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    Ati nur 190191 physical assessment final proctored exam
    Select All That Apply

    Select the 3 findings on day 3 that require immediate follow-up. Exhibits

    Explanation & Rationale

    A. PICC line insertion site: The client reports pain, redness, and edema at the PICC line insertion site, which are signs of a possible infection. This finding requires immediate follow-up to prevent complications like bloodstream infection or sepsis. B. Breath sounds: The client’s breath sounds are clear and unchanged from Day 1, so this finding does not require immediate follow-up. C. Temperature: The client's temperature has risen to 39 °C (102.2 °F) from 37.2 °C (99 °F) on Day 1. Such a significant increase in temperature indicates a possible infection and needs prompt intervention. D. Heart rate: The client’s heart rate has increased to 108/min from 66/min, suggesting tachycardia. This could be a response to infection, potentially linked to sepsis, and warrants immediate follow-up. E. Albumin level: The albumin level has increased to within the normal range, which is a positive trend and does not require urgent intervention.

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