A nurse is caring for a client in the emergency department (ED) Exhibits Which of the following client findings should the nurse report to the provider Immediately? (Select all that apply.)
Explanation & Rationale
A. Hypothermia (35.3°C/96.5°F) is dangerous and requires immediate intervention to prevent worsening metabolic and cardiovascular instability. B. Slow respiratory rate (10/min), wheezes, crackles, productive cough, and hypoxemia (SpO₂ 90% on room air) indicate respiratory compromise and possible impending failure. C. Although very high, it confirms intoxication but does not require immediate reporting compared to life-threatening findings. D. Important for discharge planning and social work involvement, but not an immediate medical priority. E. Hypotension (88/66 mmHg) threatens organ perfusion and needs urgent management. F. Malnutrition is significant but not an immediate emergency compared to airway, breathing, circulation, and temperature concerns.