57-year-old male reporting increasing dyspnea and abdominal pressure after missing his previously scheduled paracentesis. The client reports he feels 'uncomfortable.' He is alert and oriented x 4; sclera is yellow along with jaundice skin appearance. Respirations were labored, tachypnea, and clear breath sounds. Abdominal distention noted, hypoactive bowel sounds in all four quadrants. Ascites and dependent edema were noted. Peripheral pulses were intact.
Oral Temperature 101 o F (38.3o C)
Heart rate 94/minute
Respirations 24/minute
Blood pressure 104/68 mm Hg
Oxygen saturation 95% on room air
Hepatitis C
Liver cirrhosis
Substance use disorder
Hyperlipidemia
➢ Which assessment findings require follow-up? Select all that apply.
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