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Oxygen saturation
Oxygen saturation (85% on room air) — This requires immediate follow-up because it indicates severe hypoxemia; COPD patients often have lower baseline O₂, but <88–90% is critical.
Breath sounds (crackles and decreased sounds at the bases) — This requires follow-up because it suggests pneumonia and impaired ventilation, which could worsen gas exchange.
Temperature (38.6°C / 101.5°F) — This requires follow-up because fever indicates infection, consistent with pneumonia, and needs treatment to prevent sepsis.
Heart rate (99/min) — Slightly elevated but expected with fever and respiratory distress; not the most urgent.
Blood pressure (114/56 mm Hg) — Low-normal, but not concerning compared to the other findings.
This question is from ATI PN Fundamentals Online Practice 2023 A which contains 59 questions.
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