Scattered rhonchi heard throughout

Reference no: EM133730422

Question

A hospice nurse is caring for a client. Nurses' Notes Vital Signs Nurses' Notes Day 1 1000: Client lethargic, nods head to indicate pain. Extremities cool to touch, pallor noted. Breath sounds labored, irregular, scattered rhonchi heard throughout. Day 2 1000: Client nonresponsive to verbal stimuli; moaning with grimacing when repositioning; mottling to lower extremities. Breath sounds with audible rhonchi, irregular, tachypnea, bladder incontinency.

Reference no: EM133730422

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