Male client brought to emergency department

Reference no: EM133712497

Question

A nurse is caring for a 4-month-old male client brought to the emergency department by the parents. Click to highlight the finding(s) that will require follow-up. The client has had cold symptoms for the past few days including coughing, sneezing, and a runny nose. Today coughing has increased, with decreased appetite and increasing fussiness. Parents administered acetaminophen for a fever of 102.2°F (39°C) last night with effect . Lips and mucous membranes are dry and cracked; skin very warm, ruddy , and intact . Parents state they have only changed diapers once since last night with very little urine, no bowel movement. Physical assessment reveals lethargy, opens eyes to voice, nonproductive cough, rhinorrhea that is clear , and expiratory wheezes in bilateral upper lobes. Vital signs: temperature, 101.2°F (38.4°C); heart rate, 130 beats/min ; blood pressure , 82/42 mm Hg ; respiratory rate, 28 breaths/min ; oxygen saturations 96% on room air.

Reference no: EM133712497

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