Question 6
10 pts
Greg. 58, presents to the emergency department with complaints of difficulty breathing. He first began to experience breathlessness yesterday evening right after driner. He explains he began with some mild nasal congestion that morning. At frst, his nose was runny and clear but by mid-afternoon, he began coughing up thick mucus described as "thick and yellow" and he began to feel feverish. Shortly after, the feeling of breathlessness began, and he decided to come to the emergency department. Greg reports he experiences
2-3 respiratory infections a year. He usually tries to "wait them out" but has been requiring antibiotic treatment more frequently. He has been smoking tobacco clgarettes since he was 18 years oid and typically smokes a pack a day. Before feeling ill, he admits to having a "nagging smoker's cough" most days for the past 2 years that is usually productive for thick, white phlegm in the morning. The nurse proceeds with the physical exam.
Respiratory rate, 22
SpO_(2),90%
Reports
(1)/(10) pain on a
0-10 pain scale
Clear nasal discharge
Temperature 101.8"F oral
Negative tenting with skin turyor evaluation
PERRLA intact
Which THREE findings would require follow-up by the nurse?
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