Which concerns nurse address while providing client care

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Reference no: EM133778385

Problem

The nurse performs hand hygiene, applies a gown and gloves, enters the room, and introduces themselves. The nurse informs Jack they need to look and listen to gather information about how Jack is doing. Jack replies "I know all about what you do. I've been here lots of times before. Do you know I have cystic fibrosis?" The nurse assures Jack that they are knowledgeable about his condition. The nurse assesses Jack's vital signs: temperature 100.8, pulse 88/min, respirations 24/min, blood pressure 98/58, pulse oximeter 98% on 2 liters of oxygen. Respirations are unlabored. Frequent loose cough productive for thick while sputum. Rhonchi auscultated throughout left lung fields. Jack reports a pain level of 3 on a scale of 0-10 in his left chest area. Abdomen soft and nondistended with active bowel sounds. Bedside commode in use due to Jack's reported shortness of breath with activity. Large amount of foul smelling, frothy stool noted in commode. Jack refused his breakfast tray, stating that he was not hungry. Which concerns should the nurse address while providing client care?

Reference no: EM133778385

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