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[Verified Answer]: A 58-year-old female in a severe motor…

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A 58-year-old female in a severe motor vehicle accident is admitted to the ER of a large, urban trauma centre with fractured ribs. Nurses’ Notes 1500: Lethargic but easy to arouse. Has chest pain with inspiration and difficulty breathing. Chest pain increases to 5/10 with inspiration. Absent breath sounds on anterior and posterior left lower chest wall. Asymmetrical chest movement- less on the left side. Bruising on the anterior chest from the seat belt. IV started 0.9% NS at 100 ml/hr in left arm. Started on 4 liters oxygen per nasal cannula. Vital Signs Time 1500 Temp 36.8 (C) P 98/min RR 28/min B/P 138/90 Pulse oximeter 86% Pain 5/10 1. Which assessment findings require immediate follow-up? Select all that apply. □ Heart rate of 98/min □ Respiratory rate of 28/min □ Pulse oximeter of 86% □ Blood Pressure of 138/90 □ Pain 5/10 with inspiration □ Temperature of 36.8oC □ Absent breath sounds □ Bruising on the anterior chest Provide rationale as to why each chosen assessment finding requires immediate follow- up.

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