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    Ati nurs 190191 physical assessment proctored exam
    Select All That Apply

    A nurse is caring for a patient in the endocrinologist outpatient clinic. Exhibits When completing the assessment at 0810, which of the findings listed below would require a follow-up by the nurse? Click to highlight the statements in the assessment findings that require follow-up by the nurse. Axillary temperature 100.5° F Heart rate 105/min Respiratory rate 18/min The client is 34 years of age. States she has a bowel movement after every meal, heat intolerance, and nervousness. The client has lost 20 pounds in the last month without dieting or a change in physical activity. She exercises 4-5 times per week for 45 minutes at a time. States at times during exercise, she experiences irregular heartbeat.

    Explanation & Rationale

    The increase in axillary temperature to 100.5° F is significant and could indicate an infection or other inflammatory process. The heart rate has increased to 105/min, which, along with the reported symptoms of heat intolerance, nervousness, and irregular heartbeat during exercise, may suggest an endocrine disorder such as hyperthyroidism. The significant weight loss of 20 pounds in a month without changes in diet or physical activity is also concerning and warrants further investigation. The patient's history of having a bowel movement after every meal could be related to the reported diarrhea and should be explored further.

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