YR, a 17-year old presented to his family physician with complaints…

Question Answered step-by-step YR, a 17-year old presented to his family physician with complaints… YR, a 17-year old presented to his family physician with complaints of dry cough for about 5 days and feeling warm and flushed. He appeared healthy and has no medical history other than having had his appendix removed at age 14. The physician prescribed him Azithromycin and cautioned him to seek further care if his symptoms do not improve. He recalls having some tests done at the clinic but was not sure what they were. Three days later, YR was feeling worse. He feels he is warmer and has a high fever. He complains of severe chest discomfort with coughing while not expectorating any phlegm. However, he is experiencing joint pains and muscle aches. He has no appetite and becomes weaker. His father was concerned and brought him to the nearest ED at a community hospital setting.  You are YR’s first contact in the ED as the triage nurse. After gathering the above, you obtained the following data Subjective complaints: “feeling warm, headache, severe short of breath”. Objective Data: Temperature 39 C, HR 112, RR 32, BP 110/65, O2Sat 88% on room air Neuro: AOx3, moving all extremities, pupils equal and reactive. Pulmonary: Harsh breath sounds bilaterally with usage of accessory muscle use. Rest of the system exam is WNL. Questions 1.  How would you triage YR and what tests would you expect the MD to order? 2.  What would you tell the next ED nurse who will take care of YR once you determined the appropriate ED treatment that he should have? 3.  What concerns do you have about what is likely the reason for his symptoms?  Health Science Science Nursing Share QuestionEmailCopy link Comments (0)