MM is a 28-year-old client who presents to the ED and reports occasional night sweats, a cough, sore throat, and some chest discomfort for the past several days. The client reported feeling weakness and fatigue and stated, “I also noticed that I have a few white patches in my mouth, which makes it difficult to swallow.” The client reports that they have had multiple vaginal yeast infections in the past and have been treated; however, this time, it seems worse. MM stated that they have a history of anxiety, IV drug use occasionally, and smoke 1 pack of cigarettes daily. The client reports they have been working so much to take care of their family and have not had time to follow up with the primary care provider. Upon assessment, the nurse noted the following: Vital signs: Temp 38.2 C (100.8 F), HR 108, Respiratory Rate 32 breaths per minute, BP 130/82 mmHg, Oxygen 95% on RA. MM is alert and oriented x 3, they are pale and fatigued. Their oral mucosa is dry and there are three white patches on the right buccal mucosa lining. MM’s physical assessment includes: lungs are clear with slight crackles to the right lower lobe (RLL) posteriorly, productive cough with greenish-yellow sputum with labored breathing. MM reports some discomfort with coughing. Based on the case presented, list 6 assessment findings that require follow-up by the nurse.
[Answered]: MM is a 28-year-old client who presents to the ED…
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