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Question Answered step-by-step Highlight or place a check mark next to the assessment findings that require immediate follow-up by the nurse. The child's assessment upon arrival to the ED is as follows:Temperature: 98.9 °FPulse: 60 beats per minute (bpm)Respirations: 16 breaths per minute and irregularBlood pressure: 75/45 mmHgPulse oximetry: 99% on 5 L oxygen via nasal cannulaGlucose: 272 mg/dLPhysical AssessmentLethargic and unresponsiveDusky in appearanceCapillary refill: 4 secondsExtremity pulses: +2 and cool to touchAbdomen: round, soft and nondistended and pain is not noted upon palpationPast medical history: unremarkablePer grandmother, the child came to their house for a visit 2 days ago and has been fine until he was found lying on the floor. The reason for your choices:  Health Science Science Nursing NUR 4257 Share QuestionEmailCopy link Comments (0)
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