A nurse is performing a focused respiratory assessment on a client. Which finding would require immediate intervention?
Breath sounds, such as wheezing or stridor
Warm, dry skin
Chest tenderness to palpation
Decreased oxygen saturation
Breath sounds, such as wheezing or stridor, indicate potential airway obstruction or impaired ventilation and require prompt action to prevent further respiratory compromise. These findings are critical and directly assessed during a focused respiratory examination.
Chest tenderness to palpation, while it may be uncomfortable, often points to musculoskeletal issues or localized inflammation that typically does not require emergency intervention. Decreased oxygen saturation warrants close monitoring but does not automatically indicate an emergent issue unless it is severe or accompanied by other signs of respiratory distress. Warm, dry skin suggests systemic stability and is not associated with acute respiratory concerns.
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