Answer:
First, let's add the missing piece of information for clarity;
The nurse receives the handoff of care report on four clients. Which client should the nurse see first?
The CORRECT ANSWER IS 4.
4. Client with pneumonia who has a temperature of 97.6 F (36.4 C), has an SpO2 of 93% on 4 L/min supplemental oxygen, and is becoming restless [32%]
Explanation:
Acute respiratory failure (ARF) is a serious and deadly disease condition that affects the lungs' capabilities to oxygenate blood and give out carbon dioxide (CO2) ad waste products. ARF could result from aggravation of chronic (such as chronic obstructive pulmonary disease, asthma) or acute (take for instance pneumonia, pulmonary edema) diseases.
Nurses examing for clinical manifestations of ARF should evaluate both respiratory and neurological signs and conditions. Alterations in mental status (such as, confusion, agitation, somnolence) is a usual and mostly ignored symptom whixh may be due to the brain's sensitivity to lack of sufficient oxygenation and the variations in acid-base balance from reserved CO2(as seen in choice 4). Extra signs and symptoms could be observed and called for.
