bases Crackles/diminished upper lobes Pain: 0/10 Bowel sounds present X4 Chest Xray: consolidation of inferior and superior segments of RLL and LLL and developing consolidation of RUL and LUL Labs: WBC 15200 H/H 13.5/40.7 Platelet Count 73 Na 141 K+ 5 Cl 105 Glucose 138 BUN 16 Creatinine 0.9 Ca+ 6 Post the following on the discussion board with rationales: What information in the summary is concerning? What labs are relevant? Of the information that is concerning, what is the top priority? What medical care will the nurse anticipate? What nursing interventions will the nurse anticipate?
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