Exhibits The nurse performs an initial focused assessment of the client. Based on the client's history and assessment data, the nurse's hypothesis is that the client's vital signs are most likely the result of a disease process, medication use, or neither. Each column must have at least one, but may have more than one answer selected.

Temperature: 98.9°F Neither Disease Process Nor Medication Use: The temperature is within normal range and does not indicate an infection or other abnormality. Heart Rate: 112 beats per minute Disease Process: The elevated heart rate (tachycardia) is most likely due to the asthma attack, which increases respiratory effort and oxygen demand. Anxiety from the attack could also contribute. Respirations: 28 breaths per minute Disease Process: The elevated respiratory rate (tachypnea) is consistent with the asthma attack and respiratory distress, a hallmark of the disease process. Blood Pressure: 130/86 mmHg Neither Disease Process Nor Medication Use: This value is slightly elevated but not significantly enough to be directly attributed to asthma or medication. It could be situational due to stress or anxiety. Oxygen Saturation: 88% Disease Process: The low oxygen saturation is indicative of hypoxemia caused by bronchoconstriction and impaired gas exchange during the asthma attack.